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Several changes to state health and social services funding are bundled in this bill. It redirects interest earned on the Medicaid ACA Fund — a special account that helps pay for Medicaid expansion programs — into the state's General Fund rather than back into the fund itself. It requires immunosuppressive drugs (medications that help prevent organ rejection after a transplant) to be added to Medicaid's preferred drug list beginning March 2027, while maintaining existing protections that prevent the state from requiring step therapy for these drugs without patient and provider consent. The bill also directs the Department of Health and Human Services to apply for federal approval to fold Utah's Children's Health Insurance Program (CHIP) into Medicaid, and if approved, to route dental services for those children through the University of Utah School of Dentistry. Finally, it adds a new $759,700 annual distribution from the account funded by e-cigarette and nicotine product taxes to the Office of Substance Use and Mental Health for substance use treatment and prevention services.