Utah 2026 General Session Status: Enacted 2 R cosponsors

HB 321 — Inmate Medical Treatment Rates 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 January 22, 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.

Upgrade to see the exact probability and what's driving it.

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 R).

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

103 added · 119 removed

Plain-language change summary

The recent amendments to Bill HB 321 change how the Department of Health and Human Services pays for medical services provided to inmates. Instead of paying Medicaid rates, the department will now pay Medicare rates, which are often lower, helping to save money. Additionally, the department is required to report back to two committees about the savings generated and the financial details of a new restricted account set up for inmate medical treatment, ensuring better oversight of these funds. This matters because it aims to reduce costs and improve transparency in how taxpayer money is used for inmate healthcare.

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HB0321S02 compared with HB0321 {Omitted text} shows text that was in HB0321 but was omitted in HB0321S02 inserted text shows text that was not in HB0321 but was inserted into HB0321S02 DISCLAIMER:
Enrolled Copy H.B.
This document is provided to assist you in your comparison of the two bills.
321 Inmate Medical Treatment Rates Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
Sometimes this automated comparison will NOT be completely accurate.
Doug Fiefia Senate Sponsor:
Therefore, you need to read the actual bills.
Keven J.
This automatically generated document could contain inaccuracies caused by:
limitations of the compare program;
bad input data;
or other causes.
Inmate Medical Treatment Rates Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
Doug Fiefia Senate Sponsor:Keven J.
▸ requires the Department of Health and Human Services (department) to pay the University of Utah Hospitals and Clinics {the noncapitated Medicaid rate } and the University of Utah's physician groups Medicare rates for medical services rendered to inmates {when there is no contract establishing rates} ;
▸ requires the Department of Health and Human Services (department) to pay the University of Utah Hospitals and Clinics and the University of Utah's physician groups Medicare rates for medical services rendered to inmates;
H ● a calculation of savings from paying the {noncapitated Medicaid } Medicare rate;Band ● an accounting of the restricted account;
● a calculation of savings from paying the Medicare rate;
3 ▸ defines terms;
and ● an accounting of the restricted account;
and 2 HB0321 compared with HB0321S02 ▸ makes technical and conforming changes.
▸ defines terms;
and ▸ makes technical and conforming changes.
26B-4-1002 , as renumbered and amended by Laws of Utah 2025, Chapter 88 ENACTS:
26B-4-1002, as renumbered and amended by Laws of Utah 2025, Chapter 88 ENACTS:
26B-1-337 , Utah Code Annotated 1953 Be it enacted by the Legislature of the state of Utah:
H.B.
321 Enrolled Copy 26B-1-337, Utah Code Annotated 1953 Be it enacted by the Legislature of the state of Utah:
Section 1 is enacted to read:
Section 26B-1-337 is enacted to read:
26B-1-337.
26B-1-337 .
(c) "Savings" means the difference between the rate the department pays to the University of Utah Hospitals and Clinics and the University of Utah's physician groups for outpatient services under Subsection {(9)(a)} 26B-4-1002(8), and the cost to charge rate for the medical services rendered to an inmate by {a state teaching hospital} the University of Utah Hospitals and Clinics and the University of Utah's physician groups.
(c) "Savings" means the difference between the rate the department pays to the University of Utah Hospitals and Clinics and the University of Utah's physician groups for outpatient services under Subsection 26B-4-1002(8), and the cost to charge rate for the medical services rendered to an inmate by the University of Utah Hospitals and Clinics and the University of Utah's physician groups.
(4){(5)} At the close of the fiscal year, the department may, without an appropriation, deposit into the account carry forward funds described in Subsection {(3)} (3)(a).
(5) At the close of the fiscal year, the department may, without an appropriation, deposit into the account carry forward funds described in Subsection (3)(a).
- 2 - HB0321 compared with HB0321S02 (5){(6)} Money in the fund may only be used by the division for purposes approved by the department.
(6) Money in the fund may only be used by the division for purposes approved by the department.
(6){(7)} Before approving an expenditure or commitment to expend, the department shall obtain approval for the expenditure or commitment to expend from the Social Services Appropriations Subcommittee.
(7) Before approving an expenditure or commitment to expend, the department shall obtain approval for the expenditure or commitment to expend from the Social Services Appropriations Subcommittee.
26B-4-1002.
26B-4-1002 .
(b) "Savings" means the difference between the rate the department pays to the University of Utah Hospitals and Clinics and the University of Utah's physician groups under Subsection (8), and the cost to charge rate for the medical services rendered to an inmate by the University of Utah Hospitals and Clinics and University of Utah's physician groups.
(b) "Savings" means the difference between the rate the department pays to the - 2 - Enrolled Copy H.B.
