Utah 2026 General Session Status: Enacted 2 D cosponsors

HB 590 — Child Therapy Amendments

Last action — Governor Signed

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 20, 2026. Enacted.

Signed by Governor Spencer Cox (Republican) on March 19, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 54% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 D).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

116 added · 110 removed

Plain-language change summary

The updated version of Bill HB 590 now states that when a child leaves the custody of the Division of Child and Family Services, the division is required to help maintain continuity of care by connecting the child with their previous mental health therapist. This change ensures that children can continue receiving the same therapy they had while in custody, which can be crucial for their mental health and stability. Additionally, some definitions have been adjusted to clarify which types of mental health services are covered, which helps to better protect the needs of the children involved.

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HB0590S01 compared with HB0590 {Omitted text} shows text that was in HB0590 but was omitted in HB0590S01 inserted text shows text that was not in HB0590 but was inserted into HB0590S01 DISCLAIMER:
Enrolled Copy H.B.
This document is provided to assist you in your comparison of the two bills.
590 Child Therapy Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
Sometimes this automated comparison will NOT be completely accurate.
Therefore, you need to read the actual bills.
This automatically generated document could contain inaccuracies caused by:
limitations of the compare program;
bad input data;
or other causes.
Child Therapy Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
3 LONG TITLE General Description:
Luz Escamilla 3 LONG TITLE General Description:
and H ● coordinate with a child's parent or guardian or the Department of Health and HumBn Services (department)when a child leaves the custody of the division to facilitate continuity of ca5e for the child 0 HB0590 compared with HB0590S01 with the therapist that provided mental health treatment and services while the child was in the custody of the department;
and ● coordinate with a child's parent or guardian or the Department of Health and Human Services when a child leaves the custody of the division to facilitate continuity of care for the child with the therapist that provided mental health treatment and services while the child was in the custody of the division;
ENACTS:
H.B.
31A-22-663 , Utah Code Annotated 1953 80-2-310 , Utah Code Annotated 1953 Be it enacted by the Legislature of the state of Utah:
590 Enrolled Copy ENACTS:
31A-22-663, Utah Code Annotated 1953 80-2-310, Utah Code Annotated 1953 Be it enacted by the Legislature of the state of Utah:
Section 1 is enacted to read:
Section 31A-22-663 is enacted to read:
31A-22-663.
31A-22-663 .
(a) (i) "Covered child" means an insured child who:
(a)(i) "Covered child" means an insured child who:
- 2 - HB0590 compared with HB0590S01 (b) "Covered insurer" means an insurer that offers a health benefit plan that includes coverage for mental health treatment or services.
(b) "Covered insurer" means an insurer that offers a health benefit plan that includes coverage for mental health treatment or services.
(f) "Mental health therapist" means a mental health therapist as that term is defined in Section 58-60-102.
(f) "Mental health therapist" means a mental health therapist as that term is defined in - 2 - Enrolled Copy H.B.
590 Section 58-60-102.
(3) A covered insurer shall include in a negotiated single case agreement described in Subsection (2):
(3) A covered insurer shall include in a single case agreement described in Subsection (2):
(a) a requirement that the covered insurer reimburse the out-of-network provider for the covered mental health treatment and services at a rate negotiated by the covered mental health therapist and insurer, subject to the member cost-sharing requirements imposed by the health benefit plan;
(a) a requirement that the covered insurer reimburse the out-of-network provider for the covered mental health treatment and services at an in-network rate by the covered insurer, subject to the member cost-sharing requirements imposed by the health benefit plan;
and - 3 - HB0590 compared with HB0590S01 (b) provide documentation with the request for a single case agreement under Subsection (2):
and (b) provide documentation with the request for a single case agreement under Subsection (2):
(6) The commissioner may make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to implement this section.
(6) The commissioner may make rules in accordance with Title 63G, Chapter 3, Utah - 3 - H.B.
590 Enrolled Copy Administrative Rulemaking Act, to implement this section.
Section 2 is enacted to read:
Section 80-2-310 is enacted to read:
80-2-310.
80-2-310 .
(b) if the child has an existing relationship with a mental health therapist, take steps to facilitate continuity of the child's mental health care with the mental health therapist, including by;
(b) if the child has an existing relationship with a mental health therapist, take steps to facilitate continuity of the child's mental health care with the mental health therapist, including by:
{and} or (iii) entering into a contract or agreement, including a single case agreement, with the mental health therapist to provide mental health care to the child while the child is in the custody of the division.
or (iii) if the mental health therapist is or agrees to become enrolled as a Medicaid provider, entering into a contract or agreement, including a single case agreement, with the mental health therapist, at a rate not to exceed the Medicaid rate, to provide mental health care to the child while the child is in the custody of the division.
or - 4 - HB0590 compared with HB0590S01 (c) any other facility that provides a level of care higher than traditional outpatient services where mental health treatment or services are integrated into the facility's specialized program of care.
or (c) any other facility that provides a level of care higher than traditional outpatient services where mental health treatment or services are integrated into the facility's specialized program of care.
(4){(5)} The division shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to implement this section.
- 4 - Enrolled Copy H.B.
590 (5) The division shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to implement this section.
Effective date.
2-27-26 4:34 PM - 5 -
- 5 -
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Amendments

