NOTICE OF SUBSTANTIVE CHANGE
TYPE OF FILING: Amendment
1. Agency Information
Health and Human Services, Integrated Healthcare
Salt Lake City, UT 84114-3325
2. Contact Persons
Please address questions regarding information on this notice to the persons listed above.
3. General Information
A. Rule or section catchline:
R414-303-10. Refugee Medicaid B. Purpose of the new rule or reason for the change:
The purpose of this change is to implement a change in refugee assistance as mandated by the Office of Refugee Resettlement in the July 14, 2026, edition of the Federal Register, which can be viewed at:
https://www.federalregister.gov/documents/2026/07/14/2026-14095/federal-register-notice-change-in-eligibility-period-for-refugee-cash-assistance-and-refugee-medical.
This change mandates that eligibility for refugee medical assistance be eight months upon entry into the United States.
The state was required to implement this change no more than 30 days from the publication of the federal mandate and complied through an emergency rule.
This filing is appropriate to implement the mandated change permanently through this rule and allow for public comment.
C. Summary of the new rule or change:
In accordance with the mandate set forth by the Office of Refugee Resettlement, this amendment increases medical assistance for refugees from four months to eight months upon entry into the United States.
(EDITOR'S NOTE: A corresponding 120-day (emergency) rule that is effective as of 08/13/2026 is under ID 58143 in this issue, September 1, 2026, of the Bulletin.)
5. Fiscal Information
Provide an estimate and written explanation of the aggregate anticipated cost or savings to:
The Department of Health and Human Services (department) estimates a nominal cost of $500 to the state, based on extending Medicaid services from four months to eight months for three individual cases of refugees who would receive Medicaid services in Utah.
There are no anticipated savings to the state as a result of extending the timeline for refugee medical services eligibility.
There is no anticipated fiscal impact on local governments as they neither fund nor provide services under the Medicaid program.
C. Small businesses ("small business" means a business employing 1-49 persons):
There is no anticipated fiscal impact on small businesses as this amendment does not impose requirements or restrictions for small businesses.
D. Non-small businesses ("non-small business" means a business employing 50 or more persons):
There is no anticipated fiscal impact on non-small businesses as this amendment does not impose requirements or restrictions for non-small businesses.
E. Persons other than small businesses, non-small businesses, state, or local government entities ("person" means any individual, partnership, corporation, association, governmental entity, or public or private organization of any character other than an agency):
Medicaid providers or individuals who would otherwise pay out-of-pocket for medical services may see only a nominal increase in revenue totaling $500 with the increase of medical assistance to the three refugees who would qualify to receive extended Medicaid services in Utah as a result of this filing.
As this increase in revenue would cover provided services, there is no anticipated cost to these Medicaid providers or individuals.
F. Compliance costs for affected persons:
The only anticipated compliance cost for affected persons is the estimated $500 total the state is expected to pay for Medicaid services for three refugees in Utah who qualify for the extension.
For any other affected persons, the only result of this filing is increased revenue for a Medicaid provider or out-of-pocket savings for an individual who qualifies for expanded refugee medical assistance.
6. Regulatory Impact Summary Table
Enter the cost or savings in the relevant cell. If there is no cost or savings, enter, "$0." If a cost or savings is inestimable, enter, "inestimable."
7. Regulatory Impact Analysis Approval
The Commissioner of the Department of Health and Human Services, Tracy S. Gruber, has reviewed and approved this regulatory impact analysis.
8. Family Impact Information
A. The agency has considered this rule's impact on family health, stability, and formation:
9. Citation Information
Provide citations to the statutory authority for the rule. If there is also a federal requirement for the rule, provide a citation to that requirement:
11. Public Notice Information
The public may submit written or oral comments to the agency identified in box 1.
A. Comments will be accepted until:
12. Effective Date Information
This rule change MAY become effective on:
(NOTE: This is the date the agency anticipates making the filing effective. It is NOT the effective date)
13. Agency Authorization Information
Agency head or
designee and title:
Tracy S. Gruber, Commissioner
R414. Health and Human Services, Integrated Healthcare.
R414-303. Coverage Groups.
R414-303-10. Refugee Medicaid.
(1) The department applies this section in accordance with 45 CFR 400.90 through 400.107 and 45 CFR 401 relating to refugee medical assistance.
(2) The department may not apply child support enforcement rules.
(3) The department may not count the sponsor's income and resources or in-kind service or shelter provided by the sponsor.
(4) The department may not count cash assistance payments that a resettlement agency provides to a refugee.
(5) A refugee may qualify for medical assistance for [four]eight months after entry into the United States. KEY: MAGI-based, coverage groups, former foster care youth, presumptive eligibility
Date of Last Change: [June 29, ]2026 Notice of Continuation: January 6, 2023
Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108
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