Fiscal Note - State of Utah - 2013 General Session

SB0055 - Insurance Coverage for Autism Spectrum Disorder

State Government (UCA 36-12-13(2)(b)):
Enactment of this bill could cost between $1 million and $13 million annually for state, public education, and higher education insurance coverage and increased expenditures in the Children's Health Insurance Program. Costs will depend upon prevalence, take-up rates, and medical claims experience. Assuming a take-up rate of one in 154 covered children and average annual claims paid of $4,000 per patient, enacting the bill could cost the state $1.8 million in FY 2014 and $2.3 million beginning in FY 2015 from various funds as shown in the table below. $18,000 may be required from the Insurance Department Restricted Account for administrative oversight. Expenditures from this account affect the annual transfer to the General Fund. Under the Affordable Care Act, the State may also have to offer premium tax credits to those covered on an individual health exchange. Revenue loss to the Education Fund cannot be determined at this time as the future size of any individual exchange is unknown.

State Budget Detail TableFY 2013FY 2014FY 2015
Revenue:   
General Fund$0($18,000)($18,000)
General Fund Restricted$0$18,000$18,000
   Total Revenue$0$0$0
    
Expenditure:   
General Fund$0$470,000$470,000
General Fund, One-Time$0($107,000)$0
General Fund Restricted$0$48,000$48,000
Education Fund$0$1,087,000$1,087,000
Transportation Fund$0$41,000$41,000
Federal Funds$0$84,000$488,000
Dedicated Credits$0$143,000$143,000
Other$0$34,000$34,000
   Total Expenditure$0$1,800,000$2,311,000
    
Net Impact, All Funds (Rev.-Exp.)$0($1,800,000)($2,311,000)
   Net Impact, General/Education Funds (Rev.-Exp.)$0($1,468,000)($1,575,000)

Local Governments (UCA 36-12-13(2)(c)):
Enactment of this bill may increase local government costs for additional health coverage required by the bill.

Direct Expenditures by Utah Residents and Businesses (UCA 36-12-13(2)(d)):
Enactment of this bill may increase health insurance premiums for businesses and increase corresponding benefits to individuals eligible for the new coverage benefits.

Performance Note Required? (Joint Rule 4-2-404): Yes

2/15/2013, 8:18:02 AM, Lead Analyst: Fay, B/Attny: CJDOffice of the Legislative Fiscal Analyst