Social Services Base Budget

7
1
Social Services Base Budget
2026 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Raymond P. Ward
Senate Sponsor: Keven J. Stratton
LONG TITLE
General Description:
This bill supplements or reduces appropriations otherwise provided for the support and
operation of state government for the fiscal year beginning July 1, 2025 and ending June 30,
2026 and appropriates funds for the support and operation of state government for the fiscal
year beginning July 1, 2026 and ending June 30, 2027.
Highlighted Provisions:
This bill:
provides appropriations for the use and support of certain state agencies;
provides appropriations for other purposes as described; and
provides intent language.
Money Appropriated in this Bill:
This bill appropriates
($90,397,300)
in operating and capital budgets for fiscal year 2026,
all of which is from the various sources as detailed in this bill.
This bill appropriates
$826,600
in business-like activities for fiscal year 2026, all of which is
from the various sources as detailed in this bill.
This bill appropriates
$8,597,058,800
in operating and capital budgets for fiscal year 2027,
including:
$1,588,381,800
from General Fund; and
$4,357,600
from Income Tax Fund; and
$7,004,319,400
from various sources as detailed in this bill.
This bill appropriates
$1,776,100
in expendable funds and accounts for fiscal year 2027,
including:
$303,000
from General Fund; and
$1,473,100
from various sources as detailed in this bill.
This bill appropriates
$5,237,200
in business-like activities for fiscal year 2027, all of which is
from the various sources as detailed in this bill.
This bill appropriates
$146,879,100
in restricted fund and account transfers for fiscal year
2027, including:
$53,379,200
from General Fund; and
$93,499,900
from various sources as detailed in this bill.
This bill appropriates
$221,493,900
in fiduciary funds for fiscal year 2027, all of which is from
the various sources as detailed in this bill.
Other Special Clauses:
This bill provides a special effective date.
Uncodified Material Affected:
ENACTS UNCODIFIED MATERIAL
Be it enacted by the Legislature of the state of Utah:
Section 1.
FY 2026 Appropriations.
The following sums of money are appropriated for the fiscal year beginning July 1,
2025, and ending June 30, 2026. These are additions to amounts previously appropriated for
fiscal year 2026.
Subsection 1(a).
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.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 1
Department of Health and Human Services - Operations
From Federal Funds, One-time
(1,865,700)
From Beginning Nonlapsing Balances
2,725,600
From Closing Nonlapsing Balances
754,200
Executive Director Office
1,267,700
Ancillary Services
669,000
Finance
Administration
(1,792,300)
Data, Systems,
Evaluations
809,300
Public Affairs, Education
Outreach
256,400
American Indian / Alaska Native
12,500
Continuous Quality Improvement
341,800
Customer Experience
49,700
The Legislature intends that the Department of
Health and Human Services report to the Social Services
Appropriations Subcommittee by May 1st, 2026 on the
following related to Attorney General representation
costs for the Division of Child and Family Services : (1)
Attorney General costs incurred and paid for by the
Division in fiscal years 2021 through 2025 and the
sources from which they were paid; (2) Historical
requests by the Division during that same time period for
supplemental appropriations and the reasons for the
requests; (3) Analysis of what has driven over budget
costs and how to better plan for those costs; (4) An
analysis of the availability of AG ISF funds to cover
shortfalls within the Division; and (5) Legislative
suggestions to support more stable funding of legal costs
within the Division.
ITEM 2
Department of Health and Human Services - Clinical Services
From Federal Funds, One-time
(11,869,700)
From Dedicated Credits Revenue, One-time
(680,300)
From Revenue Transfers, One-time
(742,500)
From Beginning Nonlapsing Balances
2,539,100
Medical Examiner
99,900
State Laboratory
(10,313,300)
Primary Care and Rural Health
2,808,900
Health Equity
(3,154,900)
Medical Education Council
221,000
Forensic Psychiatry Grant Program
(415,000)
ITEM 3
Department of Health and Human Services - Department Oversight
From Federal Funds, One-time
(250,400)
From Dedicated Credits Revenue, One-time
(633,300)
From Revenue Transfers, One-time
(349,800)
From Other Financing Sources, One-time
(50,000)
From Beginning Nonlapsing Balances
(4,115,100)
From Closing Nonlapsing Balances
4,394,900
Licensing
Background Checks
(876,600)
Internal Audit
(157,100)
Admin Hearings
59,300
Utah Developmental Disabilities Council
(29,300)
ITEM 4
Department of Health and Human Services - Health Care Administration
From Federal Funds, One-time
(98,700)
From Expendable Receipts, One-time
(3,200)
From Beginning Nonlapsing Balances
99,000
From Closing Nonlapsing Balances
(14,000)
Integrated Health Care Administration
(7,372,200)
Long-Term Services and Supports
Administration
62,900
Provider Reimbursement Information System for
Medicaid
5,936,900
Utah Developmental Disabilities Council
(21,800)
Substance Use
Mental Health Administration
1,466,000
Aging
Adult Services Administration
(88,700)
ITEM 5
Department of Health and Human Services - Integrated Health Care Services
From Dedicated Credits Revenue, One-time
(3,334,100)
From Expendable Receipts, One-time
(129,700)
From Expendable Receipts - Rebates, One-time
(71,880,300)
From Revenue Transfers, One-time
(1,170,700)
From Beginning Nonlapsing Balances
26,303,900
Children's Health Insurance Program Services
(11,254,900)
Medicaid Accountable Care Organizations
70,272,200
Medicaid Behavioral Health Services
3,831,900
Medicaid Home and Community Based Services
12,997,500
Medicaid Hospital Services
(24,933,500)
Medicaid Pharmacy Services
(21,046,100)
Medicaid Long Term Care Services
8,872,800
Medicare Buy-In and Clawback Payments
28,702,600
Medicaid Other Services
(106,607,300)
Offsets to Medicaid Expenditures
13,796,900
Expansion Accountable Care Organizations
9,645,500
Expansion Behavioral Health Services
1,327,100
Expansion Hospital Services
(21,462,200)
Expansion Other Services
13,594,200
Expansion Pharmacy Services
(50,642,800)
Non-Medicaid Behavioral Health Treatment and
Crisis Response
22,220,700
State Hospital
474,500
Under the provisions of Utah Code Annotated
Title 63G Chapter 6b, the Legislature intends that the
Department of Health and Human Services provide direct
award grants of $150,000 to Fit to Recover and $100,000
to the School of Addiction Recovery in Fiscal Year 2026
for services to individuals recovering from substance use
disorders.
