Utah 2026 General Session Status: Enacted 2 R cosponsors

HB 599 — Social Services Funding 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 25, 2026. Enacted.

Signed by Governor Spencer Cox (Republican) on March 25, 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

334 added · 357 removed

Plain-language change summary

The amended version of Bill HB 599 includes provisions to ensure that interest earned on the Medicaid ACA Fund will be deposited into the General Fund. It also specifies that funds from the Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account will be allocated for substance use treatment and prevention services. Additionally, there is a focus on providing dental services through the University of Utah School of Dentistry for children enrolled in the health insurance program. These changes are important as they aim to enhance funding and support for critical health and substance use services in the community.

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HB0599S03 compared with HB0599 {Omitted text} shows text that was in HB0599 but was omitted in HB0599S03 inserted text shows text that was not in HB0599 but was inserted into HB0599S03 DISCLAIMER:
Enrolled Copy H.B.
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599 Social Services Funding Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
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Social Services Funding Amendments GENERAL SESSION STATE OF UTAH Chief Sponsor:
Ward Senate Sponsor:Keven J.
Ward Senate Sponsor:
Keven J.
H ▸ {increases the } requires certain funds {appropriated } to be distributed from the {Bobacco Settlement } Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account {to the 9 HB0599 compared with HB0599S03 department } for {children in the Medicaid program} substance use treatment and prevention services;
▸ requires certain funds to be distributed from the Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account for substance use treatment and prevention services;
▸ This bill appropriates ($759,700) in operating and capital budgets for fiscal year 2026, all of which is from the General Fund.
This bill appropriates ($759,700) in operating and capital budgets for fiscal year 2026, all of which is from the General Fund.
▸ This bill appropriates ($759,700) in operating and capital budgets for fiscal year 2027, all of which is from the General Fund.
This bill appropriates ($759,700) in operating and capital budgets for fiscal year 2027, all of which is from the General Fund.
Utah Code Sections Affected:
H.B.
599 Enrolled Copy Utah Code Sections Affected:
26B-1-315 (Effective 05/06/26) (Superseded 07/01/26), as last amended by Laws of Utah 2025, Chapter 135 26B-1-315 (Effective 07/01/26) (Repealed 07/01/34), as last amended by Laws of Utah 2025, Chapter 285 26B-3-105 (Effective 05/06/26), as last amended by Laws of Utah 2025, Chapter 135 26B-3-902 (Effective 05/06/26), as renumbered and amended by Laws of Utah 2023, Chapter 306 {51-9-201 (Effective 05/06/26), as last amended by Laws of Utah 2023, Chapter 328} 59-14-807 (Effective 05/06/26) (Partially Repealed 07/01/30), as last amended by Laws of Utah 2025, Chapters 173, 366 Be it enacted by the Legislature of the state of Utah:
26B-1-315 (Effective 05/06/26) (Superseded 07/01/26), as last amended by Laws of Utah 2025, Chapter 135 26B-1-315 (Effective 07/01/26) (Repealed 07/01/34), as last amended by Laws of Utah 2025, Chapter 285 26B-3-105 (Effective 05/06/26), as last amended by Laws of Utah 2025, Chapter 135 26B-3-902 (Effective 05/06/26), as renumbered and amended by Laws of Utah 2023, Chapter 306 59-14-807 (Effective 05/06/26) (Partially Repealed 07/01/30), as last amended by Laws of Utah 2025, Chapters 173, 366 Be it enacted by the Legislature of the state of Utah:
26B-1-315.
26B-1-315 (Effective 05/06/26) (Superseded 07/01/26).
- 2 - HB0599 compared with HB0599S03 (c) savings attributable to the health coverage improvement program, as defined in Section 26B-3-501, as determined by the department;
(c) savings attributable to the health coverage improvement program, as defined in Section 26B-3-501, as determined by the department;
(3) (a) The fund shall earn interest.
(3)(a) The fund shall earn interest.
(4) (a) A state agency administering the provisions of Chapter 3, Part 5, Inpatient Hospital Assessment, may use money from the fund to pay the costs, not otherwise paid for with federal funds or other revenue sources, of:
- 2 - Enrolled Copy H.B.
599 (4)(a) A state agency administering the provisions of Chapter 3, Part 5, Inpatient Hospital Assessment, may use money from the fund to pay the costs, not otherwise paid for with federal funds or other revenue sources, of:
26B-1-315.
26B-1-315 (Effective 07/01/26) (Repealed 07/01/34).
(1) There is created an expendable special revenue fund known as the "Medicaid ACA Fund." - 3 - HB0599 compared with HB0599S03 (2) The fund consists of:
(1) There is created an expendable special revenue fund known as the "Medicaid ACA Fund." (2) The fund consists of:
(3) (a) The fund shall earn interest.
(3)(a) The fund shall earn interest.
(4) (a) A state agency administering the provisions of Chapter 3, Part 5, Inpatient Hospital Assessment, may use money from the fund to pay the costs, not otherwise paid for with federal funds or other revenue sources, of:
- 3 - H.B.
599 Enrolled Copy (4)(a) A state agency administering the provisions of Chapter 3, Part 5, Inpatient Hospital Assessment, may use money from the fund to pay the costs, not otherwise paid for with federal funds or other revenue sources, of:
- 4 - HB0599 compared with HB0599S03 Section 3.
Section 3.
26B-3-105.
26B-3-105 (Effective 05/06/26).
(a) shall, notwithstanding Subsection 26B-3-104(1)(b), be based on clinical and cost-related factors which include medical necessity as determined by a provider in accordance with administrative rules established by the Drug Utilization Review Board;
(a) shall, notwithstanding Subsection 26B-3-104(1)(b), be based on clinical and cost-related factors which include medical necessity as determined by a provider in - 4 - Enrolled Copy H.B.
