FISCAL NOTE
Date Requested: March 10, 2017
Time Requested: 01:20 PM |
| Agency: |
Health and Human Resources, WV Department of |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 1540 |
Introduced |
HB2914 |
|
|---|
| CBD Subject: |
Health |
|---|
|
FUND(S):
0407 - CENTRAL OFFICE GENERAL ADMINISTRATIVE FUND 0407 - CENTRAL OFFICE GENERAL ADMINISTRATIVE FUND
Sources of Revenue:
General Fund,Other Fund Federal
Legislation creates:
Neither Program nor Fund
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to modify administration and service delivery of local boards of health; provide for regionalization of administration and services of local health departments; require local health departments to bill health insurance plans for services that are provided; mandate development of needle exchange programs in local health departments; and provide for rule-making authority.
State Aid dollars for local health departments are specifically allocated for the provision of Basic Public Health Services in the areas of Communicable Disease Surveillance and Reporting, Environmental Health Inspections and Services, Community Health Promotion, and Administration. Increased revenue through enhanced billing for billable services would help to offset State dollars. While it is difficult to predict actual savings of consolidation, it is reasonable to expect that administrative costs would decrease as a result of increased efficiencies and decreased administrative units across the State. In January 2016, the WVU Bureau of Business and Economic Research released a report of a cursory study of a nine region model which estimated a potential system-wide savings of up to $12.5 million annually (based on the current Mid-Ohio Valley Health Department regional configuration model); however, the report called for a more comprehensive study.
The Department anticipates there is potential for increased expenditures for the Medicaid program if local health departments increase or begin to bill the program for additional services, however billing of services to Medicaid would provide for an offset to state general revenue funding currently being provided to Local Health Departments.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2017
Increase/Decrease
(use"-") |
2018
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):
Memorandum
Person submitting Fiscal Note: Bill J. Crouch, Cabinet Secretary
Email Address: DHHRBudgetOffice@wv.gov