ITEM 6
Department of Health and Human Services - Long-Term Services
Support
From Federal Funds, One-time
(564,300)
From Revenue Transfers, One-time
(1,503,200)
From Beginning Nonlapsing Balances
19,803,900
From Closing Nonlapsing Balances
(526,500)
Aging
Adult Services
(576,300)
Adult Protective Services
320,500
Office of Public Guardian
344,400
Aging Waiver Services
(65,700)
Services for People with Disabilities
(664,300)
Community Supports Waiver Services
6,181,300
Disabilities - Non Waiver Services
100,000
Utah State Developmental Center
11,570,000
Notwithstanding the intent language included in
Laws of Utah 2025, Chapter 539, Item 380, the
Legislature intends that under the provisions of Utah
Code Annotated Title 63G, Chapter 6b, $200,000
one-time provided by Laws of Utah 2025, Chapter 539,
Item 396, be utilized by the Department of Health and
Human Services to support dementia care in rural areas.
ITEM 7
Department of Health and Human Services - Public Health, Prevention, and
Epidemiology
From Federal Funds, One-time
(28,600,100)
From Expendable Receipts, One-time
(3,348,200)
From Dedicated Credits Revenue, One-time
(7,500)
From Revenue Transfers, One-time
(4,363,900)
From Beginning Nonlapsing Balances
217,900
Communicable Diseases
(5,613,900)
Integrated Health Promotion and Prevention
(373,100)
Preparedness and Response
12,292,100
Contracts and Pass-through
(22,800,500)
Population Health
678,500
State Epidemiology Informatics and Surveillance
Public Health Infrastructure
2,182,600
Emerging Infections
Surge Response
(22,467,500)
The Legislature intends that the Department of
Health and Human Services provide potential options to
change latent tuberculosis treatment guidelines issued by
the Department of Health and Human Services for
individuals identified via employment and school
screening to have the private healthcare system be
responsible for treatment to the Social Servies
Appropriations Subcommittee by June 1, 2026.
The Legislature authorizes the Department of
Health and Human Services to charge the following fees
in FY 2026: (1) $10,000 access to immunization records
database - up to 100,000 records, (2) $15,000 access to
immunization records database - 100,001-200,000
records, (3) $20,000 access to immunization records
database - unlimited records, and (4) $150,000 access to
immunization records database - unlimited records +
customizations.
The Legislature intends that the Department
of Health and Human Services report to the Social
Services Appropriations Subcommittee by June 1, 2026
on possible alternatives to the $81,000 annual payment to
reserve two beds for non-compliant active tuberculosis
patients and feasibility of serving compliant active
tuberculosis patients with other providers.
ITEM 8
Department of Health and Human Services - Children, Youth,
Families
From Expendable Receipts - Rebates, One-time
(57,300)
From Dedicated Credits Revenue, One-time
(553,800)
From Expendable Receipts, One-time
(1,459,300)
From Revenue Transfers, One-time
(2,240,000)
From Beginning Nonlapsing Balances
(133,300)
From Closing Nonlapsing Balances
(1,860,000)
Child
Family Services
(6,252,400)
Domestic Violence
(2,910,500)
In-Home Services
103,500
Out-of-Home Services
504,500
Adoption Assistance
2,350,600
Child Abuse Prevention and Facility Services
4,207,100
Children with Special Healthcare Needs
(304,200)
Maternal
Child Health
(1,583,800)
Family Health
(1,347,700)
Office of Coordinated Care and Regional
Supports
(250,000)
DCFS Selected Programs
1,816,200
Office of Early Childhood
(2,637,000)
ITEM 9
Department of Health and Human Services - Office of Recovery Services
From Federal Funds, One-time
(493,400)
From Dedicated Credits Revenue, One-time
(177,100)
From Expendable Receipts, One-time
(234,300)
From Revenue Transfers, One-time
(143,400)
Recovery Services
(443,700)
Child Support Services
(350,700)
Children in Care Collections
13,000
Attorney General Contract
(229,400)
Medical Collections
(37,400)
ITEM 10
Department of Health and Human Services - Juvenile Justice
Youth
Services
From Federal Funds, One-time
(594,600)
From Expendable Receipts, One-time
(600)
From Dedicated Credits Revenue, One-time
(52,900)
From Revenue Transfers, One-time
(343,100)
From Beginning Nonlapsing Balances
(1,257,800)
Juvenile Justice
Youth Services
(4,882,600)
Secure Care
2,409,900
Youth Services
442,300
Community Programs
(218,600)
ITEM 11
Department of Health and Human Services - Correctional Health Services
From Beginning Nonlapsing Balances
976,900
From Closing Nonlapsing Balances
(2,510,600)
Correctional Health Services
(1,533,700)
Subsection 1(b).
