UTAH

Overview

Utah was one of the first states to operate an APCD, and claims to be the first to begin tracking and analyzing episodes of care, an important feature of risk-sharing based payment systems for states looking to reduce private payer and Medicaid expenditures. The state also enacted a right to shop program in 2018, which requires the Public Employees’ Benefit and Insurance Program to implement a savings reward program and allows health insurers to reward plan enrollees for selecting high-quality and low-cost health care providers. Additionally, to promote prescription drug price transparency, the legislature passed laws to prohibit pharmacy benefits managers from preventing a pharmacist from disclosing cost information to a patient,

In 2020, Utah enacted laws to mandate telehealth parity, requiring certain health benefit plans to provide coverage parity and commercially reasonable reimbursement for telehealth services and telemedicine services.

Utah’s full Medicaid expansion became effective in January 2020. The expansion extends Medicaid eligibility to Utah adults whose annual income is up to 138% of the federal poverty level.

See below for an overview of existing Utah state mandates. Click on citation tab for detailed information of specific statutes (click link to download statute text).

State Action


Latest Legislative Session: 1/19/2021 - 3/5/2021 (2021 term). *Current session bill updates are ongoing. Check back weekly for updates.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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© 2018-2020 The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.
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Additional Resources

STATE BUDGET

Utah’s fiscal year begins on July 1 and ends on June 30 of the following year. Utah’s FY 2020 Budget was enacted during the 2019 regular legislative session. To view Utah’s Department of Health FY 2020 Budget, click here.

KEY RESOURCES

 

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