Bill > HB0015

This bill amends provisions related to Medicaid expansion in Utah, primarily by adjusting eligibility criteria and program administration. It aims to expand Medicaid coverage to individuals with incomes up to 133% of the federal poverty level, a significant increase from previous limits, and seeks to maximize federal funding through a higher Federal Medical Assistance Percentage (FMAP). The bill also introduces provisions for integrated care models, allowing for the combination of physical and behavioral health services within Medicaid accountable care organizations, and includes mechanisms for cost containment, such as the potential to close enrollment if funding is insufficient. Additionally, it clarifies the roles of counties and private hospitals in financing Medicaid expansion and outlines reporting requirements for the department to track enrollment, costs, and provide recommendations for cost control. The bill also addresses specific scenarios, like the potential reduction in federal funding rates and the process for sunsetting or modifying the expansion program.

Budget and Finance

https://le.utah.gov/~2026/bills/static/HB0015.html