General, Income Tax, and Uniform School FundsJR4-4-101

	Ongoing	One-time	Total
Net GF/ITF/USF (rev.-exp.)	$0	$(500)	$(500)

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
Federal Funds, One-time	$500	$0	$0
General Fund, One-time	$500	$0	$0
Total Expenditures	$1,000	$0	$0

Enactment of this legislation may cost the Department of Health and Human Services around $500 General Fund and $500 federal funds one-time in FY 2026 for 20 hours of staff time to apply for a waiver. Additionally, 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)	$(1,000)	$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.

2026/02/20 16:28, Lead Analyst Russell Frandsen, Attorney: Williams, C.

Fiscal Note