Representatives Seal

Fiscal Note

5th Sub. S.B. 288 (Gray)

2026 General Session

Medicaid Provider Amendments

by Stratton, Keven J.

Senate Seal
General, Income Tax, and Uniform School FundsJR4-4-101
OngoingOne-timeTotal
Net GF/ITF/USF (rev.-exp.) $(20,600,000) $2,719,200 $(17,880,800)


State GovernmentUCA 36-12-13(2)(c)
Revenues FY2026 FY2027 FY2028
Federal Funds $0 $30,731,300 $30,731,300
Federal Funds, One-time $0 $(1,530,000) $741,800
Total Revenues $0 $29,201,300 $31,473,100

Enactment of this legislation would increase federal funds by $29,201,300 in FY 2027, $31,473,100 in FY 2028, and $30,731,300 ongoing in FY 2029.


Expenditures FY2026 FY2027 FY2028
Federal Funds $0 $30,731,300 $30,731,300
Federal Funds, One-time $0 $(1,530,000) $741,800
General Fund $0 $20,600,000 $20,600,000
General Fund, One-time $0 $(2,719,200) $0
Total Expenditures $0 $47,082,100 $52,073,100

Enactment of this legislation may cost the Department of Health and Human Services $47,082,100 total funds ($17,880,800 General Fund) in FY 2027, $52,073,100 total funds ($20,600,000 General Fund) in FY 2028, and $51,331,300 total funds ($20,600,000 General Fund) ongoing in FY 2029 for (1) provider incentive payments, (2) service contracts, (3) computer programming changes, and (4) 6 full-time equivalent employees.


FY2026 FY2027 FY2028
Net All Funds (rev-exp) $0 $(17,880,800) $(20,600,000)
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 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