 | Revised Fiscal NoteH.B. 471 2026 General Session Social Services Amendments by Monson, Logan |  |
| Ongoing | One-time | Total | |
|---|---|---|---|
| Net GF/ITF/USF (rev.-exp.) | $(5,370,900) | $527,200 | $(4,843,700) |
| Revenues | FY2026 | FY2027 | FY2028 |
| Federal Funds | $0 | $(23,755,200) | $(23,755,200) |
| Federal Funds, One-time | $32,000 | $14,446,600 | $(4,100) |
| Total Revenues | $32,000 | $(9,308,600) | $(23,759,300) |
Enactment of this legislation may impact federal funds by approximately $32,000 one-time increase in FY 2026, ($9,308,600) reduction in FY 2027, ($23,759,300) reduction in FY 2028, and ($23,755,200) reduction ongoing in FY 2029. The State may see a reduction of about ($5,000,000) for each fine from the Centers for Medicare and Medicaid Services for enacting each statutory provision that is in conflict with federal law. Additionally, this legislation puts into statute provisions from the federal H.R. 1, the One Big Beautiful Bill Act, which may result in reductions of federal funds of ($222,261,500) one-time in FY 2027 and ($437,405,200) ongoing in FY 2028.
| Expenditures | FY2026 | FY2027 | FY2028 |
| Federal Funds | $0 | $(23,455,200) | $(23,455,200) |
| Federal Funds, One-time | $32,000 | $14,446,600 | $(4,100) |
| General Fund | $0 | $5,370,900 | $5,370,900 |
| General Fund, One-time | $242,400 | $(769,600) | $(4,100) |
| Medicaid ACA Fund | $0 | $(439,700) | $(439,700) |
| Medicaid ACA Fund, One-time | $0 | $505,800 | $0 |
| Total Expenditures | $274,400 | $(4,341,200) | $(18,532,200) |
Enactment of this legislation may impact overall expenditures for the State by around $274,400 total funds increase ($242,400 General Fund increase) one-time in FY 2026, ($4,341,200) total funds decrease ($4,601,300 General Fund increase) in FY 2027, ($18,532,200) total funds decrease ($5,366,800 General Fund increase) in FY 2028, and ($18,524,000) total funds decrease ($5,370,900 General Fund increase) ongoing in FY 2029 from serving (6,000) fewer traditional and expansion Medicaid clients, (600) fewer clients receiving Supplemental Nutrition Assistance Program benefits, adding 135 eligibility worker FTEs, and computer programming changes. Centers for Medicare and Medicaid Services may issue fines of about $5,000,000 General Fund to the State for enacting each statutory provision that is in conflict with federal law. Additionally, this legislation puts into statute provisions from the federal H.R. 1, the One Big Beautiful Bill Act, which may result in reducing State expenditures by around ($252,157,700) total funds ($10,490,500 General Fund) in FY 2027 and ($493,198,200) total funds ($15,216,900 General Fund) from serving (33,100) fewer traditional and expansion Medicaid clients, adding 184 eligibility worker FTEs, and computer programming changes.
| FY2026 | FY2027 | FY2028 | |
| Net All Funds (rev-exp) | $(242,400) | $(4,967,400) | $(5,227,100) |
Enactment of this legislation may result in the State's local substance abuse and mental health authorities annually paying around ($1,436,100) less to serve around (3,900) fewer traditional Medicaid clients and receive less revenue of around ($3,787,100) beginning in 2027. Additionally, this legislation puts into statute provisions from the federal H.R. 1, the One Big Beautiful Bill Act, which may result in the State's local substance abuse and mental health authorities annually paying around ($1,583,400) less to serve around (4,300) fewer traditional Medicaid clients and receive less revenue of around ($4,175,600) beginning in 2027.
Enactment of this legislation likely will not result in direct expenditures from tax or fee changes for Utah residents and businesses.
Enactment of this legislation likely will not change the regulatory burden for Utah residents or businesses.
This bill does not create a new program or significantly expand an existing program.