Expendable Funds and Accounts
The Legislature has reviewed the following expendable funds. The Legislature
authorizes the State Division of Finance to transfer amounts between funds and accounts as
indicated. Outlays and expenditures from the funds or accounts to which the money is
transferred may be made without further legislative action, in accordance with statutory
provisions relating to the funds or accounts.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 12
Department of Health and Human Services - Allyson Gamble Organ Donation
Contribution Fund
From Beginning Fund Balance
(87,400)
From Closing Fund Balance
87,400
ITEM 13
Department of Health and Human Services - Brain and Spinal Cord Injury
Fund
From Beginning Fund Balance
398,100
From Closing Fund Balance
(398,100)
ITEM 14
Department of Health and Human Services - Maurice N. Warshaw Trust Fund
From Beginning Fund Balance
4,600
From Closing Fund Balance
(4,600)
ITEM 15
Department of Health and Human Services - Out and About Homebound
Transportation Assistance Fund
From Beginning Fund Balance
(2,000)
From Closing Fund Balance
2,000
ITEM 16
Department of Health and Human Services - Utah State Developmental
Center Long-Term Sustainability Fund
From Beginning Fund Balance
5,322,200
From Closing Fund Balance
(5,322,200)
ITEM 17
Department of Health and Human Services - Utah State Developmental
Center Miscellaneous Donation Fund
From Beginning Fund Balance
9,900
From Closing Fund Balance
(9,900)
ITEM 18
Department of Health and Human Services - Utah State Developmental
Center Workshop Fund
From Beginning Fund Balance
100
From Closing Fund Balance
(100)
ITEM 19
Department of Health and Human Services - Utah State Hospital Unit Fund
From Beginning Fund Balance
14,000
From Closing Fund Balance
(14,000)
ITEM 20
Department of Health and Human Services - Mental Health Services
Donation Fund
From Beginning Fund Balance
(65,700)
From Closing Fund Balance
65,700
ITEM 21
Department of Health and Human Services - Suicide Prevention and
Education Fund
From Beginning Fund Balance
(324,900)
From Closing Fund Balance
324,900
ITEM 22
Department of Health and Human Services - Licensed Provider Assessment
Fund
From Beginning Fund Balance
(471,400)
From Closing Fund Balance
471,400
Subsection 1(c).
Business-like Activities
The Legislature has reviewed the following proprietary funds. Under the terms and
conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature
approves budgets, full-time permanent positions, and capital acquisition amounts as indicated,
and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other
charges. The Legislature authorizes the State Division of Finance to transfer amounts between
funds and accounts as indicated.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 23
Department of Health and Human Services - Qualified Patient Enterprise Fund
From Dedicated Credits Revenue, One-time
(3,397,700)
From Interest Income, One-time
(50,000)
From Beginning Fund Balance
1,308,500
From Closing Fund Balance
2,965,800
Qualified Patient Enterprise Fund
826,600
Subsection 1(d).
Restricted Fund and Account Transfers
The Legislature authorizes the State Division of Finance to transfer the following
amounts between the following funds or accounts as indicated. Expenditures and outlays from
the funds to which the money is transferred must be authorized by an appropriation.
SOCIAL SERVICES
ITEM 24
Medicaid ACA Fund
From Beginning Fund Balance
(48,935,800)
From Closing Fund Balance
48,935,800
ITEM 25
Alternative Eligibility Account
From Beginning Fund Balance
(3,517,800)
From Closing Fund Balance
3,517,800
Subsection 1(e).
Fiduciary Funds
The Legislature has reviewed proposed revenues, expenditures, fund balances, and
changes in fund balances for the following fiduciary funds.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 26
Department of Health and Human Services - Human Services Client Trust
Fund
From Beginning Fund Balance
156,900
From Closing Fund Balance
(156,900)
ITEM 27
Department of Health and Human Services - Human Services ORS Support
Collections
From Beginning Fund Balance
(126,100)
From Closing Fund Balance
126,100
ITEM 28
Department of Health and Human Services - Utah State Developmental
Center Patient Account
From Beginning Fund Balance
(68,100)
From Closing Fund Balance
68,100
ITEM 29
Department of Health and Human Services - Utah State Hospital Patient Trust
Fund
From Beginning Fund Balance
(30,200)
From Closing Fund Balance
30,200
Section 2.
