Fiscal Note
3rd Sub. S.B. 193 (Ivory)
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.) $(15,745,300) $15,745,300 $0
State Government UCA 36-12-13(2)(c)
Revenues FY 2025 FY 2026 FY 2027
Federal Funds $0 $31,037,900 $31,037,900
Federal Funds, One-time $0 $(31,037,900) $(15,672,300)
Total Revenues $0 $0 $15,365,600
Enactment of this bill may increase federal funds for the Department of Health and Human Services by
$15,365,600 in FY 2027 and $31,037,900 ongoing in FY 2028. Additionally in every future fiscal year,
ongoing federal funds may increase by $16,000,000.
Expenditures FY 2025 FY 2026 FY 2027
General Fund $0 $15,745,300 $15,745,300
General Fund, One-time $0 $(15,745,300) $(7,950,500)
Federal Funds $0 $31,037,900 $31,037,900
Federal Funds, One-time $0 $(31,037,900) $(15,672,300)
Medicaid ACA Fund $0 $469,800 $469,800
Medicaid ACA Fund, One-time $0 $(469,800) $(237,200)
Total Expenditures $0 $0 $23,393,000
Enactment of this bill may cost the Department of Health and Human Services $23,393,000 total funds
($7,794,800 General Fund) in FY 2027 and ongoing $47,253,000 total funds ($15,745,300 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 $24.3 million total funds ($8.1 million General Fund).
FY 2025 FY 2026 FY 2027
Net All Funds $0 $0 $(8,027,400)
Local Government UCA 36-12-13(2)(c)
Enactment of this legislation likely will not result in direct, measurable costs for local governments.
3rd Sub. S.B. 193 (Ivory)
2025/02/18 14:20, 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.
3rd Sub. S.B. 193 (Ivory)
2025/02/18 14:20, Lead Analyst: Russell Frandsen, Attorney: Williams, C.