reglab/housing_qa huggingface dataset:
UT Code § 31A-45-402 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 45 - Managed Care Organizations|Part 4 - Access to Services for Managed Care Enrollees|Section 402 - Alcohol and drug dependency treatment.

 Effective 1/1/2018  31A-45-402. Alcohol and drug dependency treatment.    (1) A managed care organization offering a health benefit plan providing coverage for alcohol or drug dependency treatment may require an inpatient facility to be licensed by:   (a)   (i) the Department of Human Services, under Title 62A, Chapter 2, Licensure of Programs and Facilities; or     (ii) the Department of Health; or       (b) for an inpatient facility located outside the state, a state agency similar to one described in Subsection (1)(a).       (2) For inpatient coverage provided pursuant to Subsection (1), a managed care organization may require an inpatient facility to be accredited by the following:   (a) the Joint Commission; and     (b) one other nationally recognized accrediting agency.      Enacted by Chapter 292, 2017 General Session
UT Code § 31A-45-403 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 45 - Managed Care Organizations|Part 4 - Access to Services for Managed Care Enrollees|Section 403 - Essential health benefits.

 Effective 5/8/2018  31A-45-403. Essential health benefits.    (1) The state designates the state's own essential health benefits and does not accept a federal determination of the essential health benefits under the PPACA.     (2) Subject to Subsections (3) and (4), the commissioner shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, that designate the essential health benefits for the state.     (3) Before the commissioner makes rules in accordance with Subsection (2):   (a) the commissioner shall present a summary of the commissioner's planned rules to the Health Reform Task Force; and     (b) the Health Reform Task Force shall recommend whether the commissioner makes rules in accordance with the presented summary.       (4) The essential health benefits plan:   (a) may not include a state mandate if the inclusion of the state mandate would require the state to contribute to premium subsidies under the PPACA; and     (b) may add benefits in addition to the benefits included in a benchmark plan adopted in accordance with this section if the additional benefits are mandated under the PPACA.      Enacted by Chapter 319, 2018 General Session
UT Code § 31A-46-101 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 1 - General Provisions|Section 101 - Title.

 Effective 5/12/2020  31A-46-101. Title.  This chapter is known as "Pharmacy Benefits Act." Amended by Chapter 198, 2020 General Session
UT Code § 31A-46-201 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 2 - Licensure|Section 201 - License required.

 Effective 7/1/2019  31A-46-201. License required.    (1) A person may not perform, offer to perform, or advertise any pharmacy benefits management service in the state unless the person is licensed as a pharmacy benefit manager under this chapter.     (2) A person may not utilize the services of another person as a pharmacy benefit manager if the person knows or has reason to know that the other person does not have a license under this chapter.    Enacted by Chapter 241, 2019 General Session
UT Code § 31A-46-202 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 2 - Licensure|Section 202 - Application for licensure.

 Effective 7/1/2019  31A-46-202. Application for licensure.    (1) To obtain or renew a license as a pharmacy benefit manager, a person shall:   (a) submit an application to the commissioner on forms and in a manner established by the commissioner by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act; and     (b) pay a licensure fee established by the department in accordance with Section 31A-3-103.       (2)   (a) The commissioner may require an applicant to submit information or documentation regarding the management and ownership of the pharmacy benefit manager in the application described in Subsection (1)(a).     (b) Any material change in the information submitted in an application described in Subsection (1)(a) shall be reported to the department within 30 days after the day on which the information changes.       (3) The term of a license issued under this section is one year.    Enacted by Chapter 241, 2019 General Session
UT Code § 31A-46-301 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 3 - Operating Requirements|Section 301 - Reporting requirements.