2 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Governor Signed

  2. House/ to Governor

  3. House/ received enrolled bill from Printing

  4. House/ enrolled bill to Printing

  5. Enrolled Bill Returned to House or Senate

  6. Draft of Enrolled Bill Prepared

  7. Bill Received from House for Enrolling

  8. House/ signed by Speaker/ sent for enrolling

  9. House/ received from Senate

  10. Senate/ to House

  11. Senate/ signed by President/ returned to House

  12. Senate/ received from House

  13. House/ to Senate

  14. House/ concurs with Senate amendment

  15. House/ placed on Concurrence Calendar

  16. House/ received from Senate

  17. Senate/ to House with amendments

  18. Senate/ passed 2nd & 3rd readings/ suspension

  19. Senate/ 2nd & 3rd readings/ suspension

  20. Senate/ Rules to 2nd Reading Calendar

  21. Senate/ 2nd Reading Calendar to Rules [Senate Rules Committee]

  22. Senate/ placed on 2nd Reading Calendar

  23. Senate/ comm rpt/ amended [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]

  24. Senate Comm - Favorable Recommendation [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]

  25. Senate Comm - Amendment Recommendation [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]

  26. Senate/ to standing committee [Senate Judiciary, Law Enforcement, and Criminal Justice Committee]

  27. Senate/ 1st reading (Introduced)

  28. Senate/ received from House

  29. House/ to Senate

  30. House/ passed 3rd reading

  31. House/ floor amendment

  32. House/ 3rd reading

  33. LFA/ fiscal note publicly available for HB0590S01

  34. LFA/ fiscal note sent to sponsor for HB0590S01

  35. House/ 2nd reading

  36. House/ comm rpt/ substituted [House Health and Human Services Committee]

  37. House Comm - Favorable Recommendation [House Health and Human Services Committee]

  38. House Comm - Substitute Recommendation [House Health and Human Services Committee]

  39. LFA/ bill sent to agencies for fiscal input for HB0590S01

  40. LFA/ bill assigned to staff for fiscal analysis for HB0590S01

  41. House/ to standing committee [House Health and Human Services Committee]

  42. House/ received fiscal note from Fiscal Analyst

  43. LFA/ fiscal note publicly available for HB0590

  44. LFA/ fiscal note sent to sponsor for HB0590

  45. House/ 1st reading (Introduced)

  46. House/ received bill from Legislative Research

  47. LFA/ bill sent to agencies for fiscal input for HB0590

  48. LFA/ bill assigned to staff for fiscal analysis for HB0590

  49. Numbered Bill Publicly Distributed

  50. Bill Numbered but not Distributed

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 102 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (102)

102 members have not signed on to this bill.

Show all 102 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HB 590?
HB 590 is sponsored by Luz Escamilla (Democrat) and Jennifer Dailey-Provost (Democrat).
What is the current status of HB 590?
This bill has been enacted into law. Introduced February 20, 2026. Enacted.
Where can I track HB 590?
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