FISCAL NOTE
Date Requested: January 14, 2026
Time Requested: 06:46 PM |
| Agency: |
Human Services, WV Department of |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 2097 |
Introduced |
HB4196 |
|
|---|
| CBD Subject: |
Health; Human Services |
|---|
|
FUND(S):
General & Federal
Sources of Revenue:
General Fund 0484 - Bureau For Medical Services -Policy and Programming; 8722 - Cons Federal Funds Div Human Resources Gen Admin Fd
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 licensed programs, under the Medication-Assisted Treatment Program Licensing Act, to offer long-acting reversible contraception to patients recovering from addiction to new and current patients.
Projected annual cost is estimated at $12,960 (state = $3,338/federal = $9,622).
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 |
12,960 |
12,960 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
12,960 |
12,960 |
| 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):
Projected annual cost is estimated at $12,960 (state = $3,338/federal = $9,622).
The estimate assumes the following: Number of postpartum women receiving MAT each year (114) * Percent of women who elect to receive LARC (10.5%) = 12; * Average cost of LARC device ($1,000) + Average non-facility reimbursement for LARC implantation ($80) = 1080.
12 * 1080 = 12,960. Blended match rate is 25.76 state/74.24 federal.
Memorandum
Long-acting reversible contraception (LARC) is not currently part of the bundle payment for Opioid Treatment Programs or payment for Office-Based Medication Assisted Treatment's; however medical staff has been able to prescribe a LARC. Unable to verify if or how many that would bill under the standard Evaluation and Management (E/M) codes.
These women may receive LARC elsewhere at another service provider making it reasonable that there may be no cost impact to the Department, as well.
Person submitting Fiscal Note: Alex J Mayer
Email Address: OSAfiscalnotes@wv.gov