 Effective 5/12/2020  31A-46-301. Reporting requirements.    (1) Before April 1 of each year, a pharmacy benefit manager operating in the state shall report to the department, for the previous calendar year:   (a) any insurer, pharmacy, or pharmacist in the state with which the pharmacy benefit manager had a contract;     (b) the total value, in the aggregate, of all rebates and administrative fees that are attributable to enrollees of a contracting insurer; and     (c) if applicable, the percentage of aggregate rebates that the pharmacy benefit manager retained under the pharmacy benefit manager's agreement to provide pharmacy benefits management services to a contracting insurer.       (2) Records submitted to the commissioner under Subsections (1)(b) and (c) are a protected record under Title 63G, Chapter 2, Government Records Access and Management Act.     (3)   (a) The department shall publish the information provided by a pharmacy benefit manager under Subsection (1)(c) in the annual report described in Section 31A-2-201.2.     (b) The department may not publish information submitted under Subsection (1)(b) or (c) in a manner that:   (i) makes a specific submission from a contracting insurer or pharmacy benefit manager identifiable; or     (ii) is likely to disclose information that is a trade secret as defined in Section 13-24-2.       (c) At least 30 days before the day on which the department publishes the data, the department shall provide a pharmacy benefit manager that submitted data under Subsection (1)(b) or (c) with:   (i) a general description of the data that will be published by the department;     (ii) an opportunity to submit to the department, within a reasonable period of time and in a manner established by the department by rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act:   (A) any correction of errors, with supporting evidence and comments; and     (B) information that demonstrates that the publication of the data will violate Subsection (3)(b), with supporting evidence and comments.          Amended by Chapter 198, 2020 General Session
UT Code § 31A-46-304 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 3 - Operating Requirements|Section 304 - Claims practices.

 Effective 5/12/2020  31A-46-304. Claims practices.    (1) A pharmacy benefit manager shall permit a pharmacy to collect the amount of a customer's cost share from any source.     (2) A pharmacy benefit manager may not deny or reduce a reimbursement to a pharmacy or a pharmacist after the adjudication of the claim, unless:   (a) the pharmacy or pharmacist submitted the original claim fraudulently;     (b) the original reimbursement was incorrect because:   (i) the pharmacy or pharmacist had already been paid for the pharmacy service; or     (ii) an unintentional error resulted in an incorrect reimbursement; or       (c) the pharmacy service was not rendered by the pharmacy or pharmacist.       (3) Subsection (2) does not apply if:   (a) any form of an investigation or audit of pharmacy records for fraud, waste, abuse, or other intentional misrepresentation indicates that the pharmacy or pharmacist engaged in criminal wrongdoing, fraud, or other intentional misrepresentation; or     (b) the reimbursement is reduced as the result of the reconciliation of a reimbursement amount under a performance contract if:   (i) the performance contract lays out clear performance standards under which the reimbursement for a specific drug may be increased or decreased; and     (ii) the agreement between the pharmacy benefit manager and the pharmacy or pharmacist explicitly states, in a separate document that is signed by the pharmacy benefit manager and the pharmacy or pharmacist, that the provisions of Subsection (2) do not apply.        Amended by Chapter 198, 2020 General Session
UT Code § 31A-46-305 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 3 - Operating Requirements|Section 305 - Pharmacy reimbursement.

 Effective 5/12/2020  31A-46-305. Pharmacy reimbursement.  A pharmacy benefit manager shall reimburse a network pharmacy, in the aggregate, in an amount no less than the amount that the pharmacy benefit manager reimburses an affiliate of the pharmacy benefit manager in the same network, in the aggregate, for providing the same or equivalent pharmacy service. Enacted by Chapter 198, 2020 General Session  This was also enacted in HB272, Chapter 198 and SB138, Chapter 275, however, this section number will not be updated and will remain as 58-17b-619.
UT Code § 31A-46-306 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 3 - Operating Requirements|Section 306 - Mailing or delivering prescription drugs.

