reglab/housing_qa huggingface dataset:
UT Code § 26-9-1 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 9 - Rural Health Services|Part 1 - Department Responsibilities|Section 1 - Assistance to rural communities by department.

26-9-1. Assistance to rural communities by department.  The department shall assist rural communities in dealing with primary health care needs relating to recruiting health professionals, planning, and technical assistance. The department shall assist the communities, at their request, at any stage of development of new or expanded primary health care services and shall work with them to improve primary health care by providing information to increase the effectiveness of their systems, to decrease duplication and fragmentation of services, and to maximize community use of private gifts, and local, state, and federal grants and contracts.  Enacted by Chapter 126, 1981 General Session
UT Code § 26-9-2 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 9 - Rural Health Services|Part 1 - Department Responsibilities|Section 2 - Responsibility of department for coordinating rural health programs.

26-9-2. Responsibility of department for coordinating rural health programs.  The department shall be the lead agency responsible for coordinating rural health programs and shall insure that resources available for rural health are efficiently and effectively used.  Enacted by Chapter 126, 1981 General Session
UT Code § 26-9-3 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 9 - Rural Health Services|Part 1 - Department Responsibilities|Section 3 - Rural health development initiatives.

26-9-3. Rural health development initiatives.    (1)   (a) The University of Utah Health Science Center shall use any appropriations it receives for developing area health education centers to establish and maintain an area health education center program in accordance with this section.     (b) Implementation and execution of the area health education center program is contingent upon appropriations from the Legislature.       (2)   (a) The area health education center program shall consist of a central program office at the University of Utah Health Science Center. The program office shall establish and operate a statewide, decentralized, regional program with emphasis on addressing rural health professions workforce education and training needs.     (b) The area health education center program shall have five regional centers serving the following geographic areas:   (i) the northern center serving Box Elder, Cache, Rich, Weber, and Morgan counties;     (ii) the crossroads center serving Salt Lake, Wasatch, Summit, Tooele, Utah, and Davis counties;     (iii) the central center serving Juab, Millard, Piute, Sanpete, Sevier, and Wayne counties;     (iv) the eastern center serving Carbon, Daggett, Duchesne, Emery, Grand, San Juan, and Uintah counties; and     (v) the southwest center serving Beaver, Garfield, Iron, Kane, and Washington counties.         (3) The area health education center program shall attempt to acquire funding from state, local, federal, and private sources.     (4) Each area health education center shall provide community-based health professions education programming for the geographic area described in Subsection (2)(b) of this section.    Amended by Chapter 95, 2001 General Session
UT Code § 26-9-5 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 9 - Rural Health Services|Part 1 - Department Responsibilities|Section 5 - Rural County Health Care Special Service District Retirement Grant Program.

26-9-5. Rural County Health Care Special Service District Retirement Grant Program.    (1) As used in this section:   (a) "Participating employer" means an employer that was required to participate in the Utah State Retirement System under Section 49-12-201, 49-12-202, 49-13-201, or 49-13-202.     (b) "Retirement liability" means an obligation in excess of $750,000 owed to the Utah State Retirement Office by a rural county health care special service district as a participating employer.     (c) "Rural county health care special service district" means a special service district formed to provide health care in a third, fourth, fifth, or sixth class county as defined in Section 17-50-501.       (2) Because there is a compelling statewide public purpose in promoting health care in Utah's rural counties, and particularly in ensuring the continued existence and financial viability of hospital services provided by rural county health care special service districts, there is created a grant program to assist rural county health care special service districts in meeting a retirement liability.     (3)   (a) Subject to legislative appropriation and this Subsection (3), the department shall make grants to rural county health care special service districts.     (b) To qualify for a grant, a rural county health care special service district shall:   (i) file a grant application with the department detailing:   (A) the name of the rural county health care special service district;     (B) the estimated total amount of the retirement liability;     (C) the grant amount that the rural county health care special service district is requesting; and     (D) the amount of matching funds to be provided by the rural county health care special service district to help fund the retirement liability as required by Subsection (3)(d); and       (ii) commit to provide matching funds as required by Subsection (3)(d).       (c) The department shall review each grant application and, subject to legislative appropriation, award grants to each rural health care special service district that qualifies for a grant under Subsection (3)(b).     (d) The department may not award a grant to a rural county health care special service district unless the rural county health care special service district commits to provide matching funds to the grant equal to at least 40% of the amount of the grant.      Enacted by Chapter 408, 2012 General Session
UT Code § 26-18-1 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 1 - Short title.

