Representatives Seal

Fiscal Note

H.B. 579

2026 General Session

Medicaid Funding Modifications

by Dailey-Provost, Jennifer

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
Division of Services for People with Disabilities Restricted Account (GFR) $0 $7,000,000 $7,000,000
Medicaid Bud Stabilization Restricted Account (GFR) $0 $5,400,000 $5,400,000
Medicaid ACA Fund $0 $(12,400,000) $(12,400,000)
Total Revenues $0 $0 $0

Enactment of this legislation could result in the Medicaid ACA Fund losing $12.4 million in ongoing Interest Income. Enactment of this legislation could result in $7 million ongoing in earned interest income being deposited into the Services for Disabilities Restricted Account starting in FY 2027. As well as $5.4 million going into the Medicaid Budget Stabilization Restricted Account.


Expenditures FY2026 FY2027 FY2028
Division of Services for People with Disabilities Restricted Account (GFR) $0 $7,000,000 $7,000,000
Medicaid Bud Stabilization Restricted Account (GFR) $0 $5,400,000 $5,400,000
Total Expenditures $0 $12,400,000 $12,400,000

Enactment of this legislation could result in the Medicaid ACA Fund transferring $12.4 million ongoing in interest income to the Services for People with Disabilities Restricted Account and the Medicaid Budget Stabilization Restricted Account. The Services for People with Disabilities Restricted Account would receive up to $7.0 million ongoing in interest income, with the remaining $5.4 million ongoing deposited into the Medicaid Budget Stabilization Restricted Account. The amount deposited into the Medicaid Budget Stabilization Restricted Account may vary year to year based on actual interest earnings.


FY2026 FY2027 FY2028
Net All Funds (rev-exp) $0 $(12,400,000) $(12,400,000)
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.