 Effective 5/12/2020  31A-46-306. Mailing or delivering prescription drugs. A pharmacy benefit manager or an insurer may not, directly or indirectly:   (1) prohibit an in-network retail pharmacy from:   (a) mailing or delivering a prescription drug to an enrollee as an ancillary service of the in-network retail pharmacy;     (b) charging a shipping or handling fee to an enrollee who requests that the in-network retail pharmacy mail or deliver a prescription drug to the enrollee, as an ancillary service; or     (c) offering or soliciting the ancillary services described in Subsection (1)(a) to an enrollee; or       (2) charge an enrollee who uses an in-network retail pharmacy that offers to mail or deliver a prescription drug to an enrollee as an ancillary service a fee or copayment that is higher than the fee or copayment the enrollee would pay if the enrollee used an in-network retail pharmacy that does not offer to mail or deliver a prescription drug to an enrollee as an ancillary service.    Enacted by Chapter 198, 2020 General Session
UT Code § 31A-46-307 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 3 - Operating Requirements|Section 307 - Pharmacy benefit manager reporting.

 Effective 5/12/2020  31A-46-307. Pharmacy benefit manager reporting.    (1) A pharmacy benefit manager may not enter into or renew a contract with an insurer on or after January 1, 2021, to administer or manage rebate contracting or rebate administration unless the pharmacy benefit manager agrees to regularly report to the insurer information regarding pharmaceutical manufacturer rebates received by the pharmacy benefit manager under the contract.     (2) The quality and type of information required under Subsection (1) shall be detailed, claims level information unless the pharmacy benefit manager and insurer agree to waive this requirement in a separate written agreement.    Enacted by Chapter 198, 2020 General Session
UT Code § 31A-46-308 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 3 - Operating Requirements|Section 308 - Out-of-state mail service pharmacies -- Drugs not readily available in all pharmacies.

 Effective 5/12/2020  31A-46-308. Out-of-state mail service pharmacies -- Drugs not readily available in all pharmacies.    (1) As used in this section, "out-of-state mail service pharmacy" means the same as that term is defined in Section 58-17b-102.     (2) Except as provided in Subsection (3), a third party payor of pharmaceutical services within the state, or its agent or contractor, may not require a pharmacy patient to obtain prescription drug benefits from one or more out-of-state mail service pharmacies as a condition of obtaining third party payment prescription drug benefit coverage as defined in rule.     (3) For a prescription drug or device that is not readily available in all pharmacies, including an injectable medication, a third party payor of pharmaceutical services may require a pharmacy patient to obtain prescription drug benefits from certain pharmacies, including one or more out-of-state mail service pharmacies.     (4)   (a) A violation of this section is a class A misdemeanor.     (b) Each violation of this section is a separate offense.      Renumbered and Amended by Chapter 198, 2020 General SessionRenumbered and Amended by Chapter 372, 2020 General Session
UT Code § 31A-46-309 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 3 - Operating Requirements|Section 309 - Reimbursement -- Prohibitions.

 Effective 5/12/2020  31A-46-309. Reimbursement -- Prohibitions.    (1) This section applies to a contract entered into or renewed on or after January 1, 2021, between a pharmacy benefit manager and a pharmacy.     (2) A pharmacy benefit manager may not vary the amount it reimburses a pharmacy for a drug on the basis of whether:   (a) the drug is a 340B drug; or     (b) the pharmacy is a 340B entity.       (3) Subsection (2) does not apply to a drug reimbursed, directly or indirectly, by the Medicaid program.     (4) A pharmacy benefit manager may not:   (a) on the basis that a 340B entity participates, directly or indirectly, in the 340B drug discount program:   (i) assess a fee, charge-back, or other adjustment on the 340B entity;     (ii) restrict access to the pharmacy benefit manager's pharmacy network;     (iii) require the 340B entity to enter into a contract with a specific pharmacy to participate in the pharmacy benefit manager's pharmacy network;     (iv) create a restriction or an additional charge on a patient who chooses to receive drugs from a 340B entity; or     (v) create any additional requirements or restrictions on the 340B entity; or       (b) require a claim for a drug to include a modifier to indicate that the drug is a 340B drug unless the claim is for payment, directly or indirectly, by the Medicaid program.      Enacted by Chapter 275, 2020 General Session  Technically renumbered to avoid duplication of section number also enacted in HB272, Chapter 198.
UT Code § 31A-46-310 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 3 - Operating Requirements|Section 310 - Prohibited actions with respect to a federally qualified health center.

