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Addressing several gaps in how Utah provides medical care to people in state prisons and jails, this bill requires the Department of Health and Human Services to contract, by the end of 2026, for a new electronic health record system for inmate care, funded by a $7 million appropriation and, starting in 2027, potentially supplemented with money from the state's Medicaid savings account. It also directs the department, working with the Department of Corrections, to create and carry out a plan for treating inmates with opioid use disorder, including medication-assisted treatment using drugs like buprenorphine or methadone, for up to 90 days after an inmate enters custody and, if federal approval is obtained, for up to 90 days before release; the Department of Corrections would be required to cooperate in delivering this treatment. Additionally, money set aside for unexpected high-cost inmate medical expenses would be made "nonlapsing," meaning unspent funds carry over to the next year instead of returning to the general budget, and the department would need to report annually on both the opioid treatment plan and use of these funds.