599 accordance with administrative rules established by the Drug Utilization Review Board;
and (e) except as prohibited by Subsections 58-17b-606(4) and (5), shall establish the prior authorization requirements which shall permit a health care provider or the health care provider's agent to obtain - 5 - HB0599 compared with HB0599S03 a prior authorization override of the preferred drug list through the department's pharmacy prior authorization review process, and which shall:
and (e) except as prohibited by Subsections 58-17b-606(4) and (5), shall establish the prior authorization requirements which shall permit a health care provider or the health care provider's agent to obtain a prior authorization override of the preferred drug list through the department's pharmacy prior authorization review process, and which shall:
(3) (a) (i) [A] Except as provided in Subsection (3)(a)(ii), a preferred drug list developed under the provisions of this section may not include an immunosuppressive drug.
(3)(a)(i) [A] Except as provided in Subsection (3)(a)(ii), a preferred drug list developed under the provisions of this section may not include an immunosuppressive drug.
[(i)] (b) The state Medicaid program shall reimburse for a prescription for an immunosuppressive drug as written by the health care provider for a patient who has undergone an organ transplant.
- 5 - H.B.
599 Enrolled Copy [(i)] (b) The state Medicaid program shall reimburse for a prescription for an immunosuppressive drug as written by the health care provider for a patient who has undergone an organ transplant.
(4) (a) (i) The department shall include atypical anti-psychotic drugs on the preferred drug list.
(4)(a)(i) The department shall include atypical anti-psychotic drugs on the preferred drug list.
- 6 - HB0599 compared with HB0599S03 (ii) The department shall allow a health care provider to override the preferred drug list for an atypical anti-psychotic drug by writing "dispense as written" on the prescription for the atypical anti-psychotic drug.
(ii) The department shall allow a health care provider to override the preferred drug list for an atypical anti-psychotic drug by writing "dispense as written" on the prescription for the atypical anti-psychotic drug.
or (b) the enrollee being stabilized on the psychotropic drug that is not on the preferred drug list at the time of enrollment.
or (b) the enrollee being stabilized on the psychotropic drug that is not on the preferred - 6 - Enrolled Copy H.B.
599 drug list at the time of enrollment.
26B-3-902.
26B-3-902 (Effective 05/06/26).
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- 7 - HB0599 compared with HB0599S03 (ii) program benefits;
(ii) program benefits;
(3) (a) Before July 1, 2026, the department shall apply for a state plan amendment to transition the state's Children's Health Insurance Program from a separate program under 42 U.S.C.
(3)(a) Before July 1, 2026, the department shall apply for a state plan amendment to - 7 - H.B.
599 Enrolled Copy transition the state's Children's Health Insurance Program from a separate program under 42 U.S.C.
(b) {To } If the application described in Subsection (3)(a) is approved, and the state's Children's Health Insurance Program transitions as described in Subsection (3)(a), to the extent possible, dental services for individuals covered by the state's Children's Health Insurance Program shall be provided through the University of Utah School of Dentistry and the University of Utah School of Dentistry's associated statewide network.
(b) If the application described in Subsection (3)(a) is approved, and the state's Children's Health Insurance Program transitions as described in Subsection (3)(a), to the extent possible, dental services for individuals covered by the state's Children's Health Insurance Program shall be provided through the University of Utah School of Dentistry and the University of Utah School of Dentistry's associated statewide network.
{Section 5.
Section 51-9-201 is amended to read:
} 51-9-201.
Creation of Tobacco Settlement Restricted Account.
(1) There is created within the General Fund a restricted account known as the "Tobacco Settlement Restricted Account." (2) The account shall earn interest.
(3) The account shall consist of:
- 8 - HB0599 compared with HB0599S03 (a) on and after July 1, 2007, 60% of all funds of every kind that are received by the state that are related to the settlement agreement that the state entered into with leading tobacco manufacturers on November 23, 1998;
and (b) interest earned on the account.
(4) To the extent that funds will be available for appropriation in a given fiscal year, those funds shall be appropriated from the account in the following order:
(a) $66,600 to the Office of the Attorney General for ongoing enforcement and defense of the Tobacco Settlement Agreement;
(b) $18,500 to the State Tax Commission for ongoing enforcement of business compliance with the Tobacco Tax Settlement Agreement;
(c) [$11,022,900] $12,722,900 to the Department of Health and Human Services for:
(i) children in the Medicaid program created in Title 26B, Chapter 3, Health Care - Administration and Assistance, and the Children's Health Insurance Program created in Section 26B-3-902;
and (ii) for restoration of dental benefits in the Children's Health Insurance Program;
(d) $3,277,100 to the Department of Health and Human Services for alcohol, tobacco, and other drug prevention, reduction, cessation, and control programs that promote unified messages and make use of media outlets, including radio, newspaper, billboards, and television, and with a preference in funding given to tobacco-related programs;
(e) $193,700 to the Administrative Office of the Courts and $2,325,400 to the Department of Health and Human Services for the statewide expansion of the drug court program;
(f) $4,000,000 to the Utah Board of Higher Education for the University of Utah Health Sciences Center to benefit the health and well-being of Utah citizens through in-state research, treatment, and educational activities;
and (g) any remaining funds as directed by the Legislature through appropriation.
59-14-807.
59-14-807 (Effective 05/06/26) (Partially Repealed 07/01/30).