FY 2027 Appropriations.
The following sums of money are appropriated for the fiscal year beginning July 1,
2026, and ending June 30, 2027. These are additions to amounts previously appropriated for
fiscal year 2027.
Subsection 2(a).
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.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 30
Department of Health and Human Services - Operations
From General Fund
7,061,800
From Federal Funds
3,118,400
From Dedicated Credits Revenue
300
From Revenue Transfers
222,100
Public Affairs, Education
Outreach
2,512,800
American Indian / Alaska Native
705,600
Continuous Quality Improvement
4,491,800
Customer Experience
2,692,400
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Operations line
item performance measures for FY 2027: 1. Number of
DHHS Audit Recommendations Unresolved After One
Year (Target = 5); 2. Percent of Key Data Systems That
Are Modernized, Optimized, and Integrated by 2026
(American Rescue Plan Act Project Tracking) (Target =
100%); and 3. Percent of Strategic Objectives That Are
Due and Completed per Fiscal Year (Target = 80%).
ITEM 31
Department of Health and Human Services - Clinical Services
From General Fund
8,772,700
From Federal Funds
357,700
From Dedicated Credits Revenue
2,192,000
From Expendable Receipts
74,000
From Department of Public Safety Restricted Account
469,700
From General Fund Restricted - Opioid Litigation
Proceeds Restricted Account
280,000
Medical Examiner
12,146,100
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Clinical
Services line item performance measures for FY 2027: 1.
Percent of Operational Units or Offices That Increase
Their Activity Score After Participating in the Building
Organizational Capacity Project (Target = 100%); 2.
Percentage of Autopsy Reports Completed Within 60
Days (Target = 90%); and 3. Percentage of Turnaround
Times Standards Met (Target = 90%).
ITEM 32
Department of Health and Human Services - Department Oversight
From General Fund
10,280,900
From Federal Funds
6,972,200
From Dedicated Credits Revenue
2,926,200
From Revenue Transfers
3,428,500
Licensing
Background Checks
19,325,800
Internal Audit
2,259,800
Admin Hearings
1,363,900
Utah Developmental Disabilities Council
658,300
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Department
Oversight line item performance measures for FY 2027:
1. Number of Days Between Criminal Record Released
and Staff Determination (Target = 5) and 2. Rate of
Increased Provider Compliance With Licensing Rules
(Target = 5%).
ITEM 33
Department of Health and Human Services - Health Care Administration
From General Fund
13,365,400
From Income Tax Fund
57,300
From Federal Funds
161,305,000
From Dedicated Credits Revenue
14,300
From Expendable Receipts
19,978,700
From General Fund Restricted - Statewide Behavioral
Health Crisis Response Account
782,700
From Ambulance Service Provider Assess Exp Rev Fund
20,000
From General Fund Restricted - Alternative Eligibility
Account
4,600
From General Fund Restricted - Electronic Cigarette
Substance and Nicotine Product Proceeds Restricted
Account
5,200
From Hospital Provider Assessment Fund
219,500
From Medicaid ACA Fund
3,620,500
From Nursing Care Facilities Provider Assessment Fund
1,232,500
From General Fund Restricted - Opioid Litigation
Proceeds Restricted Account
165,200
From Suicide Prevention Fund
13,200
From General Fund Restricted - Tobacco Settlement
Account
22,500
From Revenue Transfers
50,360,900
Integrated Health Care Administration
68,646,200
Provider Reimbursement Information System for
Medicaid
25,603,200
Seeded Services
147,728,100
Substance Use
Mental Health Administration
9,190,000
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Health Care
Administration line item performance measures for FY
2027: 1. Average Decision Time of Medicaid Medical
Prior Authorizations (Target = 5); 2. Health Program
Representative Customer Service Line Average Call
Wait Time (Target = 2); and 3. Percent of Medicaid
Members/patients/clients That Report Adequate Access
to DHHS Program Services (Target = 85%).