26-18-1. Short title.  This chapter shall be known and may be cited as the "Medical Assistance Act."  Enacted by Chapter 126, 1981 General Session
UT Code § 26-18-2 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 2 - Definitions.

 Effective 5/14/2019  26-18-2. Definitions.  As used in this chapter:  (1) "Applicant" means any person who requests assistance under the medical programs of the state.     (2) "CMS" means the Centers for Medicare and Medicaid Services within the United States Department of Health and Human Services.     (3) "Division" means the Division of Medicaid and Health Financing within the department, established under Section 26-18-2.1.     (4) "Enrollee" or "member" means an individual whom the department has determined to be eligible for assistance under the Medicaid program.     (5) "Medicaid program" means the state program for medical assistance for persons who are eligible under the state plan adopted pursuant to Title XIX of the federal Social Security Act.     (6) "Medical assistance" means services furnished or payments made to or on behalf of a member.     (7)   (a) "Passenger vehicle" means a self-propelled, two-axle vehicle intended primarily for operation on highways and used by an applicant or recipient to meet basic transportation needs and has a fair market value below 40% of the applicable amount of the federal luxury passenger automobile tax established in 26 U.S.C. Sec. 4001 and adjusted annually for inflation.     (b) "Passenger vehicle" does not include:   (i) a commercial vehicle, as defined in Section 41-1a-102;     (ii) an off-highway vehicle, as defined in Section 41-1a-102; or     (iii) a motor home, as defined in Section 13-14-102.         (8) "PPACA" means the same as that term is defined in Section 31A-1-301.     (9) "Recipient" means a person who has received medical assistance under the Medicaid program.    Amended by Chapter 393, 2019 General Session
UT Code § 26-18-2.1 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 2.1 - Division -- Creation.

 Effective 5/14/2019  26-18-2.1. Division -- Creation.  There is created, within the department, the Division of Medicaid and Health Financing which shall be responsible for implementing, organizing, and maintaining the Medicaid program and the Children's Health Insurance Program established in Section 26-40-103, in accordance with the provisions of this chapter and applicable federal law. Amended by Chapter 393, 2019 General Session
UT Code § 26-18-2.2 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 2.2 - State Medicaid director -- Appointment -- Responsibilities.

 Effective 5/14/2019  26-18-2.2. State Medicaid director -- Appointment -- Responsibilities.  The state Medicaid director shall be appointed by the governor, after consultation with the executive director, with the advice and consent of the Senate. The state Medicaid director may employ other employees as necessary to implement the provisions of this chapter, and shall:   (1) administer the responsibilities of the division as set forth in this chapter;     (2) administer the division's budget; and     (3) establish and maintain a state plan for the Medicaid program in compliance with federal law and regulations.    Amended by Chapter 393, 2019 General Session
UT Code § 26-18-2.3 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 2.3 - Division responsibilities -- Emphasis -- Periodic assessment.

 Effective 5/12/2020  26-18-2.3. Division responsibilities -- Emphasis -- Periodic assessment.    (1) In accordance with the requirements of Title XIX of the Social Security Act and applicable federal regulations, the division is responsible for the effective and impartial administration of this chapter in an efficient, economical manner. The division shall:   (a) establish, on a statewide basis, a program to safeguard against unnecessary or inappropriate use of Medicaid services, excessive payments, and unnecessary or inappropriate hospital admissions or lengths of stay;     (b) deny any provider claim for services that fail to meet criteria established by the division concerning medical necessity or appropriateness; and     (c) place its emphasis on high quality care to recipients in the most economical and cost-effective manner possible, with regard to both publicly and privately provided services.       (2) The division shall implement and utilize cost-containment methods, where possible, which may include:   (a) prepayment and postpayment review systems to determine if utilization is reasonable and necessary;     (b) preadmission certification of nonemergency admissions;     (c) mandatory outpatient, rather than inpatient, surgery in appropriate cases;     (d) second surgical opinions;     (e) procedures for encouraging the use of outpatient services;     (f) consistent with Sections 26-18-2.4 and 58-17b-606, a Medicaid drug program;     (g) coordination of benefits; and     (h) review and exclusion of providers who are not cost effective or who have abused the Medicaid program, in accordance with the procedures and provisions of federal law and regulation.       (3) The state Medicaid director shall periodically assess the cost effectiveness and health implications of the existing Medicaid program, and consider alternative approaches to the provision of covered health and medical services through the Medicaid program, in order to reduce unnecessary or unreasonable utilization.     (4)   (a) The department shall ensure Medicaid program integrity by conducting internal audits of the Medicaid program for efficiencies, best practices, and cost avoidance.     (b) The department shall coordinate with the Office of the Inspector General for Medicaid Services created in Section 63A-13-201 to implement Subsection (2) and to address Medicaid fraud, waste, or abuse as described in Section 63A-13-202.      Amended by Chapter 225, 2020 General Session
UT Code § 26-18-2.5 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 2.5 - Simplified enrollment and renewal process for Medicaid and other state medical programs -- Financial institutions.

