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Under current Utah law, when a nursing care facility relocates to a new or renovated building, it can keep its Medicaid certification and continue receiving Medicaid reimbursement for residents if it reopens within three years, and the director can grant a one-time exception extending that deadline by up to two additional years under certain circumstances. This bill would increase the maximum length of that exception from two years to four additional years beyond the standard three-year window. It would also allow facilities that already received a two-year extension approved before May 6, 2026, to request the additional time and extend their exception to four years, even if their original extension has already expired, as long as they request it within four years of the original three-year deadline. This gives facilities that are mid-construction or renovation more time to complete their projects without losing Medicaid certification for their nursing care program.