FISCAL NOTE
Date Requested: January 19, 2022
Time Requested: 03:59 PM |
| Agency: |
Health and Human Resources, WV Department of |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 1955 |
Introduced |
HB4089 |
|
|---|
| CBD Subject: |
Human Services |
|---|
|
FUND(S):
0403 - DIV OF HUMAN SERVICES GENERAL ADMINISTRATION FUND; 8722 - CONS FEDERAL FUNDS DIV HUMAN SERVICES GEN ADMN FD
Sources of Revenue:
Other Fund General & Federal
Legislation creates:
Increases Existing Expenses
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to require certain coverage and reimbursement for a person diagnosed with hypertension.
The estimated cost of providing blood pressure monitors to eligible Medicaid enrollees and provider training is $2 million; total cost is comprised of $516,300 state funding and $1,483,700 federal funding.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2022
Increase/Decrease
(use"-") |
2023
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
2,000,000 |
2,000,000 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
2,000,000 |
2,000,000 |
| Repairs and Alterations |
0 |
0 |
0 |
| Assets |
0 |
0 |
0 |
| Other |
0 |
0 |
0 |
| 2. Estimated Total Revenues |
0 |
0 |
0 |
Explanation of above estimates (including long-range effect):
The estimated cost of providing hypertension (blood pressure) monitors to eligible Medicaid enrollees and provider training is $2 million per year ($40 per device, which is the lowest cost for a blood pressure monitor at the current over the counter price); total cost is comprised of $516,300 state funding and $1,483,700 federal funding. The current FMAP used for this projection is 74.185%. Initial Medicaid member counts were pulled using a report of members diagnosed with hypertension. There are approximately 98,000 eligible Medicaid members, of which 50,000 are anticipated to utilize a blood pressure monitor for hypertension. Training on how to use the monitor would be provided by the physician or the pharmacy, therefore additional related costs are not anticipated.
Passage of this legislation would require the Department to submit and receive approval of a State Plan amendment from the Centers for Medicare and Medicaid (CMS). The Department will develop specific requirements for replacement, data integration, storage, and transfer, enable clinical oversight and compliance with passed legislation.
Memorandum
Person submitting Fiscal Note: Bill J. Crouch
Email Address: dhhrbudgetoffice@wv.gov