 Effective 5/14/2019  26-18-2.5. Simplified enrollment and renewal process for Medicaid and other state medical programs -- Financial institutions.    (1) The department may apply for grants and accept donations to make technology system improvements necessary to implement a simplified enrollment and renewal process for the Medicaid program, Utah Premium Partnership, and Primary Care Network Demonstration Project programs.     (2)   (a) The department may enter into an agreement with a financial institution doing business in the state to develop and operate a data match system to identify an applicant's or enrollee's assets that:   (i) uses automated data exchanges to the maximum extent feasible; and     (ii) requires a financial institution each month to provide the name, record address, Social Security number, other taxpayer identification number, or other identifying information for each applicant or enrollee who maintains an account at the financial institution.       (b) The department may pay a reasonable fee to a financial institution for compliance with this Subsection (2), as provided in Section 7-1-1006.     (c) A financial institution may not be liable under any federal or state law to any person for any disclosure of information or action taken in good faith under this Subsection (2).     (d) The department may disclose a financial record obtained from a financial institution under this section only for the purpose of, and to the extent necessary in, verifying eligibility as provided in this section and Section 26-40-105.      Amended by Chapter 393, 2019 General Session
UT Code § 26-18-3.1 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 3.1 - Medicaid expansion.

 Effective 5/12/2020  26-18-3.1. Medicaid expansion.    (1) The purpose of this section is to expand the coverage of the Medicaid program to persons who are in categories traditionally not served by that program.     (2) Within appropriations from the Legislature, the department may amend the state plan for medical assistance to provide for eligibility for Medicaid:   (a) on or after July 1, 1994, for children 12 to 17 years old who live in households below the federal poverty income guideline; and     (b) on or after July 1, 1995, for persons who have incomes below the federal poverty income guideline and who are aged, blind, or have a disability.       (3)   (a) Within appropriations from the Legislature, on or after July 1, 1996, the Medicaid program may provide for eligibility for persons who have incomes below the federal poverty income guideline.     (b) In order to meet the provisions of this subsection, the department may seek approval for a demonstration project under 42 U.S.C. Sec. 1315 from the secretary of the United States Department of Health and Human Services.        (4) The Medicaid program shall provide for eligibility for persons as required by Subsection 26-18-3.9(2).     (5) Services available for persons described in this section shall include required Medicaid services and may include one or more optional Medicaid services if those services are funded by the Legislature. The department may also require persons described in Subsections (1) through (3) to meet an asset test.    Amended by Chapter 225, 2020 General Session
UT Code § 26-18-3.5 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 3.5 - Copayments by recipients -- Employer sponsored plans.

 Effective 5/14/2019  26-18-3.5. Copayments by recipients -- Employer sponsored plans.    (1) The department shall selectively provide for enrollment fees, premiums, deductions, cost sharing or other similar charges to be paid by recipients, their spouses, and parents, within the limitations of federal law and regulation.     (2) Beginning May 1, 2006, within appropriations by the Legislature and as a means to increase health care coverage among the uninsured, the department shall take steps to promote increased participation in employer sponsored health insurance, including:   (a) maximizing the health insurance premium subsidy provided under the state's 1115 demonstration waiver by:   (i) ensuring that state funds are matched by federal funds to the greatest extent allowable; and     (ii) as the department determines appropriate, seeking federal approval to do one or more of the following:   (A) eliminate or otherwise modify the annual enrollment fee;     (B) eliminate or otherwise modify the schedule used to determine the level of subsidy provided to an enrollee each year;     (C) reduce the maximum number of participants allowable under the subsidy program; or     (D) otherwise modify the program in a manner that promotes enrollment in employer sponsored health insurance; and         (b) exploring the use of other options, including the development of a waiver under the Medicaid Health Insurance Flexibility Demonstration Initiative or other federal authority.      Amended by Chapter 393, 2019 General Session
UT Code § 26-18-3.8 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 3.8 - Maximizing use of premium assistance programs -- Utah's Premium Partnership for Health Insurance.

