Fiscal Note S.B. 193 1st Sub. (Green) 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.) $(23,657,600) $23,657,600 $0 State Government UCA 36-12-13(2)(c) Revenues FY 2025 FY 2026 FY 2027 Federal Funds $0 $44,187,100 $44,187,100 Federal Funds, One-time $0 $(44,187,100) $(22,700,400) Total Revenues $0 $0 $21,486,700 Enactment of this bill may increase federal funds for the Department of Health and Human Services by $21,486,700 in FY 2027 and $44,187,100 ongoing in FY 2028. Additionally in every future fiscal year, ongoing federal funds may increase by $23,200,000. Expenditures FY 2025 FY 2026 FY 2027 General Fund $0 $23,657,600 $23,657,600 General Fund, One-time $0 $(23,657,600) $(12,171,900) Federal Funds $0 $44,187,100 $44,187,100 Federal Funds, One-time $0 $(44,187,100) $(22,700,400) Medicaid ACA Fund $0 $469,900 $469,900 Medicaid ACA Fund, One-time $0 $(469,900) $(237,300) Total Expenditures $0 $0 $33,205,000 Enactment of this bill may cost the Department of Health and Human Services $33,205,000 total funds ($11,485,700 General Fund) in FY 2027 and ongoing $68,314,600 total funds ($23,657,600 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 $35.8 million total funds ($12.4 million General Fund). FY 2025 FY 2026 FY 2027 Net All Funds $0 $0 $(11,718,300) 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 1st Sub. (Green) 2025/02/05 14:25, 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 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. S.B. 193 1st Sub. (Green) 2025/02/05 14:25, Lead Analyst: Russell Frandsen, Attorney: Williams, C.