- 9 - HB0599 compared with HB0599S03 (b) fees and penalties collected under Section 59-14-810;
(b) fees and penalties collected under Section 59-14-810;
(3) (a) Subject to Subsections (3)(b) and (c), for each fiscal year and subject to appropriation by the Legislature, the Division of Finance shall distribute from the Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account:
(3)(a) Subject to Subsections (3)(b) and (c), for each fiscal year and subject to appropriation by the Legislature, the Division of Finance shall distribute from the Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account:
(i) $2,000,000 to the Department of Health and Human Services for enforcement services aimed at disrupting organizations and networks that provide tobacco products, electronic cigarette products, nicotine products, or other illegal controlled substances to minors, which the Department of Health and Human Services shall allocate to the local health departments using the formula created in accordance with Section 26A-1-116;
(i) $2,000,000 to the Department of Health and Human Services for enforcement services aimed at disrupting organizations and networks that provide tobacco products, electronic cigarette products, nicotine products, or other illegal controlled substances to minors, which the Department of Health and Human - 8 - Enrolled Copy H.B.
599 Services shall allocate to the local health departments using the formula created in accordance with Section 26A-1-116;
- 10 - HB0599 compared with HB0599S03 (vi) $2,000,000 to the Department of Health and Human Services for alcohol, tobacco, and other drug prevention, reduction, cessation, and control programs that promote unified messages and make use of media outlets, including radio, newspaper, billboards, and television;
(vi) $2,000,000 to the Department of Health and Human Services for alcohol, tobacco, and other drug prevention, reduction, cessation, and control programs that promote unified messages and make use of media outlets, including radio, newspaper, billboards, and television;
and (iii) until the available funds in the Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account are exhausted.
and (iii) until the available funds in the Electronic Cigarette Substance and Nicotine - 9 - H.B.
599 Enrolled Copy Product Proceeds Restricted Account are exhausted.
(4) (a) The local health departments shall use the money received in accordance with Subsection (3)(a) for enforcing:
(4)(a) The local health departments shall use the money received in accordance with Subsection (3)(a) for enforcing:
- 11 - HB0599 compared with HB0599S03 (b) The Department of Health and Human Services shall use the money received in accordance with Subsection (3)(a)(v) for the Youth Electronic Cigarette, Marijuana, and Other Drug Prevention Program created in Section 26B-1-428.
(b) The Department of Health and Human Services shall use the money received in accordance with Subsection (3)(a)(v) for the Youth Electronic Cigarette, Marijuana, and Other Drug Prevention Program created in Section 26B-1-428.
(d) The State Board of Education shall use the money received in accordance with Subsection (3)(a) (vii) to distribute to local education agencies to pay for:
(d) The State Board of Education shall use the money received in accordance with Subsection (3)(a)(vii) to distribute to local education agencies to pay for:
(i) (A) stipends for positive behaviors specialists as described in Subsection 53G-10-407(4)(a)(i);
(i)(A) stipends for positive behaviors specialists as described in Subsection 53G-10-407(4)(a)(i);
(B) the cost of administering the positive behaviors plan as described in Subsection 53G-10-407(4)(a) (ii);
(B) the cost of administering the positive behaviors plan as described in Subsection 53G-10-407(4)(a)(ii);
and (C) the cost of implementing an Underage Drinking and Substance Abuse Prevention Program in grade or 5, as described in Subsection 53G-10-406(3)(b);
and (C) the cost of implementing an Underage Drinking and Substance Abuse Prevention Program in grade 4 or 5, as described in Subsection 53G-10-406(3)(b);
(5) (a) The fund shall earn interest.
(5)(a) The fund shall earn interest.
(6) Subject to legislative appropriations, funds remaining in the Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account after the distribution described in Subsection (3) may only be used for:
- 10 - Enrolled Copy H.B.
599 (6) Subject to legislative appropriations, funds remaining in the Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account after the distribution described in Subsection (3) may only be used for:
Section .
Section 6.
Operating and Capital Budgets Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the - 12 - HB0599 compared with HB0599S03 Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah.
Operating and Capital Budgets Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah.
ITEM 1 To Department of Health and Human Services - Integrated Health Care Services From General Fund, One-time (759,700) Schedule of Programs:
TEM 1 To Department of Health and Human Services - Integrated Health Care Services From General Fund, One-time (759,700) Schedule of Programs:
Non-Medicaid Behavioral Health Treatment and Crisis Resp 7n59,700) Section .
Non-Medicaid Behavioral Health Treatment and Crisis Response (759,700) Section 7.
ITEM 2 To Department of Health and Human Services - Integrated Health Care Services From General Fund (759,700) Schedule of Programs:
TEM 2 To Department of Health and Human Services - Integrated Health Care Services From General Fund (759,700) Schedule of Programs:
Non-Medicaid Behavioral Health Treatment and Crisis Resp 7n59,700) Section 8.
Non-Medicaid Behavioral Health Treatment and Crisis Response (759,700) Section 8.
Effective date.
(1) Except as provided in Subsection (2), this bill takes effect May 6, 2026.
- 11 - H.B.
599 Enrolled Copy (1) Except as provided in Subsection (2), this bill takes effect May 6, 2026.
3-3-26 10:01 AM - 13 -
- 12 -
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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 Government Operations and Political Subdivisions Committee]

