FISCAL NOTE
Date Requested: January 14, 2026
Time Requested: 05:45 PM |
| Agency: |
Insurance Commission |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 1678 |
Introduced |
HB4089 |
|
|---|
| CBD Subject: |
Health |
|---|
|
FUND(S):
7152 Insurance Commission Fund
Sources of Revenue:
Special Fund
Legislation creates:
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
House Bill 4089, if enacted would provide health insurance coverage for scalp cooling systems for the preservation of hair during cancer chemotherapy treatments. HB4089 would have no fiscal impact on the WV Offices of the Insurance Commissioner.
See memorandum to this fiscal note for more information.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2026
Increase/Decrease
(use"-") |
2027
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
House Bill 4089, if enacted, would provide health insurance coverage for scalp cooling systems for the preservation of hair during cancer chemotherapy treatments.
There is potential that a scalp cooling system may already be included in some health coverage and considered as durable medical equipment with applicable cost sharing in place.
HB4089 may have an impact on insurance premium rates in the private market. While an increase in health insurance premiums rates may be expected due to increased usage, the WVOIC does not have the data to calculate the extent of any possible increase.
As this bill amends their respective Code sections, it is recommended that PEIA and BMS be consulted regarding the fiscal impact on those programs.
Person submitting Fiscal Note: Juanita Wimmer
Email Address: Juanita.D.Wimmer@wv.gov