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Addressing multiple gaps in how Utah cares for people in state prisons and jails, this bill requires the Department of Health and Human Services to contract for a new electronic health record system for inmate care by the end of 2026, appropriates $7 million for that system, and allows funding from the state's Medicaid savings account to help pay for it. The bill also requires the department, working with the Department of Corrections, to develop and carry out a plan to provide opioid use disorder treatment — including medication-assisted treatment using drugs like buprenorphine or methadone — to inmates for up to 90 days after entering a correctional facility, and potentially for up to 90 days before release if federal Medicaid approval is obtained. Additionally, funds set aside for unexpected high-cost inmate medical expenses are made "nonlapsing," meaning unspent money carries over to the next year rather than reverting to the general budget.