Fiscal Note - State of Utah - 2011 General Session

HB0165 - State Reimbursement for Required Medical Services Act

State Government (UCA 36-12-13(2)(b)):
Enactment of this bill may cost the Department of Health as much as $10,000 General Fund one-time in fiscal year 2011 for establishing administrative rules. The bill could cost the Department of Health $281,000 ongoing from the newly established Required Medical Services Restricted Account beginning in fical year 2012 for personnel. The bill costs the Attorney General $71,700 ongoing General Fund beginning in fiscal year 2012 for 0.5 FTE attorney with accompanying support staff. To the extent that deposits to the Required Medical Services Restricted Account allow, the Department of Health (DOH) may reimburse medical service providers as much as $26 million, according to DOH estimates. Unpaid claims would grow in value at a rate of 8% per year. A fee on providers established in the bill may generate dedicated credits revenue. The amount of revenue will depend upon the fee level and the number of providers willing to participate.

State Budget Detail TableFY 2011FY 2012FY 2013
Revenue$0$0$0
    
Expenditure:   
General Fund$0$71,700$71,700
General Fund, One-Time$10,000$0$0
Restricted Funds$0$26,281,000$26,281,000
   Total Expenditure$10,000$26,352,700$26,352,700
    
Net Impact, All Funds (Rev.-Exp.)($10,000)($26,352,700)($26,352,700)
   Net Impact, General/Education Funds (Rev.-Exp.)($10,000)($71,700)($71,700)

Local Governments (UCA 36-12-13(2)(c)):
To the extent that deposits to the Required Medical Services Restricted Account allow, and to the extent that local governments provide emergency transportation services, they could receive reimbursement for those services. Total reimbursements for all emergency transportation providers could be as much as $10 million. To the extent that deposits to the Required Medical Services Restricted Account allow, Local health clinics may also receive reimbursement for services provided to individuals not lawfully present in the United States.

Direct Expenditures by Utah Residents and Businesses (UCA 36-12-13(2)(d)):
To the extent that deposits to the Required Medical Services Restricted Account allow, medical service providers could receive reimbursement for services provided to individuals not lawfully present in the United States. Medical service providers willing to pay a fee may receive increased reimbursement for medical services provided. Revenue from the fee will depend upon the fee amount and the number of providers willing to participate.

2/9/2011, 2:30:35 PM, Lead Analyst: Frandsen, R./Attny: POOffice of the Legislative Fiscal Analyst