FISCAL NOTE

Date Requested: February 12, 2025
Time Requested: 10:06 PM
Agency: Public Employees Insurance Agency (PEIA)
CBD Number: Version: Bill Number: Resolution Number:
2919 Introduced SB292
CBD Subject: Insurance


FUND(S):

PEIA Basic 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.


The purpose of this bill is to require doula services to be covered by Medicaid and PEIA. PEIA does not currently cover doula services. This increased cost will vary based on utilization. Current data indicates that 6% of maternity cases utilize a doula. PEIA assumes that with insurance coverage, the utilization will be higher. Assuming 20% of current maternity cases utilize doula services, the estimated increase in costs to PEIA is $311,000.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2025
Increase/Decrease
(use"-")
2026
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 311,000 311,000
Personal Services 0 0 0
Current Expenses 0 311,000 311,000
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):


The purpose of this bill is to require doula services to be covered by Medicaid and PEIA. PEIA does not currently cover doula services. This increased cost will vary based on utilization. Current data indicates that 6% of maternity cases utilize a doula. PEIA assumes that with insurance coverage, the utilization will be higher. Assuming 20% of current maternity cases utilize doula services, the estimated increase in costs to PEIA is $311,000.



Memorandum


PEIA does not currently cover doula services. This increased cost will vary based on utilization. Current data indicates that 6% of maternity cases utilize a doula. PEIA assumes that with insurance coverage, the utilization will be higher. Assuming 20% of current maternity cases utilize doula services, the estimated increase in costs to PEIA is $311,000.



    Person submitting Fiscal Note: Jason Haught
    Email Address: jason.a.haught@wv.gov