FISCAL NOTE
Date Requested: January 17, 2024
Time Requested: 10:48 AM |
| Agency: |
Human Services, WV Department of |
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| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 1547 |
Introduced |
HB4183 |
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|---|
| CBD Subject: |
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FUND(S):
0403 - General Revenue, Medical Services; 8722 - Federal Funds, Division Human Services
Sources of Revenue:
Other Fund General and 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 provide easier access to contraceptives and sterilizaton services.
The Department estimates an increase in costs due to loss of medication dispensed for a prolonged period of time, required changes in therapy and replacement costs for alternative medications, and discontinuation of medication due to adverse side effects. At the present time, members can receive a 3-month supply of oral contraceptives and only 20% of those claims were for a 3-month supply. Total projected costs = $301,000 (state portion $78,546).
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2024
Increase/Decrease
(use"-") |
2025
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
301,000 |
301,000 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
301,000 |
301,000 |
| 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):
Only the cost of the drug is included in the calculation of increased costs. A 12-month supply would result in a 10% replacement cost due to waste and replacement costs of alternate therapies and discontinuation of therapy.
An increase in oral contraceptives expenditures of 10% (SFY23 oral contraceptives total = $3M) is being projected based on experience with medications being lost/stolen and overall changes in therapy. In addition, technology systems updates are projected at $1,000.
Calculation - $3Mx10% = $300K + $1K = $301,000 x 26.095% = $78,546 (state) + $222,454 (fed).
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: Cynthia A. Persily, Ph.D.
Email Address: dhhrbudgetoffice@wv.gov