Fiscal Note 2nd Sub. S.B. 256 (Salmon) 2025 General Session General Government and Appropriations Amendments by Plumb, Jen (Thurston, Norman K) General, Income Tax, and Uniform School Funds JR4-4-101 Ongoing One-time Total Net GF/ITF/USF (rev.-exp.) $27,001,800 $(27,000,000) $1,800 State Government UCA 36-12-13(2)(c) Revenues FY 2025 FY 2026 FY 2027 State Mandated Insurer Payments Restricted (GFR) $0 $(27,000,000) $(27,000,000) State Mandated Insurer Payments Restricted (GFR), One-time $0 $27,000,000 $27,000,000 Rural Healthcare Facilities Account (GFR) $0 $(218,900) $(218,900) Rural Healthcare Facilities Account (GFR), One-time $(218,900) $0 $0 Total Revenues $(218,900) $(218,900) $(218,900) Enactment of this legislation could decrease State Mandated Insurer Payments Restricted Account revenue by $27 million ongoing beginning in FY 2030 from the General Fund. Additionally, enactment could decrease Rural Healthcare Facilities Restricted Account revenues by $218,900 one-time in FY 2025 and ongoing beginning in FY 2026. Expenditures FY 2025 FY 2026 FY 2027 General Fund $0 $(27,001,800) $(27,001,800) General Fund, One-time $0 $27,000,000 $27,000,000 State Mandated Insurer Payments Restricted (GFR) $0 $(27,000,000) $(27,000,000) State Mandated Insurer Payments Restricted (GFR), One-time $0 $27,000,000 $27,000,000 Insurance Department Acct (GFR), One-time $11,100 $0 $0 Rural Healthcare Facilities Account (GFR) $0 $(218,900) $(218,900) Rural Healthcare Facilities Account (GFR), One-time $(218,900) $0 $0 Total Expenditures $(207,800) $(220,700) $(220,700) Enactment of this legislation could decrease General Fund expenditures to the State Mandated Insurer Payments Restricted Account by $27 million ongoing beginning in FY 2030. Enactment could also 2nd Sub. S.B. 256 (Salmon) 2025/03/04 11:44, Lead Analyst: Alejandra Rodriguez, Attorney: Cipriano, M. decrease Insurance Department costs by $27 million ongoing from the State Mandated Insurance Payments Restricted Account beginning in FY 2030, from the update to the state's essential health benefits plan. Enactment of this legislation could cost the Insurance Department $11,100 one-time in FY 2025 from the Insurance Department Account to prepare and file the update of the state's essential health benefits plan. The department has indicated that it can absorb these costs. The appropriation in this bill would shift costs previously paid indirectly by the General Fund through the Rural Health Care Facilities Account of $218,900 one-time in FY 2025 and $218,900 ongoing beginning in FY 2026 to being paid directly by the General Fund due to closure of the restricted account. Enactment could also decrease costs for the Division of Finance by $1,800 ongoing beginning in FY 2026 from the closure of the Rural Health Care Facilities Account. FY 2025 FY 2026 FY 2027 Net All Funds $(11,100) $1,800 $1,800 Local Government UCA 36-12-13(2)(c) Enactment of this legislation likely will not result in direct, measurable costs for local governments. Individuals & Businesses UCA 36-12-13(2)(c) Enactment of this legislation could increase costs to qualified health plan insurers who would no longer receive reimbursements from the state for additional required benefits. The aggregate cost to insurers could be approximately $27 million ongoing beginning in FY 2028. 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. 256 (Salmon) 2025/03/04 11:44, Lead Analyst: Alejandra Rodriguez, Attorney: Cipriano, M.