Date Requested: January 16, 2018
Time Requested: 03:05 PM
Agency: Insurance Commission
CBD Number: Version: Bill Number: Resolution Number:
2006 Originating SB299
CBD Subject: Insurance



Sources of Revenue:

Special Fund

Legislation creates:

Creates New Expense

Fiscal Note Summary

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

If enacted, Senate Bill 299 may increase costs to the State. The potential amount of increased cost is unknown at this time. Please see the memorandum to this fiscal note.

Fiscal Note Detail

Effect of Proposal Fiscal Year
Fiscal Year
(Upon Full
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.


Senate Bill 299, if enacted, would provide for mandatory insurance coverage for medical foods with amino acid-based formulas. SB299 does not contain language limiting the insurance benefits provided under the bill to the essential health benefits (EHB) specified under section 130(b) of the Patient Protection and Affordable Care Act (PPACA). PPACA 1311 (d)(3) provides that a state must defray the cost by direct payment to enrollees or to the Plan of any state mandated benefit in excess of the EHB. To the extent that the health insurance benefits required by SB299 do not fall within the EHB, a potential cost to the State exists. PEIA and DHHR should also be consulted regarding the fiscal impact of SB299.

    Person submitting Fiscal Note: Melinda Ashworth Kiss
    Email Address: