Utah 2026 General Session Status: Enacted 2 R cosponsors

SB 305 — Hospital Quality Incentive Amendments

Last action — Governor Signed

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

This bill has been enacted into law. Introduced February 18, 2026. Enacted.

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

Prognosis

Advancing 54% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • 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).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

109 added · 113 removed

Plain-language change summary

The amended version of Bill SB 305 adds provisions allowing funds from the Hospital Provider Assessment Expendable Revenue Fund to support the implementation of the bill. This change is important because it ensures that financial resources are allocated specifically for the intended purposes outlined in the legislation, potentially improving healthcare services and funding mechanisms within Utah. Additionally, some sections were removed to streamline the bill's structure, which may enhance clarity and focus as it moves forward.

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SB0305S01 compared with SB0305 {Omitted text} shows text that was in SB0305 but was omitted in SB0305S01 inserted text shows text that was not in SB0305 but was inserted into SB0305S01 DISCLAIMER:
Enrolled Copy S.B.
This document is provided to assist you in your comparison of the two bills.
305 Hospital Quality Incentive 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.
Hospital Quality Incentive Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
3 LONG TITLE General Description:
Steve Eliason 3 LONG TITLE General Description:
{and} ▸ permits funds from the Hospital Provider Assessment Expendable Revenue Fund to be used to support the implementation of provisions of this bill;
▸ permits funds from the Hospital Provider Assessment Expendable Revenue Fund to be used to support the implementation of provisions of this bill;
S Money Appropriated in this Bill:
Money Appropriated in this Bill:
B None 3 Other Special Clauses:
None Other Special Clauses:
0 SB0305 compared with SB0305S01 None Utah Code Sections Affected:
None Utah Code Sections Affected:
Section 1.
S.B.
305 Enrolled Copy Section 1.
26B-1-316.
26B-1-316 (Effective 05/06/26).
[and] (c) to implement Subsection 26B-3-707(1)(c), including monitoring Medicaid accountable care organizations' distribution of funds to hospitals, except that the amount under this Subsection (3)(c) may not exceed $200,000 in each fiscal year;
[ and] (c) to implement Subsection 26B-3-707(1)(c), including monitoring Medicaid accountable care organizations' distribution of funds to hospitals, except that the amount under this Subsection (3)(c) may not exceed $200,000 in each fiscal year;
26B-3-705.
26B-3-705 (Effective 05/06/26) (Repealed 07/01/28).
(Effective 05/06/26) (Repealed 07/01/28)Calculation of assessment.
Calculation of assessment.
- 2 - SB0305 compared with SB0305S01 (1) (a) An annual assessment is payable on a quarterly basis for each hospital in an amount calculated at a uniform assessment rate for each hospital discharge, in accordance with this section.
(1)(a) An annual assessment is payable on a quarterly basis for each hospital in an amount calculated at a uniform assessment rate for each hospital discharge, in accordance with this section.
(c) Any quarterly changes to the uniform assessment rate shall be applied uniformly to all assessed hospitals.
- 2 - Enrolled Copy S.B.
305 (c) Any quarterly changes to the uniform assessment rate shall be applied uniformly to all assessed hospitals.
(2) (a) For each state fiscal year, discharges shall be determined using the data from each hospital's Medicare Cost Report contained in the CMS Healthcare Cost Report Information System file.
(2)(a) For each state fiscal year, discharges shall be determined using the data from each hospital's Medicare Cost Report contained in the CMS Healthcare Cost Report Information System file.
and - 3 - SB0305 compared with SB0305S01 (iii) the failure to submit discharge information shall result in an audit of the hospital's records and a penalty equal to 5% of the calculated assessment.
and (iii) the failure to submit discharge information shall result in an audit of the hospital's records and a penalty equal to 5% of the calculated assessment.
26B-3-707.
- 3 - S.B.
(Effective 05/06/26) (Repealed 07/01/28)Medicaid hospital adjustment under Medicaid accountable care organization rates.
305 Enrolled Copy 26B-3-707 (Effective 05/06/26) (Repealed 07/01/28).
Medicaid hospital adjustment under Medicaid accountable care organization rates.
(2) (a) To preserve and improve the quality of inpatient and outpatient hospital services authorized under Subsection (1)(b), the division shall amend its quality strategies required by 42 C.F.R.
(2)(a) To preserve and improve the quality of inpatient and outpatient hospital services authorized under Subsection (1)(b), the division shall amend its quality strategies required by 42 C.F.R.
- 4 - SB0305 compared with SB0305S01 (c) The division shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to adopt the selected quality measures and prescribe penalties for not meeting the quality standards that are established by the division by rule.
(c) The division shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to adopt the selected quality measures and prescribe penalties for not meeting the quality standards that are established by the division by rule.
Effective date.
2-23-26 5:06 PM - 5 -
- 4 -
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How this bill changes current law

5 changes Share ↗

Compared against the Utah Code as published AI-generated reading aid — verify against the official bill.

The bill amends existing laws related to the Hospital Provider Assessment and Medicaid accountable care organizations to include provisions for quality incentives and redefines fund usage.

  • 26B-1-316

    [ 46 and]

    Removes the word 'and' at the end of the list of fund usage purposes.

  • 26B-1-316

    (c) to implement Subsection 26B-3-707(1)(c), including monitoring Medicaid accountable care organizations' distribution of funds to hospitals, except that the amount under this Subsection (3)(c) may not exceed $200,000 in each fiscal year; → (c) to implement Subsection 26B-3-707(1)(c), including monitoring Medicaid accountable care organizations' distribution of funds to hospitals;

    Removes the limit of $200,000 on the amount that can be used for implementing monitoring tasks.

  • 26B-3-707

    [and]

    Removes the word 'and' from the list of allocations under the Medicaid hospital adjustment.

  • 26B-3-707

    [.] → ; and

    Changes the punctuation to allow for the addition of another allocation relating to quality incentive arrangements.

  • 26B-3-707

    (c) up to the maximum amount under 42 C.F.R. Sec. 438.6(b)(2) quality incentive arrangements if Medicaid accountable care organizations distribute at least 90% of those funds to hospitals.

    Adds a provision for quality incentive arrangements conditioned on the distribution of funds to hospitals.

Action History

  1. Governor Signed

  2. Senate/ to Governor

  3. Senate/ received enrolled bill from Printing

  4. Senate/ enrolled bill to Printing

  5. Enrolled Bill Returned to House or Senate

  6. Draft of Enrolled Bill Prepared

  7. Bill Received from Senate for Enrolling

  8. Senate/ signed by President/ sent for enrolling

  9. Senate/ received from House

  10. House/ to Senate

  11. House/ signed by Speaker/ returned to Senate

  12. House/ passed 3rd reading

  13. House/ 3rd reading

  14. House/ Rules to 3rd Reading Calendar

  15. House/ 3rd Reading Calendar to Rules [House Rules Committee]

  16. House/ 2nd reading

  17. House/ committee report favorable [House Law Enforcement and Criminal Justice Committee]

  18. House Comm - Favorable Recommendation [House Law Enforcement and Criminal Justice Committee]

  19. House/ to standing committee [House Law Enforcement and Criminal Justice Committee]

  20. House/ 1st reading (Introduced)

  21. House/ received from Senate

  22. Senate/ to House

  23. Senate/ passed 3rd reading

  24. Senate/ 3rd reading

  25. Senate/ passed 2nd reading

  26. Senate/ 2nd reading

  27. LFA/ fiscal note publicly available for SB0305S01

  28. LFA/ fiscal note sent to sponsor for SB0305S01

  29. Senate/ placed on 2nd Reading Calendar

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

  31. LFA/ fiscal note publicly available for SB0305

  32. LFA/ fiscal note sent to sponsor for SB0305

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

  34. Senate Comm - Substitute Recommendation [Senate Health and Human Services Committee]

  35. LFA/ bill sent to agencies for fiscal input for SB0305S01

  36. LFA/ bill assigned to staff for fiscal analysis for SB0305S01

  37. LFA/ fiscal note sent to sponsor for SB0305

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

  39. Senate/ 1st reading (Introduced)

  40. Senate/ received bill from Legislative Research

  41. LFA/ bill sent to agencies for fiscal input for SB0305

  42. LFA/ bill assigned to staff for fiscal analysis for SB0305

  43. Numbered Bill Publicly Distributed

  44. 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
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors SB 305?
SB 305 is sponsored by Steve Eliason (Republican) and Evan J. Vickers (Republican).
What is the current status of SB 305?
This bill has been enacted into law. Introduced February 18, 2026. Enacted.
Where can I track SB 305?
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