 Effective 5/5/2021  31A-46-310. Prohibited actions with respect to a federally qualified health center.    (1) As used in this section, "federally qualified health center":   (a) means the same as that term is defined in 42 U.S.C. Sec. 1395x(aa)(4); and     (b) includes the pharmacy or pharmacies that are operated by or contract with a federally qualified health center described in Subsection (1)(a) to dispense drugs purchased through the federally qualified health center.       (2) This section applies to a contract entered into or renewed on or after January 1, 2022, between an insurer and a pharmacy described in Subsection (1)(b).     (3) An insurer may not vary the amount that the insurer reimburses to a federally qualified health center for a drug on the basis of whether:   (a) the drug is a 340B drug; or     (b) the pharmacy is a 340B entity.       (4) Subsection (3) does not apply to a drug reimbursed, directly or indirectly, by the Medicaid program.     (5) An insurer or an insurer's pharmacy service entity may not:   (a) on the basis that a federally qualified health center participates, directly or through a contractual arrangement, in the 340B drug discount program:   (i) assess a fee, charge-back, or other adjustment on a federally qualified health center;     (ii) restrict access to the insurer's pharmacy network;     (iii) require the federally qualified health center to enter into a contract with a specific pharmacy to participate in the insurer's pharmacy network;     (iv) create a restriction or an additional charge on a patient who chooses to receive drugs from a federally qualified health center; or     (v) create any additional requirements or restrictions on the federally qualified health center; or       (b) require a claim for a drug to include a modifier to indicate that the drug is a 340B drug unless the claim is for payment, directly or indirectly, by the Medicaid program.      Enacted by Chapter 317, 2021 General Session
UT Code § 31A-46-401 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 4 - Miscellaneous|Section 401 - Penalties.

 Effective 7/1/2019  31A-46-401. Penalties.  A person that violates a provision of this chapter is subject to the penalties described in Section 31A-2-308. Enacted by Chapter 241, 2019 General Session
UT Code § 31A-46-402 (2021)
2021 Utah Code|Title 31A - Insurance Code|Chapter 46 - Pharmacy Benefits Act|Part 4 - Miscellaneous|Section 402 - Severability.

 Effective 7/1/2019  31A-46-402. Severability.  If any provision of this chapter or the application of any provision of this chapter is found invalid, the remainder of this chapter shall be given effect without the invalid provision or application. Enacted by Chapter 241, 2019 General Session
UT Code § 32B-1-101 (2021)
2021 Utah Code|Title 32B - Alcoholic Beverage Control Act|Chapter 1 - Alcoholic Beverage Control General Provisions|Part 1 - General Provisions|Section 101 - Title.

32B-1-101. Title.    (1) This title is known as the "Alcoholic Beverage Control Act."     (2) This chapter is known as "Alcoholic Beverage Control General Provisions."    Enacted by Chapter 276, 2010 General Session
UT Code § 32B-1-103 (2021)
2021 Utah Code|Title 32B - Alcoholic Beverage Control Act|Chapter 1 - Alcoholic Beverage Control General Provisions|Part 1 - General Provisions|Section 103 - Policy.

32B-1-103. Policy.  The policies of the state are as follows:  (1) This title shall be administered in a manner that is nonpartisan and free of partisan political influence.     (2) Alcoholic product control shall be operated as a public business using sound management principles and practices. This public business shall:   (a) be governed by a commission;     (b) be operated by a department; and     (c) function with the intent of servicing the public demand for alcoholic products.       (3) The commission and department may not promote or encourage the sale or consumption of alcoholic products.     (4) The commission shall conduct, license, and regulate the sale of alcoholic products in a manner and at prices that:   (a) reasonably satisfy the public demand and protect the public interest, including the rights of citizens who do not wish to be involved with alcoholic products; and     (b) will promote the reduction of the harmful effects of:   (i) overconsumption of alcoholic products by adults; and     (ii) consumption of alcoholic products by minors.        Enacted by Chapter 276, 2010 General Session
UT Code § 32B-1-104 (2021)
2021 Utah Code|Title 32B - Alcoholic Beverage Control Act|Chapter 1 - Alcoholic Beverage Control General Provisions|Part 1 - General Provisions|Section 104 - Exercise of police powers -- Severability.