 Effective 8/31/2020  26-18-3.8. Maximizing use of premium assistance programs -- Utah's Premium Partnership for Health Insurance.    (1)   (a) The department shall seek to maximize the use of Medicaid and Children's Health Insurance Program funds for assistance in the purchase of private health insurance coverage for Medicaid-eligible and non-Medicaid-eligible individuals.     (b) The department's efforts to expand the use of premium assistance shall:   (i) include, as necessary, seeking federal approval under all Medicaid and Children's Health Insurance Program premium assistance provisions of federal law, including provisions of the Patient Protection and Affordable Care Act, Public Law 111-148;     (ii) give priority to, but not be limited to, expanding the state's Utah Premium Partnership for Health Insurance Program, including as required under Subsection (2); and     (iii) encourage the enrollment of all individuals within a household in the same plan, where possible, including enrollment in a plan that allows individuals within the household transitioning out of Medicaid to retain the same network and benefits they had while enrolled in Medicaid.         (2) The department shall seek federal approval of an amendment to the state's Utah Premium Partnership for Health Insurance program to adjust the eligibility determination for single adults and parents who have an offer of employer sponsored insurance. The amendment shall:   (a) be within existing appropriations for the Utah Premium Partnership for Health Insurance program; and     (b) provide that adults who are up to 200% of the federal poverty level are eligible for premium subsidies in the Utah Premium Partnership for Health Insurance program.       (3) For the fiscal year 2020-21, the department shall seek authority to increase the maximum premium subsidy per month for adults under the Utah Premium Partnership for Health Insurance program to $300.     (4) Beginning with the fiscal year 2021-22, and in each subsequent fiscal year, the department may increase premium subsidies for single adults and parents who have an offer of employer-sponsored insurance to keep pace with the increase in insurance premium costs, subject to appropriation of additional funding.    Amended by Chapter 3, 2020 Special Session 6
UT Code § 26-18-4 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 4 - Department standards for eligibility under Medicaid -- Funds for abortions.

26-18-4. Department standards for eligibility under Medicaid -- Funds for abortions.    (1) The department may develop standards and administer policies relating to eligibility under the Medicaid program as long as they are consistent with Subsection 26-18-3(8). An applicant receiving Medicaid assistance may be limited to particular types of care or services or to payment of part or all costs of care determined to be medically necessary.     (2) The department may not provide any funds for medical, hospital, or other medical expenditures or medical services to otherwise eligible persons where the purpose of the assistance is to perform an abortion, unless the life of the mother would be endangered if an abortion were not performed.     (3) Any employee of the department who authorizes payment for an abortion contrary to the provisions of this section is guilty of a class B misdemeanor and subject to forfeiture of office.     (4) Any person or organization that, under the guise of other medical treatment, provides an abortion under auspices of the Medicaid program is guilty of a third degree felony and subject to forfeiture of license to practice medicine or authority to provide medical services and treatment.    Amended by Chapter 167, 2013 General Session
UT Code § 26-18-5 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 5 - Contracts for provision of medical services -- Federal provisions modifying department rules -- Compliance with Social Security Act.

 Effective 5/12/2020  26-18-5. Contracts for provision of medical services -- Federal provisions modifying department rules -- Compliance with Social Security Act.    (1) The department may contract with other public or private agencies to purchase or provide medical services in connection with the programs of the division. Where these programs are used by other government entities, contracts shall provide that other government entities, in compliance with state and federal law regarding intergovernmental transfers, transfer the state matching funds to the department in amounts sufficient to satisfy needs of the specified program.     (2) Contract terms shall include provisions for maintenance, administration, and service costs.     (3) If a federal legislative or executive provision requires modifications or revisions in an eligibility factor established under this chapter as a condition for participation in medical assistance, the department may modify or change its rules as necessary to qualify for participation.     (4) The provisions of this section do not apply to department rules governing abortion.     (5) The department shall comply with all pertinent requirements of the Social Security Act and all orders, rules, and regulations adopted thereunder when required as a condition of participation in benefits under the Social Security Act.    Amended by Chapter 225, 2020 General Session
UT Code § 26-18-6 (2021)
2021 Utah Code|Title 26 - Utah Health Code|Chapter 18 - Medical Assistance Act|Part 1 - Medical Assistance Programs|Section 6 - Federal aid -- Authority of executive director.

26-18-6. Federal aid -- Authority of executive director.  The executive director, with the approval of the governor, may bind the state to any executive or legislative provisions promulgated or enacted by the federal government which invite the state to participate in the distribution, disbursement or administration of any fund or service advanced, offered or contributed in whole or in part by the federal government for purposes consistent with the powers and duties of the department. Such funds shall be used as provided in this chapter and be administered by the department for purposes related to medical assistance programs.  Enacted by Chapter 126, 1981 General Session