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HB 7

Utah House•Passed

Summary

HB 7, “Social Services Base Budget”, was introduced in the House on Jan 16, 2026 by Rep. Raymond Ward (R) with 1 co-sponsor. It last saw action on Jan 31, 2026: Governor Signed in Lieutenant Governor's office for filing.

Record

Text

HB 7 has 1 co-sponsor and 2 roll calls.

hb0007/enrolled.txt
Enrolled Copy  H.B. 7
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.
     H.B. 7  Enrolled Copy
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.
   DEPARTMENT OF HEALTH AND HUMAN SERVICES
   ITEM 1       To 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
Schedule of Programs:
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
  -2-
     Enrolled Copy  H.B. 7
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   To 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
Schedule of Programs:
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   To 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)
  -3-
H.B. 7  Enrolled Copy
From Other Financing Sources, One-time  (50,000)
From Beginning Nonlapsing Balances  (4,115,100)
From Closing Nonlapsing Balances  4,394,900
Schedule of Programs:
Licensing & Background Checks  (876,600)
Internal Audit  (157,100)
Admin Hearings  59,300
Utah Developmental Disabilities Council  (29,300)
   ITEM 4   To 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)
Schedule of Programs:
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   To 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
Schedule of Programs:
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)
  -4-
Enrolled Copy  H.B. 7
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   To 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)
Schedule of Programs:
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
  -5-
H.B. 7  Enrolled Copy
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   To 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
Schedule of Programs:
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
  -6-
Enrolled Copy  H.B. 7
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   To 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)
Schedule of Programs:
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)
  -7-
H.B. 7  Enrolled Copy
   ITEM 9      To 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)
Schedule of Programs:
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     To 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)
Schedule of Programs:
Juvenile Justice & Youth Services  (4,882,600)
Secure Care  2,409,900
Youth Services  442,300
Community Programs  (218,600)
   ITEM 11     To Department of Health and Human Services - Correctional Health Services
From Beginning Nonlapsing Balances  976,900
From Closing Nonlapsing Balances  (2,510,600)
Schedule of Programs:
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.
  -8-
Enrolled Copy  H.B. 7
  DEPARTMENT OF HEALTH AND HUMAN SERVICES
  ITEM 12   To 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   To 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   To 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   To 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   To 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   To 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   To Department of Health and Human Services - Utah State Developmental
  Center Workshop Fund
From Beginning Fund Balance  100
From Closing Fund Balance  (100)
  ITEM 19   To 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   To Department of Health and Human Services - Mental Health Services
  Donation Fund
From Beginning Fund Balance  (65,700)
  -9-
H.B. 7  Enrolled Copy
From Closing Fund Balance  65,700
   ITEM 21     To 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     To 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.
   DEPARTMENT OF HEALTH AND HUMAN SERVICES
   ITEM 23     To 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
Schedule of Programs:
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.
   ITEM 24     To Medicaid ACA Fund
From Beginning Fund Balance  (48,935,800)
From Closing Fund Balance  48,935,800
   ITEM 25     To Alternative Eligibility Account
From Beginning Fund Balance  (3,517,800)
From Closing Fund Balance  3,517,800
  - 10 -
Enrolled Copy  H.B. 7
Subsection 1(e). Fiduciary Funds
The Legislature has reviewed proposed revenues, expenditures, fund balances, and
  changes in fund balances for the following fiduciary funds.
  DEPARTMENT OF HEALTH AND HUMAN SERVICES
  ITEM 26       To 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       To 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       To 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       To 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.
  DEPARTMENT OF HEALTH AND HUMAN SERVICES
  ITEM 30       To 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
  - 11 -
H.B. 7  Enrolled Copy
Schedule of Programs:
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   To 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
Schedule of Programs:
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
  - 12 -
Enrolled Copy  H.B. 7
Times Standards Met (Target = 90%).
  ITEM 32   To 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
Schedule of Programs:
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   To 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
  - 13 -
H.B. 7  Enrolled Copy
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
Schedule of Programs:
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   To 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
  - 14 -
Enrolled Copy  H.B. 7
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
Schedule of Programs:
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
  - 15 -
H.B. 7  Enrolled Copy
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   To 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
  - 16 -
Enrolled Copy  H.B. 7
From Beginning Nonlapsing Balances  540,500
From Closing Nonlapsing Balances  (69,600)
Schedule of Programs:
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   To Department of Health and Human Services - Public Health, Prevention, and
  Epidemiology
From General Fund  9,338,600
  - 17 -
H.B. 7  Enrolled Copy
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
Schedule of Programs:
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   To 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
  - 18 -
Enrolled Copy  H.B. 7
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
Schedule of Programs:
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)
  - 19 -
H.B. 7  Enrolled Copy
(Target = 2%); and 6. Percent Of_children Who
