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

	Ongoing	One-time	Total
Net GF/ITF/USF (rev.-exp.)	$(4,817,800)	$4,120,600	$(697,200)

State GovernmentUCA 36-12-13(2)(c)

Revenues	FY2026	FY2027	FY2028
Total Revenues	$0	$0	$0

Enactment of this legislation likely will not materially impact state revenue.

Expenditures	FY2026	FY2027	FY2028
Medicaid Bud Stabilization Restricted Account (GFR), One-time	$0	$0	$7,267,000
General Fund	$0	$4,817,800	$4,817,800
General Fund, One-time	$0	$(4,120,600)	$3,096,800
Total Expenditures	$0	$697,200	$15,181,600

Enactment of this legislation could cost the Department of Health and Human Services $4,246,300 ongoing from the General Fund in FY 2027, with $4,049,100 backed out one-time in the same year for operational costs including licenses, staff and training around the new electronic health records system. Enactment if this legislation could also cost the Department of Health and Human Services $7,267,000, one-time in FY 2028 from the Medicaid Budget Stabilization Restricted Account for the costs related to procuring an electronic health records system. The Department has indicated it can absorb some of the personnel costs related to this implementation within existing budgets. The legislation also carries a $500,000 one-time General Fund appropriation for FY 2027 for software to monitor electronic inmate communications. Enactment of this legislation could also cost the Department of Corrections $571,500 ongoing from the General Fund in FY 2027, backed out one-time in the same year for operational costs including licenses, staff and training around the new electronic health records system. Enactment of this legislation could also cost the Department of Corrections $3,096,800, one-time from the General Fund in FY 2028 for costs related to integrating with the electronic health records system to be procured by Correctional Health Services.

	FY2026	FY2027	FY2028
Net All Funds (rev-exp)	$0	$(697,200)	$(15,181,600)

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.

2026/02/13 16:54, Lead Analyst Sean C. Faherty, Attorney: Shewan, A.

Fiscal Note