ITEM 34
Department of Health and Human Services - Integrated Health Care Services
From General Fund
807,198,200
From Federal Funds
4,480,194,900
From Expendable Receipts
354,081,200
From Dedicated Credits Revenue
5,784,000
From Expendable Receipts - Rebates
301,047,700
From General Fund Restricted - Statewide Behavioral
Health Crisis Response Account
38,367,700
From Ambulance Service Provider Assess Exp Rev Fund
9,044,000
From General Fund Restricted - Alternative Eligibility
Account
4,500,000
From General Fund Restricted - Electronic Cigarette
Substance and Nicotine Product Proceeds Restricted
Account
257,400
From Hospital Provider Assessment Fund
192,288,700
From Medicaid ACA Fund
108,918,300
From Nursing Care Facilities Provider Assessment Fund
43,591,200
From General Fund Restricted - Opioid Litigation
Proceeds Restricted Account
6,638,700
From General Fund Restricted - Tobacco Settlement
Account
12,127,500
From Revenue Transfers
310,446,800
From Pass-through
1,813,000
Children's Health Insurance Program Services
196,909,100
Medicaid Accountable Care Organizations
1,726,509,300
Medicaid Behavioral Health Services
339,284,000
Medicaid Home and Community Based Services
661,942,100
Medicaid Hospital Services
407,513,000
Medicaid Pharmacy Services
181,958,900
Medicaid Long Term Care Services
540,143,800
Medicare Buy-In and Clawback Payments
211,362,400
Medicaid Other Services
410,204,000
Offsets to Medicaid Expenditures
(49,650,500)
Expansion Accountable Care Organizations
829,313,400
Expansion Behavioral Health Services
151,366,600
Expansion Hospital Services
331,201,600
Expansion Other Services
313,570,100
Expansion Pharmacy Services
131,939,800
Non-Medicaid Behavioral Health Treatment and
Crisis Response
185,246,400
State Hospital
107,485,300
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Integrated
Health Care Services line item performance measures for
FY 2027: 1. Annual State General Funds Saved Through
Preferred Drug List (Target = $20,000,000); 2. Average
Percent of Patients in Delay (Target = 19.9%); 3. Percent
of Clean Claims Adjudicated by Provider
Reimbursement Information System for Medicaid Within
30 Days of Submission (Target = 90%); 4. Percent of
Medicaid Adult Members That Receive Services From
an Integrated Health Plan or Other Integrated Model
(Target = 40%); 5. Percent of Medicaid Adults and
Adolescents With Major Depressive Episodes Who
Receive Treatment (Target = 60.9%); 6. Percent of
Medicaid Members Who Promptly Receive Outpatient
Treatment After Visiting a Hospital for Mental Health
Issues (Target = 59%); 7. Percentage of Adult Clients
With Improved Symptoms, or Recovered, as Measured
by the Adult Mental Health Outcome (Target = 45%); 8.
Percentage of Individuals Who Transitioned From
Intermediate Care Facilities to Community-based
Services (Target = 10%); 9. Percentage of Youth Clients
With Improved Symptoms, or Recovered, as Measured
by the Youth Outcome Questionnaires (Target = 50%);
and 10. Rates of Utahns Dying of Drug-Related Causes
(Target = -1.0).
ITEM 35
Department of Health and Human Services - Long-Term Services
Support
From General Fund
301,095,000
From Income Tax Fund
204,900
From Federal Funds
15,334,300
From Dedicated Credits Revenue
1,839,200
From Expendable Receipts
1,400,000
From General Fund Restricted - Division of Services for
People with Disabilities Restricted Account
4,017,400
From Revenue Transfers
465,051,500
From Beginning Nonlapsing Balances
540,500
From Closing Nonlapsing Balances
(69,600)
Aging
Adult Services
21,379,400
Adult Protective Services
6,115,600
Office of Public Guardian
1,951,200
Aging Waiver Services
2,167,400
Services for People with Disabilities
16,237,700
Community Supports Waiver Services
594,307,900
Disabilities - Non Waiver Services
3,196,700
Disabilities - Other Waiver Services
68,120,400
Utah State Developmental Center
66,053,100
Aging and Adult Services Administration
2,421,900
Services for People with Disabilities
Administration
7,461,900
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Long-Term
Services
Support line item performance measures for
FY 2027: 1. People Receiving Supports in Their Home or
a Family Member's Home Rather Than a Residential
Setting (Target = 57%); 2. Percent of Adults Who Report
That Services and Supports Help Them Live a Good Life
(Target = 92%); 3. Percent of Individuals Who Do Not
Currently Have a Paid Job in the Community, but Would
Like a Job in the Community (NCI) (Target = 44%); 4.
Percent of Office of the Public Guardian (OPG) Referrals
Where an Alternative to Guardianship With OPG Is
Made (Target = 60%); and 5. The Percentage of APS
Clients Who Accept Referrals to Community Services
(Target = 60%).
ITEM 36
Department of Health and Human Services - Public Health, Prevention, and
Epidemiology
From General Fund
9,338,600
From Income Tax Fund
3,320,700
From Federal Funds
13,745,200
From Dedicated Credits Revenue
8,325,300
From Expendable Receipts
275,000
From Opioid Litigation Proceeds Fund
1,300,000
From Gen. Fund Rest. - State Lab Drug Testing Account
801,500
From Revenue Transfers
1,063,400
Utah Public Health Laboratory
26,500,600
Office of Health Equity
850,200
Office of Primary Care
Rural Health
7,497,900
Utah Medical Education Program
1,271,000
Medical Residency Grant Program
1,500,000
Forensic Psychiatry Grant Program
550,000
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Public Health,
Prevention, and Epidemiology line item performance
measures for FY 2027: 1. Decrease the Percent of Utah
Adults Who Report Fair or Poor General Health in Very
High Health Improvement Index Areas (Target = -1%);
2. Number of Utahns Who Experience a Preventable
Illness or Injury of Public Health Concern (Target =
149); and 3. Percentage of Rules, Disease Plans, and
Response Plans That Are Current (Target = 75%).
