Representatives Seal

Fiscal Note

H.B. 15

2026 General Session

Medicaid Expansion Amendments

by Eliason, Steve

Senate Seal
General, Income Tax, and Uniform School FundsJR4-4-101
OngoingOne-timeTotal
Net GF/ITF/USF (rev.-exp.) $0 $0 $0
State GovernmentUCA 36-12-13(2)(c)
Revenues FY2026 FY2027 FY2028
Total Revenues $0 $0 $0

If Medicaid expansion ends, then the Medicaid ACA Fund would lose annual ongoing revenue of $146 million from the end of the 0.15% sales tax earmark.

Expenditures FY2026 FY2027 FY2028
Total Expenditures $0 $0 $0

If the event requiring the proposal to stay within funding happens, then the State may experience costs of around $28,000 total funds ($16,000 General Fund) for around 270 hours of staff time.

FY2026 FY2027 FY2028
Net All Funds (rev-exp) $0 $0 $0
Local GovernmentUCA 36-12-13(2)(c)

Enactment of this legislation likely will not result in direct, measurable costs for local governments.

Individuals & BusinessesUCA 36-12-13(2)(c)

Enactment of this legislation likely will not result in direct expenditures from tax or fee changes for Utah residents and businesses.

Regulatory ImpactUCA 36-12-13(2)(d)

Enactment of this legislation likely will not change the regulatory burden for Utah residents or businesses.

Performance EvaluationJR1-4-601

This bill does not create a new program or significantly expand an existing program.

Notes on Notes

Fiscal notes estimate the direct costs or revenues of enacting a bill. The Legislature uses them to balance the budget. They do not measure a bill's benefits or non-fiscal impacts like opportunity costs, wait times, or inconvenience. A fiscal note is not an appropriation. The Legislature decides appropriations separately.

2026/01/16 06:19, Lead Analyst Russell Frandsen, Attorney: Williams, C.