FISCAL NOTE

Date Requested: January 30, 2026
Time Requested: 12:34 PM
Agency: Public Employees Insurance Agency (PEIA)
CBD Number: Version: Bill Number: Resolution Number:
2841 Introduced HB4760
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 improve health, reduce health care usage and costs and help prevent disease through nutritional wellness and prevention measures and allow for nonpharmacological alternatives to enrollees who choose them. The bill requires that health insurance policies provide coverage for nutritional wellness and prevention that is shown to be beneficial to the enrollee and recommended by the enrollee's physician. Although PEIA isn’t impacted by this bill currently due to it impacting Chapter 33 entities only, an estimate is being provided. PEIA cannot determine the cost of any dietary or nutritional supplements until a list has been compiled and level of benefit is established. However, PEIA currently provides coverage for FDA approved nutritional supplements prescribed by physicians. PEIA had 50,000 claims in this category in FY ’25 at a plan cost of $3.87 per claim. Utilizing existing data and assuming an additional 10,000 claims at a cost of $4.06, PEIA estimates an increase in cost of $41,000.



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 41,000
Personal Services 0 0 0
Current Expenses 0 0 41,000
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):


PEIA cannot determine the cost of any dietary or nutritional supplements until a list has been compiled and level of benefit is established. However, PEIA currently provides coverage for FDA approved nutritional supplements prescribed by physicians. PEIA had 50,000 claims in this category in FY ’25 at a plan cost of $3.87 per claim. Utilizing existing data and assuming an additional 10,000 claims at a cost of $4.06, PEIA estimates an increase in cost of $41,000.



Memorandum


Although PEIA isn’t impacted by this bill currently due to it impacting Chapter 33 entities only, an estimate is being provided.



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