 Effective 5/9/2017  32B-1-104. Exercise of police powers -- Severability.    (1)   (a) This title is an exercise of the police powers of the state for the protection of the public health, peace, safety, welfare, and morals, and regulates the storage, sale, offer for sale, furnishing, consumption, manufacture, and distribution of an alcoholic product.     (b) This title governs alcoholic product control unless otherwise provided in this title.       (2)   (a) A licensee or permittee has the rights and privileges described in this title that are applicable to the licensee's or permittee's license or permit.     (b) A licensee or permittee may engage in an activity related to the storage, sale, offer for sale, furnishing, consumption, manufacture, or distribution of an alcoholic product only if the activity is expressly permitted under this title or a rule authorized under this title and made by the commission.       (3) The department and the commission:   (a) shall implement and enforce the provisions of this title in accordance with the express language of the provisions of this title and in a manner consistent with the policy described in Section 32B-1-103; and     (b) may not waive any provision of this title.       (4) If a provision of this title or the application of a provision to a person or circumstance is held invalid, the remainder of this title shall be given effect without the invalid provision or application. The provisions of this title are severable.    Amended by Chapter 455, 2017 General Session
UT Code § 32B-1-202.1 (2021)
2021 Utah Code|Title 32B - Alcoholic Beverage Control Act|Chapter 1 - Alcoholic Beverage Control General Provisions|Part 2 - Miscellaneous Provisions|Section 202.1 - Proximity for certain hotel licensees.

 Effective 5/5/2021  32B-1-202.1. Proximity for certain hotel licensees.    (1) As used in this section, "hotel" means the same as that term is defined in Section 32B-8b-102.     (2) The commission may issue a hotel license for a proposed location that does not meet the proximity requirements under Section 32B-1-202, if:   (a) the proposed hotel is:   (i) located in a city classified as a city of the first class under Section 10-2-301;     (ii) within 600 feet of two community locations, as measured from the nearest patron entrance of the proposed hotel by following the shortest route of ordinary pedestrian travel to the property boundary of each community location;     (iii) not within 300 feet of a community location, as measured from the nearest patron entrance of the proposed hotel by following the shortest route of ordinary pedestrian travel to the property boundary of the community location; and     (iv) not within 200 feet of a community location, as measured in a straight line from the nearest patron entrance of the proposed hotel to the nearest property boundary of the community location;       (b) the proposed sublicensed premises of a bar establishment sublicense under the hotel license:   (i) is on the second or higher floor of a hotel;     (ii) is not accessible at street level; and     (iii) is only accessible to an individual who passes through another area of the hotel in which the bar establishment sublicense is located; and       (c) the applicant meets all other criteria under this title for the hotel license.       (3) The commission may issue authority to operate as a package agency to a hotel licensee who meets the requirements described in Subsection (2).    Enacted by Chapter 291, 2021 General Session
UT Code § 32B-1-203 (2021)
2021 Utah Code|Title 32B - Alcoholic Beverage Control Act|Chapter 1 - Alcoholic Beverage Control General Provisions|Part 2 - Miscellaneous Provisions|Section 203 - Licensee compliance with other laws.

32B-1-203. Licensee compliance with other laws.    (1) A licensee and a person applying for a license shall comply with the applicable federal and state laws pertaining to payment of taxes and contributions to unemployment and insurance funds to which the licensee or person may be subject.     (2) The commission:   (a) may not issue a license to a person who violates this section; and     (b) may suspend, revoke, or not renew the license of a licensee who violates this section.      Amended by Chapter 307, 2011 General Session