This bill establishes a state operated health financing program.
This bill:
Support
Strong Communities
AI-generated summary, not yet reviewed by Better Utah staff. Please consult the bill text.
This bill would create a new state-run health care program called "Utah Cares" to replace Utah's current patchwork of public coverage, including Medicaid and the Public Employees' Benefit and Insurance Program (PEHP, which covers state and many local government workers). A new seven-member Utah Health Services Commission would design and run the program, oversee its budget, resolve disputes between patients and providers, and take over health workforce offices currently housed in the Department of Health and Human Services. Utah residents would be allowed to enroll in the program, government employers would be required to transition their employees into it, and hospitals and other health care facilities would eventually be required to route billing through the program rather than billing patients directly once new licensing rules take effect in November 2030. The bill also creates a new "Utah Cares Trust Fund" and a new state health care tax to pay for the program, and directs the state to seek federal approval to shift Medicaid funding and administration into this same system over time.
Introduction
Feb 17
Senate Rules
Senate Committee
Senate 2nd Reading
Senate 3rd Reading
House Rules
House Committee
House Floor Vote
Governor
IntroductionFeb 17
Senate Rules
Senate Committee
Senate 2nd Reading
Senate 3rd Reading
House Rules
House Committee
House Floor Vote
Governor
This bill establishes a state operated health financing program.
This bill:
AI-generated summary, not yet reviewed by Better Utah staff. Please consult the bill text.
This bill would create a new state-run health care program called "Utah Cares" to replace Utah's current patchwork of public coverage, including Medicaid and the Public Employees' Benefit and Insurance Program (PEHP, which covers state and many local government workers). A new seven-member Utah Health Services Commission would design and run the program, oversee its budget, resolve disputes between patients and providers, and take over health workforce offices currently housed in the Department of Health and Human Services. Utah residents would be allowed to enroll in the program, government employers would be required to transition their employees into it, and hospitals and other health care facilities would eventually be required to route billing through the program rather than billing patients directly once new licensing rules take effect in November 2030. The bill also creates a new "Utah Cares Trust Fund" and a new state health care tax to pay for the program, and directs the state to seek federal approval to shift Medicaid funding and administration into this same system over time.
Support
Strong Communities
Senate/ filed
Senate file for bills not passed
Senate/ strike enacting clause
Senate Secretary
LFA/ fiscal note publicly available for SB0300S01
Released
LFA/ fiscal note sent to sponsor for SB0300S01
Version Sponsor
LFA/ bill sent to agencies for fiscal input for SB0300S01
Legislative Fiscal Agency
Last updated Aug 29, 2026, 5:26 PM