ITEM 37
Department of Health and Human Services - Children, Youth,
Families
From General Fund
217,241,900
From Income Tax Fund
173,600
From Federal Funds
163,764,100
From Dedicated Credits Revenue
2,097,400
From Expendable Receipts - Rebates
7,944,000
From Expendable Receipts
438,100
From General Fund Restricted - Adult Autism Treatment
Account
1,570,100
From General Fund Restricted - Victim Services
Restricted Account
3,207,700
From General Fund Restricted - Children's Account
340,000
From Gen. Fund Rest. - K. Oscarson Children's Organ
Transp.
113,800
From Revenue Transfers
(7,155,000)
From Beginning Nonlapsing Balances
1,860,000
Child
Family Services
123,772,100
Domestic Violence
15,951,700
In-Home Services
4,600,000
Out-of-Home Services
47,357,400
Adoption Assistance
25,604,200
Child Abuse Prevention and Facility Services
9,391,900
Children with Special Healthcare Needs
10,745,300
Maternal
Child Health
76,076,900
Family Health
938,900
Office of Coordinated Care and Regional
Supports
8,014,500
DCFS Selected Programs
14,038,900
Office of Early Childhood
40,232,900
DCFS Attorney General
14,871,000
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Children, Youth,
Families line item performance measures for FY 2027:
1. Average Number of Caseworkers per Case (percent
Decrease From FY22 Rate) (Target = 5); 2. Average
Number of Placements per Child (moves per 1,000 Days)
(Target = 4.48); 3. Case Worker Turnover Rate (Target =
22.4%); 4. Percent of Children Confirmed as Victims of
Abuse or Neglect Who Experienced Repeat Maltreatment
Within 12 Months (Target = 9.7%); 5. Percent of
Reunification (percent Increase Over the FY21 Rate)
(Target = 2%); and 6. Percent Of_children Who
Demonstrated Improvement in Social-emotional_skills,
Including Social Relationships. (Target = 56%).
ITEM 38
Department of Health and Human Services - Juvenile Justice
Youth
Services
From General Fund
113,644,600
From Federal Funds
1,015,900
From Dedicated Credits Revenue
753,300
From Expendable Receipts
8,500
From General Fund Restricted - Juvenile Justice
Reinvestment Account
250,000
From Revenue Transfers
(480,300)
Juvenile Justice
Youth Services
25,635,200
Secure Care
26,555,000
Youth Services
37,606,900
Community Programs
25,394,900
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Juvenile Justice
Youth Services line item performance measures for
FY 2027: 1. Percent of Youth During Custody Who Have
Reduced Dynamic Risk (Target = 80%) and 2. Percent of
Youth Who Avoid JJYS, DCFS, or Formal Probation
Orders Within 90 Days of Release From the
Implementation Phase of the Youth Services Plan (Target
= 100%).
ITEM 39
Department of Health and Human Services - Correctional Health Services
From General Fund
51,899,400
From Dedicated Credits Revenue
650,000
From Revenue Transfers
(830,700)
From Beginning Nonlapsing Balances
2,510,600
Correctional Health Services
54,229,300
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Correctional
Health Services line item performance measures for FY
2027: 1. Percentage of Dental Exams Performed Within
7 Days of Admission (or Evidence of Refusal) (Target =
90%); 2. Percentage of Initial Health Assessments
Completed Within 7 Days of Admission (or Evidence of
Refusal) (Target = 90%); 3. Percentage of Inmates
Failing to Keep Appointments (Target = 10%); and 4.
Percentage of Mental Health Screenings Completed
Within 14 Days of Admission (Target = 90%).
Subsection 2(b).
Expendable Funds and Accounts
The Legislature has reviewed the following expendable funds. The Legislature
authorizes the State Division of Finance to transfer amounts between funds and accounts as
indicated. Outlays and expenditures from the funds or accounts to which the money is
transferred may be made without further legislative action, in accordance with statutory
provisions relating to the funds or accounts.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 40
Department of Health and Human Services - Allyson Gamble Organ Donation
Contribution Fund
From Dedicated Credits Revenue
224,600
From Interest Income
13,000
From Beginning Fund Balance
430,800
From Closing Fund Balance
(430,800)
Allyson Gamble Organ Donation Contribution
Fund
237,600
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Allyson Gamble
Organ Donation Contribution Fund line item
performance measure for FY 2027: Increase Division of
Motor Vehicle/Driver's License Division Donations
(Target = 3%).
ITEM 41
Department of Health and Human Services - Brain and Spinal Cord Injury
Fund
From General Fund
203,000
From Dedicated Credits Revenue
556,400
From Beginning Fund Balance
398,100
Brain and Spinal Cord Injury Fund
1,157,500
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Brain and Spinal
Cord Injury Fund line item performance measure for FY
2027: Percentage of Participants Who Had an Increase in
Functional Activity (Target = 70%).
ITEM 42
Department of Health and Human Services - Maurice N. Warshaw Trust Fund
From Interest Income
1,000
From Beginning Fund Balance
181,100
From Closing Fund Balance
(182,100)
ITEM 43
Department of Health and Human Services - Out and About Homebound
Transportation Assistance Fund
From Dedicated Credits Revenue
75,600
From Interest Income
3,000
From Beginning Fund Balance
122,300
From Closing Fund Balance
(122,300)
Out and About Homebound Transportation
Assistance Fund
78,600
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Out and About
Homebound Transportation Assistance Fund line item
performance measure for FY 2027: Number of Internal
Reviews Completed for Compliance With Statute,
Federal Regulations, and Other Requirements (Target =
1).
