FISCAL NOTE
Date Requested: January 14, 2026
Time Requested: 05:45 PM |
| Agency: |
Public Employees Insurance Agency (PEIA) |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 1678 |
Introduced |
HB4089 |
|
|---|
| CBD Subject: |
Health; 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 provide health insurance coverage for scalp cooling systems for the preservation of hair during cancer chemotherapy treatment. This bill will increase the claim costs of PEIA. PEIA identified 1,050 patients and 11,261 services of chemotherapy during plan year 2025. Utilizing recently updated Medicare reimbursement allowances adjusted to PEIA levels for these services, and assuming 74% (50% Male/90% Female) of current chemotherapy treatment utilization will utilize this service, PEIA estimates an increase in cost of $1.4 million.
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 |
1,400,000 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
0 |
1,400,000 |
| 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