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

	Ongoing	One-time	Total
Net GF/ITF/USF (rev.-exp.)	$15,355,000	$13,545,300	$28,900,300

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

Revenues	FY2026	FY2027	FY2028
Federal Funds	$0	$(3,841,600)	$(3,841,600)
Federal Funds, One-time	$0	$4,299,200	$0
Expendable Receipts	$0	$729,300	$729,300
Expendable Receipts, One-time	$0	$(729,300)	$0
General Fund	$0	$12,400,000	$12,400,000
General Fund, One-time	$15,500,000	$0	$0
Medicaid ACA Fund	$0	$(12,400,000)	$(12,400,000)
Medicaid ACA Fund, One-time	$(15,500,000)	$0	$0
Total Revenues	$0	$457,600	$(3,112,300)

Enactment of this legislation may impact the following funding sources: (1) General Fund - increases of $15,500,000 in FY 2026 and $12,400,000 ongoing in FY 2027, (2) Medicaid ACA Fund - decreases of ($15,500,000) in FY 2026 and ($12,400,000) ongoing in FY 2027, (3) federal funds - $457,600 in FY 2027 and ($3,841,600) ongoing in FY 2028 as well as (4) expendable receipts - $729,300 ongoing in FY 2028.

Expenditures	FY2026	FY2027	FY2028
Transfers	$0	$(502,000)	$(502,000)
Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account (GFR)	$0	$759,700	$759,700
Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account (GFR), One-time	$759,700	$0	$0
Federal Funds	$0	$(3,841,600)	$(3,841,600)
Federal Funds, One-time	$0	$4,299,200	$0
Expendable Receipts	$0	$729,300	$729,300
Expendable Receipts, One-time	$0	$(729,300)	$0
General Fund	$0	$(2,955,000)	$(2,955,000)
General Fund, One-time	$(758,200)	$2,712,900	$0
Total Expenditures	$1,500	$473,200	$(5,809,600)

Enactment of this legislation may impact the State by $1,500 General Fund increase in FY 2026, $473,200 total funds increase (($242,100) General Fund decrease) in FY 2027, and ($5,809,600) total funds decrease (($2,955,000) General Fund decrease) ongoing in FY 2028 for (1) including immunosuppressive drugs on Medicaid's preferred drug list, (2) integrating the Children's Health Insurance Program program into the Medicaid program, (3) having the University of Utah School of Dentistry pay the state match and provide the dental services to Children's Health Insurance Program clients, and (4) exchanging funding of $759,700 from the Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account for General Fund to provide substance use treatment and prevention services. The agency has indicated that it can absorb $1,500 of the one-time FY 2026 General Fund costs.

	FY2026	FY2027	FY2028
Net All Funds (rev-exp)	$(1,500)	$(15,600)	$2,697,300

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.

2026/03/03 13:30, Lead Analyst Russell Frandsen, Attorney: Shewan, A.

Fiscal Note