ITEM 44
Department of Health and Human Services - Utah State Developmental
Center Long-Term Sustainability Fund
From Dedicated Credits Revenue
12,100
From Interest Income
14,500
From Revenue Transfers
38,700
From Beginning Fund Balance
38,338,200
From Closing Fund Balance
(38,403,500)
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Utah State
Developmental Center Long-Term Sustainability Fund
line item performance measure for FY 2027: Number of
Internal Reviews Completed for Compliance With
Statute, Federal Regulations, and Other Requirements
(Target = 1).
ITEM 45
Department of Health and Human Services - Utah State Developmental
Center Miscellaneous Donation Fund
From Dedicated Credits Revenue
6,000
From Interest Income
6,000
From Beginning Fund Balance
628,500
From Closing Fund Balance
(628,500)
Utah State Developmental Center Miscellaneous
Donation Fund
12,000
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Utah State
Developmental Center Miscellaneous Donation Fund line
item performance measure for FY 2027: Number of
Internal Reviews Completed for Compliance With
Statute, Federal Regulations, and Other Requirements
(Target = 1).
ITEM 46
Department of Health and Human Services - Utah State Developmental
Center Workshop Fund
From Dedicated Credits Revenue
140,000
From Beginning Fund Balance
17,500
From Closing Fund Balance
(17,500)
Utah State Developmental Center Workshop
Fund
140,000
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Utah State
Developmental Center Workshop Fund line item
performance measure for FY 2027: Internal Reviews of
the Utah State Developmental Center Workshop Fund
(Target = 1).
ITEM 47
Department of Health and Human Services - Utah State Hospital Unit Fund
From Interest Income
8,000
From Dedicated Credits Revenue
42,400
From Beginning Fund Balance
267,100
From Closing Fund Balance
(267,100)
Utah State Hospital Unit Fund
50,400
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Utah State
Hospital Unit Fund line item performance measure for
FY 2027: Internal Reviews of the Utah State Hospital
Unit Fund (Target = 1).
ITEM 48
Department of Health and Human Services - Mental Health Services
Donation Fund
From General Fund
100,000
From Beginning Fund Balance
364,700
From Closing Fund Balance
(364,700)
Mental Health Services Donation Fund
100,000
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Mental Health
Services Donation Fund line item performance measure
for FY 2027: Number of Internal Reviews Completed for
Compliance With Statute, Federal Regulations, and Other
Requirements (Target = 1).
ITEM 49
Department of Health and Human Services - Suicide Prevention and
Education Fund
From Beginning Fund Balance
904,900
From Closing Fund Balance
(904,900)
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Suicide
Prevention and Education Fund line item performance
measure for FY 2027: Number of Internal Reviews
Completed for Compliance With Statute, Federal
Regulations, and Other Requirements (Target = 1).
ITEM 50
Department of Health and Human Services - Licensed Provider Assessment
Fund
From Beginning Fund Balance
133,200
From Closing Fund Balance
(133,200)
Subsection 2(c).
Business-like Activities
The Legislature has reviewed the following proprietary funds. Under the terms and
conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature
approves budgets, full-time permanent positions, and capital acquisition amounts as indicated,
and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other
charges. The Legislature authorizes the State Division of Finance to transfer amounts between
funds and accounts as indicated.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 51
Department of Health and Human Services - Qualified Patient Enterprise Fund
From Dedicated Credits Revenue
3,720,300
From Interest Income
280,000
From Beginning Fund Balance
7,700,100
From Closing Fund Balance
(6,463,200)
Qualified Patient Enterprise Fund
5,237,200
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Qualified
Patient Enterprise Fund line item performance measure
for FY 2027: Audit Compliance Rate of Recommending
Medical Providers, Medical Cannabis Cardholders, and
Pharmacy Medical Providers (Target = 95%).
Subsection 2(d).
Restricted Fund and Account Transfers
The Legislature authorizes the State Division of Finance to transfer the following
amounts between the following funds or accounts as indicated. Expenditures and outlays from
the funds to which the money is transferred must be authorized by an appropriation.
SOCIAL SERVICES
ITEM 52
Medicaid ACA Fund
From Expendable Receipts
7,870,700
From Interest Income
21,500,000
From Dedicated Credits Revenue
153,600,000
From Revenue Transfers
987,400
From Beginning Fund Balance
391,064,200
From Closing Fund Balance
(481,522,400)
Medicaid ACA Fund
93,499,900
ITEM 53
General Fund Restricted - Statewide Behavioral Health Crisis Response
Account
From General Fund
37,879,200
Statewide Behavioral Health Crisis Response
Account
37,879,200
ITEM 54
General Fund Restricted - Adult Autism Treatment Account
From General Fund
1,000,000
Adult Autism Treatment Account
1,000,000
ITEM 55
Alternative Eligibility Account
From General Fund
4,500,000
Alternative Eligibility Account
4,500,000
ITEM 56
General Fund Restricted - Medicaid Growth Reduction and Budget
Stabilization Account
From General Fund
10,000,000
Medicaid Growth Reduction and Budget
Stabilization Account
10,000,000
Subsection 2(e).
