Representatives Seal

Fiscal Note

H.B. 552

2026 General Session

Behavioral Health Amendments

by Eliason, Steve

Senate Seal
General, Income Tax, and Uniform School FundsJR4-4-101
OngoingOne-timeTotal
Net GF/ITF/USF (rev.-exp.) $(17,993,500) $(92,352,600) $(110,346,100)


State GovernmentUCA 36-12-13(2)(c)
Revenues FY2026 FY2027 FY2028
Federal Funds $0 $276,000 $276,000
Total Revenues $0 $276,000 $276,000

Enactment of this legislation could increase Medicaid revenue to the state by $276,000, ongoing in FY 2027 from Federal Fund revenues derived from reimbursements from Medicaid for spending on eligible services.


Expenditures FY2026 FY2027 FY2028
Federal Funds $0 $276,000 $276,000
General Fund $0 $17,993,500 $17,993,500
General Fund, One-time $0 $92,352,600 $(4,900,000)
Medicaid ACA Fund $0 $12,000 $12,000
Total Expenditures $0 $110,634,100 $13,381,500

Enactment of this legislation could cost the Department of Health and Human Services $17,993,500 from the General Fund, $276,000 from Federal Funds, and $12,000 from the Medicaid ACA fund, all in in FY 2027, all ongoing, for various mental and behavioral health programs across Health and Human Services including Mobile Crisis Outreach Teams, Psychiatric care training, a family outreach specialist and operational costs for a new building at the Utah State Hospital. $4.9 M of these expenses for operating the new wing at the hospital and for the 2 receiving centers would be backed out one-time each year until it came online. Enactment of this legislation could also cost the Department of Health and Human Services $92,352,600, one-time from the General Fund in FY 2027 for construction costs for a new building at the State Hospital, construction of 2 Rural Receiving Centers, outfitting 2 mobile crisis outreach teams as well as development of the statewide commitment database required in the bill. The bill appropriates $17,850,200 ongoing and $97,100,500 one-time, both from the General Fund to support the programs proposed in the legislation.


FY2026 FY2027 FY2028
Net All Funds (rev-exp) $0 $(110,358,100) $(13,105,500)
Local GovernmentUCA 36-12-13(2)(c)

Local governments could be eligible to access funds from the grant and support programs proposed and funded in this legislation.

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 creates a new program or significantly expands an existing program.
For a list of questions lawmakers might ask to improve accountability for the proposed program, please see: https://budget.utah.gov/newprogram