FISCAL NOTE

Date Requested: January 24, 2024
Time Requested: 03:07 PM
Agency: Human Services, WV Department of
CBD Number: Version: Bill Number: Resolution Number:
1167 Introduced HB4413
CBD Subject: Health


FUND(S):

0403 - General Revenue, Medical Services; 8722 - Federal Funds, Division Human Services

Sources of Revenue:

General Fund Federal

Legislation creates:





Fiscal Note Summary


Effect this measure will have on costs and revenues of state government.


The purpose of this bill is to limit nursing home rooms to 2 residents. There are several nursing homes with as many as four residents per room. Renovations may be needed in nursing homes that have Medicaid beds. These capital costs would be captured in the standard appraisal value (SAV) of the Nursing Facility. The Department's Bureau for Medical Services contracts with a vendor to conduct these SAV’s annually and adjusts nursing home reimbursement rates accordingly. The Department cannot estimate with reasonable certainty how this would impact nursing home reimbursement rates for the Bureau for Medical Services.



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 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: Cynthia A. Persily, Cabinet Secretary
    Email Address: dhhrbudgetoffice@wv.gov