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

	Ongoing	One-time	Total
Net GF/ITF/USF (rev.-exp.)	$(351,800)	$250,000	$(101,800)

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

Revenues	FY2026	FY2027	FY2028
Federal Funds	$0	$21,410,100	$21,410,100
Federal Funds, One-time	$0	$(20,911,000)	$4,425,000
Total Revenues	$0	$499,100	$25,835,100

Enactment of this legislation would increase federal funds by $499,100 in FY 2027, $25,835,100 in FY 2028, and $21,410,100 ongoing in FY 2029.

Expenditures	FY2026	FY2027	FY2028
Federal Funds	$0	$21,410,100	$21,410,100
Federal Funds, One-time	$0	$(20,911,000)	$4,425,000
General Fund	$0	$351,800	$351,800
General Fund, One-time	$0	$(250,000)	$(150,000)
Medicaid ACA Fund	$0	$12,400,000	$12,400,000
Medicaid ACA Fund, One-time	$0	$(12,002,700)	$225,000
Total Expenditures	$0	$998,200	$38,661,900

Enactment of this legislation may cost the Department of Health and Human Services $998,200 total funds ($101,800 General Fund) in FY 2027, $38,661,900 total funds ($201,800 General Fund) in FY 2028, and $34,161,900 total funds ($351,800 General Fund) ongoing in FY 2029 for (1) provider incentive payments, (2) service contracts, (3) computer programming changes, and (4) 6.5 full-time equivalent employees.

	FY2026	FY2027	FY2028
Net All Funds (rev-exp)	$0	$(499,100)	$(12,826,800)

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 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

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.

2026/02/23 12:06, Lead Analyst Russell Frandsen, Attorney: Shewan, A.

Fiscal Note