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 Table | FY 2013 | FY 2014 | FY 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: CJD | Office of the Legislative Fiscal Analyst |