[(1)] (2) {As used in this section:} {(1) "Inmate Medical Treatment Restricted Account" means the account created in Section 26B-1-337.} {(2) {"Savings" means the difference between the rate the department pays to the University of Utah Hospitals and Clinics under Subsection (8), and the cost to charge rate for the medical services rendered to an inmate by a state teaching hospital.} {(3)} The department shall:
321 University of Utah Hospitals and Clinics and the University of Utah's physician groups under Subsection (8), and the cost to charge rate for the medical services rendered to an inmate by the University of Utah Hospitals and Clinics and University of Utah's physician groups.
[(1)] (2) The department shall:
[(2)] (4){(3)} In providing the comprehensive health care described in Subsection [(1)(b)(ii)] {(3)(b) (ii)} (2)(b)(ii), the department may not, without entering into an agreement with the Department of Corrections, provide, operate, or manage any treatment plans for inmates that are:
[(2)] (3) In providing the comprehensive health care described in Subsection [(1)(b)(ii)] (2)(b)(ii), the department may not, without entering into an agreement with the Department of Corrections, provide, operate, or manage any treatment plans for inmates that are:
- 3 - HB0321 compared with HB0321S02 (a) required to be provided, operated, or managed by the Department of Corrections in accordance with Section 64-13-6;
(a) required to be provided, operated, or managed by the Department of Corrections in accordance with Section 64-13-6;
[(3)] (5){(4)} Beginning July 1, 2023, and ending June 30, 2024, the department shall:
[(3)] (4) Beginning July 1, 2023, and ending June 30, 2024, the department shall:
and (b) make the indicators and performance measures described in Subsection [(1)(b)(iii)] {(3)(b)(iii)} (2) (b)(iii) available to the public through the Department of Corrections and the department websites.
and (b) make the indicators and performance measures described in Subsection [(1)(b)(iii)] (2)(b)(iii) available to the public through the Department of Corrections and the department websites.
[(4)] (6){(5)} Beginning July 1, 2024, and ending June 30, 2029, the department shall implement the pilot program.
[(4)] (5) Beginning July 1, 2024, and ending June 30, 2029, the department shall implement - 3 - H.B.
[(5)] (7){(6)} The department shall submit to the Health and Human Services Interim Committee and the Law Enforcement and Criminal Justice Interim Committee:
321 Enrolled Copy the pilot program.
[(5)] (6) The department shall submit to the Health and Human Services Interim Committee and the Law Enforcement and Criminal Justice Interim Committee:
(b) a report that summarizes the indicators and performance measures described in Subsection [(1)(b) (iii)] {(3)(b)(iii)} (2)(b)(iii) on or before October 1, 2024;
(b) a report that summarizes the indicators and performance measures described in Subsection [(1)(b)(iii)] (2)(b)(iii) on or before October 1, 2024;
and (c) an updated report before October 1 of each year that compares the indicators and population measures of the most recent year to the initial report described in Subsection [(5)(b)] {(7)(b)} (6)(b).
and (c) an updated report before October 1 of each year that compares the indicators and population measures of the most recent year to the initial report described in Subsection [(5)(b)] (6)(b).
[(6)] (8){(7)} An inmate receiving comprehensive health care from the department remains in the custody of the Department of Corrections.
[(6)] (7) An inmate receiving comprehensive health care from the department remains in the custody of the Department of Corrections.
{(9) } (8) Beginning on May 6, 2026, the department shall reimburse the University of Utah Hospitals and Clinics and the University of Utah's physician groups at Medicare rates for outpatient services rendered to an inmate on or after May 6, 2026.
(8) Beginning on May 6, 2026, the department shall reimburse the University of Utah Hospitals and Clinics and the University of Utah's physician groups at Medicare rates for outpatient services rendered to an inmate on or after May 6, 2026.
(a){(9)} (a) {If there is no contract between the } The department {and the University of Utah Hospitals and Clinics that establishes a fee schedule for medical services rendered, the department shall reimburse the University of Utah Hospitals and Clinics for medical services provided to an inmate at the noncapitated state Medicaid rate in effect at the time the medical services were provided.} shall annually submit a report:
(9)(a) The department shall annually submit a report:
Show all 47 changed rows (7 more)
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- 4 - HB0321 compared with HB0321S02 (b){(i)} {The department shall annually submit } to the Health and Human Services Interim Committee {and the Law Enforcement and Criminal Justice Interim Committee, } on or before November 1 of each year{, a report that includes:} ;
(i) to the Health and Human Services Interim Committee on or before November 1 of each year;
and (i){(ii)} {a calculation of savings;} to the Law Enforcement and Criminal Justice Interim Committee upon request.
and (ii) to the Law Enforcement and Criminal Justice Interim Committee upon request.
(ii){(b)} {an accounting of the Inmate Medical Treatment Restricted Account;
(b) The report described in Subsection (9)(a) shall include:
and} The report described in Subsection (9)(a) shall include:
(i) a calculation of savings;
(iii){(i)} {any other information the Health and Human Services Interim Committee or Law Enforcement and Criminal Justice Interim Committee requires.} a calculation of savings;
Effective date.
2-13-26 5:57 PM - 5 -
- 4 -
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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/ passed 2nd & 3rd readings/ suspension

