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Under current Utah law, nursing care facilities that relocate to a new or renovated building can retain their Medicaid certification — meaning they can continue receiving Medicaid reimbursement for residents — if they move within three years, with the possibility of a two-year extension beyond that deadline under certain circumstances. This bill extends the maximum allowable exception from two years to four years beyond that three-year window, and also allows facilities that already received a two-year extension before May 6, 2026 to apply for the additional time, even if their original extension has already expired. Nursing care facilities mid-construction or renovation that are running up against the deadline to recertify their Medicaid program gain more flexibility to complete their projects without losing their Medicaid status, which helps protect continued access to care for residents who rely on Medicaid to pay for their nursing home stay.