---
type: "Bill"
title: "S.B. 133 Modifications to Medicaid Coverage"
description: "S.B. 133 Modifications to Medicaid Coverage"
jurisdiction: "us/states/ut"
legislature: "Utah Legislature"
session: "2023"
identifier: "SB 133"
citation: "Utah SB 133 (2023)"
classification: ["bill"]
subjects: ["Health Care", "Medicaid"]
status: "enacted"
primary_sponsors: ["Harper, Wayne A."]
version_count: 2
action_count: 48
vote_count: 8
first_action: "2023-01-24"
last_action: "2023-03-15"
source: "openstates"
source_identifier: "ocd-bill/884d36eb-5f6b-41e1-8ad6-2a90d321fc6f"
source_url: "https://le.utah.gov/~2023/bills/static/SB0133.html"
source_hash: "db0fb1f679ef3f2955958bf421589b449737d2d6a95cdce74a9fc1dc57d41aa0"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ut"]
---

# Utah SB 133 (2023) — S.B. 133 Modifications to Medicaid Coverage

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://le.utah.gov/~2023/bills/sbillint/SB0133S02.pdf)
2. **Enrolled** (enrolled) — [source](https://le.utah.gov/~2023/bills/sbillenr/SB0133.pdf)

## Votes

- passed 2nd reading — **23–0** (pass) · upper
- passed 3rd reading — **27–0** (pass) · upper
- House Comm - Substitute Recommendation from # 1 to # 2 — **14–0** (pass) · upper
- House Comm - Favorable Recommendation — **12–0** (pass) · upper
- passed 3rd reading — **43–29** (pass) · lower
- substitute adoption failed from # 2 to # 3 — **35–38** (fail) · lower
- Senate Comm - Favorable Recommendation — **4–0** (pass) · upper
- concurs with House amendment — **24–0** (pass) · upper

## Sponsors

- Harper, Wayne A. — primary (person)
- Acton, Cheryl K. — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-01-24** Bill Numbered but not Distributed
- **2023-01-24** Numbered Bill Publicly Distributed
- **2023-01-25** received bill from Legislative Research `receipt`
- **2023-01-25** 1st reading (Introduced) `introduction, reading-1`
- **2023-01-26** to Senate Health and Human Services Committee
- **2023-01-26** Senate Comm - Favorable Recommendation `committee-passage-favorable`
- **2023-01-27** committee report favorable `committee-passage-favorable`
- **2023-01-27** placed on 2nd Reading Calendar
- **2023-01-30** received fiscal note from Fiscal Analyst `receipt`
- **2023-02-06** 2nd reading `reading-2`
- **2023-02-06** circled
- **2023-02-06** uncircled
- **2023-02-06** substituted from # 0 to # 1 `substitution`
- **2023-02-06** passed 2nd reading `reading-2`
- **2023-02-07** 3rd reading `reading-3`
- **2023-02-07** passed 3rd reading `passage`
- **2023-02-07** to House
- **2023-02-08** received from Senate `receipt`
- **2023-02-08** 1st reading (Introduced) `introduction, reading-1`
- **2023-02-14** to House Health and Human Services Committee
- **2023-02-16** House Comm - Substitute Recommendation from # 1 to # 2
- **2023-02-16** House Comm - Favorable Recommendation `committee-passage-favorable`
- **2023-02-16** comm rpt/substituted
- **2023-02-16** return to Rules due to fiscal impact
- **2023-02-20** fiscal note sent to sponsor
- **2023-02-21** fiscal note publicly available
- **2023-02-28** Rules to 3rd Reading Calendar
- **2023-02-28** 2nd reading `reading-2`
- **2023-03-01** 3rd reading `reading-3`
- **2023-03-01** substitute adoption failed from # 2 to # 3 `failure`
- **2023-03-01** passed 3rd reading `passage`
- **2023-03-01** to Senate
- **2023-03-01** received from House `receipt`
- **2023-03-01** placed on Concurrence Calendar
- **2023-03-01** concurs with House amendment `amendment-passage`
- **2023-03-01** to House
- **2023-03-01** received from Senate `receipt`
- **2023-03-01** signed by Speaker/returned to Senate `passage`
- **2023-03-01** to Senate
- **2023-03-02** received from House `receipt`
- **2023-03-02** signed by President/sent for enrolling `passage`
- **2023-03-02** Bill Received from Senate for Enrolling
- **2023-03-02** Draft of Enrolled Bill Prepared
- **2023-03-09** Enrolled Bill Returned to House or Senate `enrolled`
- **2023-03-09** enrolled bill to Printing
- **2023-03-13** received enrolled bill from Printing `receipt`
- **2023-03-13** to Governor `executive-receipt`
- **2023-03-15** Governor Signed `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/884d36eb-5f6b-41e1-8ad6-2a90d321fc6f`. Confidence: reported (aggregated from official Utah legislature records).