Fiscal Note
2nd Sub. S.B. 193 (Salmon)
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.) $(23,933,200) $23,933,200 $0
State Government UCA 36-12-13(2)(c)
Revenues FY 2025 FY 2026 FY 2027
Federal Funds $0 $44,654,200 $44,654,200
Federal Funds, One-time $0 $(44,654,200) $(22,978,600)
Total Revenues $0 $0 $21,675,600
Enactment of this bill may increase federal funds for the Department of Health and Human Services by
$21,675,600 in FY 2027 and $44,654,200 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 $23,933,200 $23,933,200
General Fund, One-time $0 $(23,933,200) $(12,336,400)
Federal Funds $0 $44,654,100 $44,654,100
Federal Funds, One-time $0 $(44,654,100) $(22,978,500)
Medicaid ACA Fund $0 $469,900 $469,900
Medicaid ACA Fund, One-time $0 $(469,900) $(237,300)
Total Expenditures $0 $0 $33,505,000
Enactment of this bill may cost the Department of Health and Human Services $33,505,000 total funds
($11,596,800 General Fund) in FY 2027 and ongoing $69,057,300 total funds ($23,933,200 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 $36.2 million total funds ($12.6 million General Fund).
FY 2025 FY 2026 FY 2027
Net All Funds $0 $0 $(11,829,400)
Local Government UCA 36-12-13(2)(c)
Enactment of this legislation likely will not result in direct, measurable costs for local governments.
2nd Sub. S.B. 193 (Salmon)
2025/02/10 11:45, 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.
2nd Sub. S.B. 193 (Salmon)
2025/02/10 11:45, Lead Analyst: Russell Frandsen, Attorney: Williams, C.