Fiscal Note 3rd Sub. S.B. 69 (Ivory) 2025 General Session Medication Amendments by Vickers, Evan J. General, Income Tax, and Uniform School Funds JR4-4-101 Ongoing One-time Total Net GF/ITF/USF (rev.-exp.) $(432,000) $(9,500) $(441,500) State Government UCA 36-12-13(2)(c) Revenues FY 2025 FY 2026 FY 2027 General Fund $0 $(23,800) $(23,800) General Fund, One-time $0 $(9,500) $0 Insurance Department Acct (GFR) $0 $23,800 $23,800 Insurance Department Acct (GFR), One-time $0 $9,500 $0 Total Revenues $0 $0 $0 Enactment of this legislation could decrease revenue to the General Fund by $23,800 ongoing in FY 2026 and $9,500 one-time in FY 2026 due to increased spending from the Insurance Department Restricted Account. Spending from the Insurance Department Restricted Account impacts the year- end transfer to the General Fund. Expenditures FY 2025 FY 2026 FY 2027 General Fund $0 $114,500 $114,500 Income Tax Fund $0 $293,700 $293,700 Insurance Department Acct (GFR) $0 $23,800 $23,800 Insurance Department Acct (GFR), One-time $0 $9,500 $0 Other Financing Sources $0 $481,400 $481,400 Total Expenditures $0 $922,900 $913,400 Enactment of this legislation could cost the Department of Insurance $23,800 ongoing and $9,500 one-time, both in FY 2026 from the Insurance Department Restricted Account for market examination efforts. Enactment of this legislation could also increase pharmacy costs for the Public Employees Health Program (PEHP). Assuming ten percent more drugs are purchased through 340B pricing, PEHP statewide costs could increase by $889,600, ongoing in FY 2026 from the General Fund, Income Tax Fund and Other Financing Sources. FY 2025 FY 2026 FY 2027 Net All Funds $0 $(922,900) $(913,400) 3rd Sub. S.B. 69 (Ivory) 2025/03/03 14:24, Lead Analyst: Sean C. Faherty, Attorney: Gunn, G. Local Government UCA 36-12-13(2)(c) Enactment of this legislation could increase total plan costs for the Public Employee's Health plan by $1.21 per member per month depending on members subscribed within a certain entity. 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 could result in a small reduction in 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. 3rd Sub. S.B. 69 (Ivory) 2025/03/03 14:24, Lead Analyst: Sean C. Faherty, Attorney: Gunn, G.