FISCAL NOTE
Date Requested: February 13, 2026
Time Requested: 04:13 PM |
| Agency: |
Insurance Commission |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 3810 |
Introduced |
HB5470 |
|
|---|
| CBD Subject: |
Health |
|---|
|
FUND(S):
7152
Sources of Revenue:
Special Fund
Legislation creates:
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
House Bill 5470, if enacted, would require pharmacy benefits managers to include any cost sharing amounts paid by the insured or another person when calculating the insured's contribution to any cost sharing requirement; applying certain annual limitation on cost sharing to all health plans issued in the state; and preventing insurers, pharmacy benefit managers and third party administrators from changing the terms of health plan coverage based on the availability or amount of financial assistance available for a prescription drug.
Please see memorandum summary for additional information.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2026
Increase/Decrease
(use"-") |
2027
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
0 |
0 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
0 |
0 |
| 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):
Please explain increases and decreases in personal services, current expenses, repairs and alterations, assets, other costs and revenues, including assumptions and data sources and delineation between start-up and ongoing costs. Please also include a long-range schedule of costs and revenues if fiscal impact is expected to vary in future years.
Memorandum
House Bill 5470, if enacted, would require pharmacy benefits managers to include any cost sharing amounts paid by the insured or another person when calculating the insured's contribution to any cost sharing requirement; applying certain annual limitation on cost sharing to all health plans issued in the state; and preventing insurers, pharmacy benefit managers and third party administrators from changing the terms of health plan coverage based on the availability or amount of financial assistance available for a prescription drug.
HB5470 would have no fiscal impact on revenues, expenses or operations of the WV Offices of the Insurance Commissioner (OIC).
Person submitting Fiscal Note: Rhonda C Hartwell
Email Address: rhonda.c.hartwell@wv.gov