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Utah law already requires state agencies to get approval before accepting federal grants, and this bill updates those rules in several ways. It raises the dollar threshold at which the governor (or Judicial Council or State Board of Education) alone can approve a federal grant from $1 million to $5 million per year. Grants bringing in between $5 million and $25 million per year are now classified as "medium impact" and must go through the Executive Appropriations Committee for review; grants between $25 million and $100 million are "high impact" and require full legislative approval; and a new "ultra high impact" category covers grants of $100 million or more per year, which must receive Executive Appropriations Committee review before submission to the federal government and then full legislative approval within 120 days. For any ultra high impact grant the Legislature approves, the Senate president and House speaker must also establish a dedicated legislative oversight committee to monitor how the funds are used and make recommendations on appropriations. State agencies pursuing large federal grants will face more legislative scrutiny and potential delays, which could affect programs funded by major federal dollars — such as Medicaid — if legislative approval is not secured in time.