FISCAL NOTE
Date Requested: March 19, 2025
Time Requested: 04:34 PM |
| Agency: |
Public Employees Insurance Agency (PEIA) |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 1589 |
Comm. Sub. |
HB3090 |
|
|---|
| CBD Subject: |
Health; Insurance |
|---|
|
FUND(S):
PEIA Basic Insurance
Sources of Revenue:
Special Fund
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 require insurance plans to provide speech therapy for children that stutter at no cost to the member. It also prohibits any benefit limits and utilization management. This bill will increase PEIA’s costs. PEIA assumes a 30% increase in utilization of these services due to no member out of pocket, benefit limits or utilization management. Currently, PEIA’s benefits allow for 20 therapy sessions with cost sharing and utilization management review for any treatments beyond 20.
Assuming on average an additional 10 sessions will be incurred beyond 20, and no cost sharing, PEIA will incur an additional cost of $156,000.
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 |
0 |
156,000 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
0 |
156,000 |
| 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):
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: Jason Haught
Email Address: jason.a.haught@wv.gov