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Better Utah Bill Tracker
2026 Interim Session

S.B. 288

Signed into Law

Medicaid Provider Amendments

SB0288S05 (Substitute)

Rep. Steve Eliason
Rep. Steve EliasonFloor Sponsor
Sen. Keven J. Stratton
View on le.utah.gov
S.B. 288Signed into Law

Medicaid Provider Amendments

Senate
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House
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Governor

What This Bill Does

This bill addresses provisions related to Medicaid providers.

Key Provisions

This bill:

  • requires the Department of Health and Human Services (department) to:
    • establish quality measures for evaluating certain Medicaid providers' performance;
    • evaluate certain Medicaid providers on performance as measured by the quality measures; and
    • annually report to the Social Services Appropriations Subcommittee on the performance based on the quality measures of the Medicaid providers determined by the Legislature;
  • requires the department to implement a closed loop referral system for referrals for the delivery of health-related social needs care to Medicaid-eligible individuals;
  • requires the Division of Services for People with Disabilities (division) to notify a provider of amendments to the provider's contract with the division;
  • defines terms; and
  • makes technical and conforming changes.

Plain-Language Summary

AI-generated summary. We recommend consulting the bill text for important decisions.

S.B. 288 makes several changes to how Utah manages its Medicaid program: it requires the Department of Health and Human Services to create performance standards for Medicaid providers, evaluate those providers against the standards, and report results to the legislature annually, with providers that meet the standards becoming eligible for bonus payments; it requires the department to build a coordinated referral system so that healthcare and social service organizations can more easily connect Medicaid enrollees to community supports like housing or food assistance; it requires the state's Division of Services for People with Disabilities to give contracted providers at least 30 days' notice before changing their contracts; and it appropriates over $42 million to raise reimbursement rates for a range of Medicaid providers, including nursing homes, home health agencies, private duty nurses, foster care providers, and disability services providers.