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Wednesday, November 4, 2026

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Utah bill tracker

S.B. 300: Single Payer Health Insurance Amendments

2026 General Session · Originating chamber: Senate

Saved official records and Ledger coverage. The outcome below is from the Legislature’s own step list.

What the bill does

Did not pass both chambers; the bill was filed on March 6, 2026.

This bill establishes a state operated health financing program.

  • Establishes a state operated health financing program
  • Creates the Utah Health Services Commission
  • Establishes duties for the Utah Health Services Commission
  • Moves health workforce councils and offices from the Department of Health and Human Services to the Utah Health Services Commission
  • Directs the Department of Health and Human Services to begin transitioning the operation and management of the Medicaid program to the state operated health financing program
  • Transitions the Public Employees' Benefit and Insurance Program into a state operated health financing program that is open to the public
  • Allows all state residents to enroll in the state operated health financing program
  • Prohibits billing by health care facilities
  • Requires the state operated health financing program to begin billing on behalf of health care facilities
  • Requires all government entities to transition government employees to the state operated health financing program
  • Repeals certain unnecessary or obsolete programs
  • Creates a tax to fund the state operated health financing program

The description and list come from the bill's own long title as recorded by the Legislature. Read the official bill. The Ledger takes no position on it.

Subjects: Health Insurance · Insurance · Business · Health and Human Services · Health Care · Health Care Facilities · Health Care Professionals · State Tax Commission · Revenue and Taxation · Department of Health and Human Services · Medicaid · Independent Entities · Public Employees' Health Program · Utah Retirement Systems (URS)

How it moved

  1. · Senate1st reading (Introduced)Rules Committee
  2. · Senatefiledfile for bills not passed

Steps as the Legislature recorded them; clerical and fiscal-staff entries are left out. Numbers such as 54-14-7 are yeas, nays and absent.

Fiscal note

From the Legislative Fiscal Analyst's note on 1st Sub. S.B. 300 (Green), dated March 5, 2026. A fiscal note estimates direct costs and revenue; it is not an appropriation.

  • State revenue: New Account Created By Bill (FN Only) New Account Created By Bill (FN Only), One-time Enactment of this legislation would establish a new gross receipts tax that could increase revenue to the Utah Cares Trust Fund by $2.5 billion in FY 2028 and $9.9 billion per year by FY 2032.
  • State expenditures: New Account Created By Bill (FN Only) New Account Created By Bill (FN Only), One-time Enactment of this legislation could cost the Utah Health Services Commission $8.7 billion in FY 2028 and $18.1 billion per year beginning in FY 2029.
  • Local government: Enactment of this legislation could shift health insurance coverage from local governments and public school districts to the newly created Utah Health Services Commission. This could result in revenue and expenditure transfers of up to $300 million in FY 2028 for local governments and revenue and expenditure transfers of up to $520 million in FY 2028 for public school districts.
  • Individuals and businesses: Enactment of this legislation could establish a new gross receipts tax on corporations and pass-through entities, which could raise the total taxes paid by businesses by $2.5 billion in FY 2028 and $9.9 billion by FY 2032. Private insurers would remit an unknown amount of reserve funds to the Utah Cares Trust Fund to support health care costs in the state.

Bill overview

Sponsor: Nate Blouin

Legislature passed-list status: Not available in the saved metadata.

Passed-list membership is not a finding that a bill was signed or took effect. A bill absent from that list is not necessarily pending or defeated.

Latest recorded action

filed
Action date:

The full step list is above. Find the bill in the official session list for status, hearings and committee records.

Recorded floor votes

No floor-vote records for this bill and session are available here. This does not mean no vote occurred; consult the official bill record.

Ledger coverage

No Ledger stories with an explicit source link to this bill and session are listed here.