Fiscal Note
H.B. 409
2025 General Session
Medicaid Pharmacy Amendments
by Bolinder, Bridger
General, Income Tax, and Uniform School Funds JR4-4-101
Ongoing One-time Total
Net GF/ITF/USF (rev.-exp.) $6,977,800 $(6,977,800) $0
State Government UCA 36-12-13(2)(c)
Revenues FY 2025 FY 2026 FY 2027
Federal Funds $0 $(32,522,100) $(32,522,100)
Federal Funds, One-time $0 $32,522,100 $32,567,100
Total Revenues $0 $0 $45,000
Enactment of this Legislation may impact federal funds to the State by a one-time increase of $45,000
in FY 2027 and an ongoing decrease of ($32,522,100) in FY 2028.
Expenditures FY 2025 FY 2026 FY 2027
General Fund $0 $(6,977,800) $(6,977,800)
General Fund, One-time $0 $6,977,800 $6,982,800
Federal Funds $0 $(32,522,100) $(32,522,100)
Federal Funds, One-time $0 $32,522,100 $32,567,100
Medicaid ACA Fund $0 $(2,322,900) $(2,322,900)
Medicaid ACA Fund, One-time $0 $2,322,900 $2,322,900
Total Expenditures $0 $0 $50,000
Enactment of this bill may cost the State $50,000 one-time total funds ($5,000 General Fund) in FY
2027 and save the State ongoing beginning in FY 2028 ($41,822,800) total funds ($6,977,800 General
Fund) from shifting all Medicaid pharmacy benefits to fee-for-service.
FY 2025 FY 2026 FY 2027
Net All Funds $0 $0 $(5,000)
Local Government UCA 36-12-13(2)(c)
Enactment of this legislation likely will not result in direct, measurable costs for local governments.
Individuals & Businesses UCA 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.
H.B. 409
2025/02/07 11:03, Lead Analyst: Russell Frandsen, Attorney: Williams, C. Regulatory Impact UCA 36-12-13(2)(d)
Enactment of this legislation likely will not change the regulatory burden for Utah residents or
businesses.
Performance Evaluation JR1-4-601
This bill does not create a new program or significantly expand an existing program.
Notes on Notes
Fiscal explanations 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 explanation is not an appropriation. The
Legislature decides appropriations separately.
H.B. 409
2025/02/07 11:03, Lead Analyst: Russell Frandsen, Attorney: Williams, C.