Fiduciary Funds
The Legislature has reviewed proposed revenues, expenditures, fund balances, and
changes in fund balances for the following fiduciary funds.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 57
Department of Health and Human Services - Human Services Client Trust
Fund
From Interest Income
9,100
From Trust and Agency Funds
4,907,600
From Beginning Fund Balance
2,200,900
From Closing Fund Balance
(2,200,900)
Human Services Client Trust Fund
4,916,700
ITEM 58
Department of Health and Human Services - Human Services ORS Support
Collections
From Trust and Agency Funds
212,842,300
From Beginning Fund Balance
2,000,000
From Closing Fund Balance
(2,000,000)
Human Services ORS Support Collections
212,842,300
ITEM 59
Department of Health and Human Services - Utah State Developmental
Center Patient Account
From Interest Income
1,000
From Trust and Agency Funds
2,002,900
From Beginning Fund Balance
548,100
From Closing Fund Balance
(548,100)
Utah State Developmental Center Patient
Account
2,003,900
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Utah State
Developmental Center Patient Account line item
performance measure for FY 2027: Number of Internal
Reviews Completed for Compliance With Statute,
Federal Regulations, and Other Requirements (Target =
1).
ITEM 60
Department of Health and Human Services - Utah State Hospital Patient Trust
Fund
From Trust and Agency Funds
1,731,000
From Beginning Fund Balance
299,600
From Closing Fund Balance
(299,600)
Utah State Hospital Patient Trust Fund
1,731,000
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Utah State
Hospital Patient Trust Fund line item performance
measure for FY 2027: Number of Internal Reviews of the
Utah State Hospital Patient Trust Fund (Target = 1).
Section 3.
FY 2027 Appropriations.
The following sums of money are appropriated for the fiscal year beginning July 1,
2026, and ending June 30, 2027. These are additions to amounts previously appropriated for
fiscal year 2027.
Subsection 3(a).
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.
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ITEM 61
Department of Health and Human Services - Operations
From General Fund
17,523,300
From Income Tax Fund
601,100
From Federal Funds
7,333,800
From Dedicated Credits Revenue
3,452,200
From Medicaid ACA Fund
5,100
From Revenue Transfers
348,600
From Beginning Nonlapsing Balances
2,617,800
Executive Director Office
6,534,300
Ancillary Services
4,659,000
Finance
Administration
9,379,500
Data, Systems,
Evaluations
11,309,100
ITEM 62
Department of Health and Human Services - Public Health, Prevention, and
Epidemiology
From General Fund
13,855,800
From Federal Funds
103,605,600
From Dedicated Credits Revenue
486,800
From Expendable Receipts
3,174,300
From Expendable Receipts - Rebates
3,748,100
From General Fund Restricted - Cigarette Tax Restricted
Account
3,150,000
From General Fund Restricted - Electronic Cigarette
Substance and Nicotine Product Proceeds Restricted
Account
9,566,400
From General Fund Restricted - Tobacco Settlement
Account
3,475,000
From Revenue Transfers
3,232,800
Communicable Diseases
16,050,300
Integrated Health Promotion and Prevention
21,151,700
Preparedness and Response
14,328,000
Contracts and Pass-through
81,025,400
Population Health
1,687,400
State Epidemiology Informatics and Surveillance
Public Health Infrastructure
7,290,300
Emerging Infections
Surge Response
2,761,700
The Legislature intends that the Department of
Health and Human Services and local health departments
shall report by October 1, 2026 to the Social Services
Appropriations Subcommittee on the feasibility of billing
public health services for managing tuberculosis cases to
insurance. The report shall include estimates of
implementation costs and potential revenue.
ITEM 63
Department of Health and Human Services - Office of Recovery Services
From General Fund
17,104,200
From Federal Funds
32,313,700
From Dedicated Credits Revenue
3,599,500
From Expendable Receipts
2,000,000
From Medicaid ACA Fund
58,700
From Revenue Transfers
3,582,800
Recovery Services
20,300,400
Child Support Services
27,018,600
Children in Care Collections
749,300
Attorney General Contract
6,700,000
Medical Collections
3,890,600
In accordance with UCA 63J-1-903, the
Legislature intends that the Department of Health and
Human Services report on the following Office of
Recovery Services line item performance measures for
FY 2027: 1. Current Support Collection Rates (Target =
65%); 2. Medical Coverage for Children (Target = 65%);
and 3. Overall Cost Effectiveness of the Office of
Recovery Services (Target = 4.5%).
Section 4.
Effective Date.
(1)
Except as provided in Subsection (2), this bill takes effect July 1, 2026.
(2)
The actions affecting Section 1 (Effective upon governor's approval) take effect:
(a)
except as provided in Subsection (2)(b), May 6, 2026; or
(b)
if approved by two-thirds of all members elected to each house:
(i)
upon approval by the governor;
(ii)
without the governor's signature, the day following the constitutional time limit of
Utah Constitution, Article VII, Section 8; or
(iii)
in the case of a veto, the date of veto override.
1-16-26 11:37 AM