Demonstrated Improvement in Social-emotional_skills,
Including Social Relationships. (Target = 56%).
   ITEM 38    To 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)
Schedule of Programs:
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    To 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
Schedule of Programs:
Correctional Health Services  54,229,300
  - 20 -
Enrolled Copy  H.B. 7
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.
  DEPARTMENT OF HEALTH AND HUMAN SERVICES
  ITEM 40    To 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)
Schedule of Programs:
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
  - 21 -
H.B. 7  Enrolled Copy
(Target = 3%).
   ITEM 41   To 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
Schedule of Programs:
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   To 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   To 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)
Schedule of Programs:
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 =
  - 22 -
Enrolled Copy  H.B. 7
1).
  ITEM 44   To 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   To 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)
Schedule of Programs:
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   To Department of Health and Human Services - Utah State Developmental
  - 23 -
H.B. 7  Enrolled Copy
   Center Workshop Fund
From Dedicated Credits Revenue  140,000
From Beginning Fund Balance  17,500
From Closing Fund Balance  (17,500)
Schedule of Programs:
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   To 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)
Schedule of Programs:
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   To 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)
Schedule of Programs:
Mental Health Services Donation Fund  100,000
  - 24 -
Enrolled Copy  H.B. 7
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     To 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     To 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.
  DEPARTMENT OF HEALTH AND HUMAN SERVICES
  ITEM 51     To 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
  - 25 -
H.B. 7  Enrolled Copy
From Closing Fund Balance  (6,463,200)
Schedule of Programs:
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.
   ITEM 52     To 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)
Schedule of Programs:
Medicaid ACA Fund  93,499,900
   ITEM 53     To General Fund Restricted - Statewide Behavioral Health Crisis Response
   Account
From General Fund  37,879,200
Schedule of Programs:
Statewide Behavioral Health Crisis Response
Account  37,879,200
   ITEM 54     To General Fund Restricted - Adult Autism Treatment Account
From General Fund  1,000,000
Schedule of Programs:
Adult Autism Treatment Account  1,000,000
   ITEM 55     To Alternative Eligibility Account
  - 26 -
Enrolled Copy  H.B. 7
From General Fund  4,500,000
Schedule of Programs:
Alternative Eligibility Account  4,500,000
  ITEM 56       To General Fund Restricted - Medicaid Growth Reduction and Budget
  Stabilization Account
From General Fund  10,000,000
Schedule of Programs:
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.
  DEPARTMENT OF HEALTH AND HUMAN SERVICES
  ITEM 57       To 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)
Schedule of Programs:
Human Services Client Trust Fund  4,916,700
  ITEM 58       To 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)
Schedule of Programs:
Human Services ORS Support Collections  212,842,300
  ITEM 59       To 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)
  - 27 -
H.B. 7  Enrolled Copy
Schedule of Programs:
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     To 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)
Schedule of Programs:
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.
   DEPARTMENT OF HEALTH AND HUMAN SERVICES
   ITEM 61     To Department of Health and Human Services - Operations
  - 28 -
Enrolled Copy  H.B. 7
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
Schedule of Programs:
Executive Director Office  6,534,300
Ancillary Services  4,659,000
Finance & Administration  9,379,500
Data, Systems, & Evaluations  11,309,100
  ITEM 62   To 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
Schedule of Programs:
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
  - 29 -
 H.B. 7  Enrolled Copy
& 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     To 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
Schedule of Programs:
Recovery Services  20,300,400
Child Support Services  27,018,600
Children in Care Collections  749,300
1000  Attorney General Contract  6,700,000
1001  Medical Collections  3,890,600
1002  In accordance with UCA 63J-1-903, the
1003  Legislature intends that the Department of Health and
1004  Human Services report on the following Office of
1005  Recovery Services line item performance measures for
1006  FY 2027: 1. Current Support Collection Rates (Target =
1007  65%); 2. Medical Coverage for Children (Target = 65%);
1008  and 3. Overall Cost Effectiveness of the Office of
1009  Recovery Services (Target = 4.5%).
1010  Section 4. Effective Date.
1011     (1) Except as provided in Subsection (2), this bill takes effect July 1, 2026.
1012     (2) The actions affecting Section 1 (Effective upon governor's approval) take effect:
1013  (a) except as provided in Subsection (2)(b), May 6, 2026; or
  - 30 -
 Enrolled Copy  H.B. 7
1014        (b) if approved by two-thirds of all members elected to each house:
1015  (i) upon approval by the governor;
1016  (ii) without the governor's signature, the day following the constitutional time limit of
1017  Utah Constitution, Article VII, Section 8; or
1018  (iii) in the case of a veto, the date of veto override.
  - 31 -

Social Services Base Budget

Sponsors

Rep. Raymond Ward (R) sponsors HB 7, and 1 member has co-sponsored it.

Committees

HB 7 went before 1 committee: Rules.

Rules
Rules
Referred to · Jan 20, 2026

History

HB 7 has taken 31 actions since Jan 16, 2026, the latest on Jan 31, 2026.

ChamberAction
Jan 31, 2026
—
Governor Signed in Lieutenant Governor's office for filing
Jan 30, 2026
House
Enrolled Bill Returned to House or Senate in Clerk of the House
Jan 30, 2026
House
House/ enrolled bill to Printing in Clerk of the House
Jan 30, 2026
House
House/ received enrolled bill from Printing in Clerk of the House
Jan 30, 2026
—
House/ to Governor in Executive Branch - Governor

Votes

HB 7 went to 2 roll calls across both chambers, the latest on Jan 29, 2026 at 26–0.

ChamberQuestion
Yea
Nay
Jan 29, 2026
Senate
Senate/ passed 2nd & 3rd readings/ suspension
26
0
Jan 28, 2026
House
House/ passed 3rd reading
73
0

Source: le.utah.gov · legiscan.com