AI-generated summary, reviewed by Better Utah staff.

Utah's Medicaid expansion currently covers low-income adults up to 133% of the federal poverty level, and this bill updates the rules governing what happens if the federal government reduces its share of that funding below 90%. Under existing law, Medicaid expansion would end the following July 1 if federal matching funds dropped; this bill changes that deadline so expansion ends the day after the Legislature adjourns from the General Session following the funding cut, giving lawmakers time to respond. The bill also requires the Department of Health and Human Services to proactively end any state program that would trigger a federal funding reduction — before the reduction takes effect — and to submit a cost-containment proposal within 60 days of determining that federal funds will be cut, outlining options like reducing administrative costs, freezing provider rate increases, or closing enrollment to new members. The roughly 70,000 Utahns currently covered under Medicaid expansion are most directly affected, as these provisions would govern whether and how quickly they could lose coverage if federal funding is reduced.