FISCAL NOTE
Date Requested: February 21, 2026
Time Requested: 10:01 AM |
| Agency: |
Public Employees Insurance Agency (PEIA) |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 4073 |
Comm. Sub. Eng. |
HB5430 |
|
|---|
| CBD Subject: |
Human Services |
|---|
|
FUND(S):
PEIA Basic Insurance
Sources of Revenue:
Special Fund
Legislation creates:
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to regulate pharmacy benefit managers and state pharmacy purchasing by requiring an annual pharmacy dispensing fee study, limiting amounts charged by pharmacy benefit managers and requiring implementation of a pharmacy cost containment tool.
This bill will require PEIA’s PBM to be subject to the PBM provisions set forth in West Virginia Code Article 51, Chapter 33, except for §33-51-9(e) of this code. PEIA is currently subject to West Virginia Code §33-51-9 subsections (c) and (d) provisions of Chapter 33 and has worked with its PBM to implement the national average drug acquisition cost (NADAC) pricing and $10.49 dispensing fee. This bill will also require PEIA’s PBM to be subject the WVOIC PBM Audit Integrity Act. There is a possibility this could impact PEIA’s administrative fee, however, PEIA is unable to provide an estimated cost for this at this time. This bill also requires PEIA to issue a competitive bid for a pharmacy cost containment vendor by July 1, 2026. PEIA estimates no fiscal impact from this bill.
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
Please identify any areas of vagueness, technical defects, reasons a bill would not have a fiscal impact, and/or any special issues not captured elsewhere on this form.
Person submitting Fiscal Note: Jason Haught
Email Address: jason.a.haught@wv.gov