---
type: "Bill"
title: "S.B. 181 Native American Health Amendments"
description: "S.B. 181 Native American Health Amendments"
jurisdiction: "us/states/ut"
legislature: "Utah Legislature"
session: "2024"
identifier: "SB 181"
citation: "Utah SB 181 (2024)"
classification: ["bill"]
subjects: ["Department of Health and Human Services", "Health Care", "Health Insurance", "Health and Human Services", "Indian Affairs", "Medicaid"]
status: "enacted"
primary_sponsors: ["Escamilla, Luz"]
version_count: 2
action_count: 44
vote_count: 6
first_action: "2024-01-31"
last_action: "2024-03-14"
source: "openstates"
source_identifier: "ocd-bill/17b24c04-6ea1-4c21-9920-137e2f0dc9c4"
source_url: "https://le.utah.gov/~2024/bills/static/SB0181.html"
source_hash: "bdfae666a2d4fda014bb79ff273c8d390da5cf7bd01589e6197fbff6e099626b"
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 181 (2024) — S.B. 181 Native American Health Amendments

## Version chain

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

1. **Introduced** (filed) — [source](https://le.utah.gov/~2024/bills/sbillint/SB0181S02.pdf)
2. **Enrolled** (enrolled) — [source](https://le.utah.gov/~2024/bills/sbillenr/SB0181.pdf)

## Votes

- passed 3rd reading — **43–23** (pass) · lower
- Senate Comm - Favorable Recommendation — **4–0** (pass) · upper
- passed 2nd reading — **22–0** (pass) · upper
- House Comm - Favorable Recommendation — **11–0** (pass) · upper
- passed 3rd reading — **22–0** (pass) · upper
- Senate Comm - Substitute Recommendation from # 0 to # 2 — **4–0** (pass) · upper

## Sponsors

- Escamilla, Luz — primary (person)
- Watkins, Christine F. — cosponsor (person)

## Timeline

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

- **2024-01-31** Bill Numbered but not Distributed
- **2024-01-31** Numbered Bill Publicly Distributed
- **2024-01-31** received bill from Legislative Research `receipt`
- **2024-02-01** 1st reading (Introduced) `introduction, reading-1`
- **2024-02-06** received fiscal note from Fiscal Analyst `receipt`
- **2024-02-06** to Senate Revenue and Taxation Committee
- **2024-02-12** Senate Comm - Substitute Recommendation from # 0 to # 2
- **2024-02-12** Senate Comm - Favorable Recommendation `committee-passage-favorable`
- **2024-02-13** comm rpt/substituted
- **2024-02-13** placed on 2nd Reading Calendar
- **2024-02-14** fiscal note sent to sponsor
- **2024-02-14** fiscal note publicly available
- **2024-02-16** 2nd reading `reading-2`
- **2024-02-16** circled
- **2024-02-16** uncircled
- **2024-02-16** passed 2nd reading `reading-2`
- **2024-02-20** 3rd reading `reading-3`
- **2024-02-20** passed 3rd reading `passage`
- **2024-02-20** to House
- **2024-02-20** received from Senate `receipt`
- **2024-02-20** 1st reading (Introduced) `introduction, reading-1`
- **2024-02-21** to House Business and Labor Committee
- **2024-02-23** House Comm - Favorable Recommendation `committee-passage-favorable`
- **2024-02-26** committee report favorable `committee-passage-favorable`
- **2024-02-26** return to Rules due to fiscal impact
- **2024-02-28** Rules to 3rd Reading Calendar
- **2024-02-28** 2nd reading `reading-2`
- **2024-02-28** 3rd reading `reading-3`
- **2024-02-28** passed 3rd reading `passage`
- **2024-02-28** signed by Speaker/returned to Senate `passage`
- **2024-02-28** to Senate
- **2024-02-29** received from House `receipt`
- **2024-02-29** signed by President/sent for enrolling `passage`
- **2024-02-29** Bill Received from Senate for Enrolling
- **2024-02-29** Draft of Enrolled Bill Prepared
- **2024-03-07** Enrolled Bill Returned to House or Senate `enrolled`
- **2024-03-07** enrolled bill to Printing
- **2024-03-12** received enrolled bill from Printing `receipt`
- **2024-03-12** to Governor `executive-receipt`
- **2024-03-13** Enrolled Bill Returned to House or Senate `enrolled`
- **2024-03-13** enrolled bill to Printing
- **2024-03-14** Governor Signed `executive-signature`
- **2024-03-14** Enrolled Bill Returned to House or Senate `enrolled`
- **2024-03-14** enrolled bill to Printing

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/17b24c04-6ea1-4c21-9920-137e2f0dc9c4`. Confidence: reported (aggregated from official Utah legislature records).