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

  14. Senate/ Rules to 2nd Reading Calendar

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

  16. Senate/ placed on 2nd Reading Calendar

  17. Senate/ committee report favorable [Senate Health and Human Services Committee]

  18. Senate Comm - Favorable Recommendation [Senate Health and Human Services Committee]

  19. Senate/ to standing committee [Senate Health and Human Services Committee]

  20. Senate/ 1st reading (Introduced)

  21. Senate/ received from House

  22. House/ to Senate

  23. House/ passed 3rd reading

  24. House/ uncircled

  25. House/ circled

  26. House/ 3rd reading

  27. LFA/ fiscal note publicly available for HB0321S02

  28. LFA/ fiscal note sent to sponsor for HB0321S02

  29. House/ 2nd reading

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

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

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

  33. LFA/ bill sent to agencies for fiscal input for HB0321S02

  34. LFA/ bill assigned to staff for fiscal analysis for HB0321S02

  35. House Comm - Held [House Health and Human Services Committee]

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

  37. Bill Substituted by Sponsor in House Rules Comm [House Rules Committee]

  38. LFA/ fiscal note publicly available for HB0321S01

  39. LFA/ fiscal note sent to sponsor for HB0321S01

  40. LFA/ bill sent to agencies for fiscal input for HB0321S01

  41. LFA/ bill assigned to staff for fiscal analysis for HB0321S01

  42. House/ received fiscal note from Fiscal Analyst

  43. LFA/ fiscal note publicly available for HB0321

  44. LFA/ fiscal note sent to sponsor for HB0321

  45. House/ 1st reading (Introduced)

  46. House/ received bill from Legislative Research

  47. LFA/ bill sent to agencies for fiscal input for HB0321

  48. LFA/ bill assigned to staff for fiscal analysis for HB0321

  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

public-safety healthcare health-insurance
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Frequently asked questions

Who sponsors HB 321?
HB 321 is sponsored by Keven J. Stratton (Republican) and Doug Fiefia (Republican).
What is the current status of HB 321?
This bill has been enacted into law. Introduced January 22, 2026. Enacted.
Where can I track HB 321?
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