Fiscal Note
S.B. 193
2025 General Session
Medicaid Provider Reimbursement
Amendments
by Owens, Derrin R.
General, Income Tax, and Uniform School Funds JR4-4-101
Ongoing One-time Total
Net GF/ITF/USF (rev.-exp.) $(12,097,500) $12,097,500 $0
State Government UCA 36-12-13(2)(c)
Revenues FY 2025 FY 2026 FY 2027
Federal Funds $0 $21,286,600 $21,286,600
Federal Funds, One-time $0 $(21,286,600) $(11,141,000)
Total Revenues $0 $0 $10,145,600
Enactment of this bill may increase federal funds for the Department of Health and Human Services by
$10,145,600 in FY 2027 and $21,286,600 ongoing in FY 2028. Additionally in every future fiscal year,
ongoing federal funds may increase by $11,400,000.
Expenditures FY 2025 FY 2026 FY 2027
General Fund $0 $12,097,500 $12,097,500
General Fund, One-time $0 $(12,097,500) $(6,337,700)
Federal Funds $0 $21,286,600 $21,286,600
Federal Funds, One-time $0 $(21,286,600) $(11,141,000)
Medicaid ACA Fund $0 $76,500 $76,500
Medicaid ACA Fund, One-time $0 $(76,500) $(38,900)
Total Expenditures $0 $0 $15,943,000
Enactment of this bill may cost the Department of Health and Human Services $15,943,000 total funds
($5,759,800 General Fund) in FY 2027 and ongoing $33,460,600 total funds ($12,097,500 General
Fund) in FY 2028 for up to 2% annual rate increase for certain Medicaid providers. Additionally, each
future fiscal year may see ongoing increases of $17.9 million total funds ($6.0 million General Fund).
FY 2025 FY 2026 FY 2027
Net All Funds $0 $0 $(5,797,400)
Local Government UCA 36-12-13(2)(c)
Enactment of this legislation likely will not result in direct, measurable costs for local governments.
S.B. 193
2025/02/03 15:25, Lead Analyst: Russell Frandsen, Attorney: Williams, C. 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 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 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.
S.B. 193
2025/02/03 15:25, Lead Analyst: Russell Frandsen, Attorney: Williams, C.