Representatives Seal

Fiscal Note

S.B. 241

2018 General Session

Medical Benefits Recovery Amendments

by Hemmert, D

Senate Seal
General, Education, and Uniform School FundsJR4-5-101
OngoingOne-timeTotal
Net GF/EF/USF (rev.-exp.)$(132,000)$34,000$(98,000)


State GovernmentUCA36-12-13(2)(b)

Enactment of this legislation could increase Medicaid estate recovery collections. Collections could take several years or more to reach the maximum amount and would depend on various factors -- including the number of individuals over age 55 receiving Medicaid services, when individuals and any surviving spouses pass away, and the assets available for recovery in each case -- but could be roughly $15 million or more annually, of which approximately 30 percent could be deposited into the General Fund.

RevenuesFY 2018FY 2019FY 2020
Total Revenues $0 $0 $0

Enactment of this legislation could cost the Department of Human Services - Office of Recovery Services (ORS) $66,000 General Fund and $66,000 federal Medicaid transfers one-time in FY 2019 for two additional compliance agent FTEs and $132,000 General Fund and $132,000 federal Medicaid transfers ongoing beginning in FY 2020 for a total of four additional compliance agent FTEs once the program is fully operational. The legislation could further cost ORS $32,000 General Fund and $32,000 federal Medicaid transfers one-time in FY 2019 for technology system changes.

ExpendituresFY 2018FY 2019FY 2020
General Fund $0 $132,000 $132,000
General Fund, One-Time $0 $(34,000) $0
Transfers $0 $98,000 $132,000
Total Expenditures $0 $196,000 $264,000
Net All Funds (rev-exp) $0 $(196,000) $(264,000)
Local GovernmentUCA36-12-13(2)(c)

Enactment of this legislation likely will not result in direct, measurable costs for local governments.

Individuals & BusinessesUCA36-12-13(2)(d)

The estates of individuals who receive Medicaid services when they are over the age of 55 could be subject to higher rates of collection by ORS under this legislation. Although this would not impact the individuals or their surviving spouses, the amount inherited by heirs of these individuals could be reduced. The amount reduced would vary in each case and depend on the value of Medicaid services provided, among other factors.

Regulatory ImpactUCA36-12-13(2)(e)
Enactment of this legislation likely will not change the regulatory burden for Utah residents or businesses.
Performance NoteJR4-2-404

Required of the Human Services and due by March 06, 2018