Fiscal Note
1st Sub. H.B. 491 (Buff)
2025 General Session
Behavioral Health Modifications
by Eliason, Steve
General, Income Tax, and Uniform School Funds JR4-4-101
Ongoing One-time Total
Net GF/ITF/USF (rev.-exp.) $(13,179,200) $(94,301,000) $(107,480,200)
State Government UCA 36-12-13(2)(c)
Revenues FY 2025 FY 2026 FY 2027
Federal Funds $0 $22,293,000 $22,293,000
Total Revenues $0 $22,293,000 $22,293,000
Enactment of this legislation could generate $22,293,000 in federal funds revenues ongoing in FY
2026 due to Medicaid reimbursements.
Expenditures FY 2025 FY 2026 FY 2027
General Fund $0 $13,179,200 $13,179,200
General Fund, One-time $7,400 $94,293,600 $0
Federal Funds $0 $22,293,000 $22,293,000
Expendable Receipts $0 $519,400 $519,400
Transfers $0 $4,208,000 $4,208,000
Total Expenditures $7,400 $134,493,200 $40,199,600
Enactment of this legislation could cost the Department of Public Safety $6,700, one-time from the
General Fund in FY 2025 and $1,000, ongoing from the General Fund in FY 2026 to develop and
then maintain the registry required under this bill. Enactment of this legislation could also cost the
Department of Health and Human Services $13,178,200 from the General Fund, $22,293,000 from
Federal Funds, $519,400 from Expendable Receipts, and $4,208,000 from Transfers, all ongoing
in FY 2026 for the state share of Medicaid rate increases proposed in the legislation as well as the
items appropriated in Section 4 of the bill. The legislation could also cost the Department of Health and
Human Services $94,293,600 one-time from the General Fund in FY 2026 for the items appropriated
in Section 4 of the bill. Enactment of this legislation could also cost the Department of Health and
Human Services $700 one-time from the General Fund in FY 2025 for rule-making costs based on the
changes proposed in the bill. The Department can absorb these costs within existing budgets.
FY 2025 FY 2026 FY 2027
Net All Funds $(7,400) $(112,200,200) $(17,906,600)
1st Sub. H.B. 491 (Buff)
2025/02/21 07:46, Lead Analyst: Sean C. Faherty, Attorney: Houston, A. 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.
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.
1st Sub. H.B. 491 (Buff)
2025/02/21 07:46, Lead Analyst: Sean C. Faherty, Attorney: Houston, A.