  18. Senate Comm - Favorable Recommendation [Senate Government Operations and Political Subdivisions Committee]

  19. LFA/ fiscal note publicly available for HB0599S03

  20. LFA/ fiscal note sent to sponsor for HB0599S03

  21. Senate/ to standing committee [Senate Government Operations and Political Subdivisions Committee]

  22. LFA/ fiscal note publicly available for HB0599S03

  23. LFA/ fiscal note publicly available for HB0599S02

  24. Senate/ 1st reading (Introduced)

  25. Senate/ received from House

  26. LFA/ fiscal note sent to sponsor for HB0599S03

  27. LFA/ fiscal note sent to sponsor for HB0599S02

  28. House/ to Senate

  29. House/ passed 3rd reading

  30. House/ substituted

  31. House/ 3rd reading

  32. LFA/ bill sent to agencies for fiscal input for HB0599S03

  33. LFA/ bill assigned to staff for fiscal analysis for HB0599S03

  34. LFA/ bill sent to agencies for fiscal input for HB0599S02

  35. LFA/ bill assigned to staff for fiscal analysis for HB0599S02

  36. LFA/ fiscal note publicly available for HB0599S01

  37. LFA/ fiscal note sent to sponsor for HB0599S01

  38. House/ 2nd reading

  39. House/ comm rpt/ substituted [House Rules Committee]

  40. House Comm - Favorable Recommendation [House Rules Committee]

  41. House Comm - Substitute Recommendation [House Rules Committee]

  42. House/ received fiscal note from Fiscal Analyst

  43. LFA/ bill sent to agencies for fiscal input for HB0599S01

  44. LFA/ bill assigned to staff for fiscal analysis for HB0599S01

  45. LFA/ fiscal note publicly available for HB0599

  46. LFA/ fiscal note sent to sponsor for HB0599

  47. House/ 1st reading (Introduced)

  48. House/ received bill from Legislative Research

  49. LFA/ bill sent to agencies for fiscal input for HB0599

  50. LFA/ bill assigned to staff for fiscal analysis for HB0599

  51. Numbered Bill Publicly Distributed

  52. 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.

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"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 HB 599?
HB 599 is sponsored by Keven J. Stratton (Republican) and Raymond P. Ward (Republican).
What is the current status of HB 599?
This bill has been enacted into law. Introduced February 25, 2026. Enacted.
Where can I track HB 599?
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