FISCAL NOTE
Date Requested: February 02, 2026
Time Requested: 01:11 PM |
| Agency: |
Human Services, WV Department of |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 1678 |
Introduced |
HB4089 |
|
|---|
| CBD Subject: |
Health; Insurance |
|---|
|
FUND(S):
0484 - BUREAU FOR MEDICAL SERVICES POLICY AND PROGRAMMING; 8722 - CONS FEDERAL FUNDS DIV HUMAN SERVICES GEN ADMN FD
Sources of Revenue:
General Fund Federal
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 health insurers to provide coverage for scalp cooling systems for the preservation of hair during cancer chemotherapy treatment.
The Department estimates a fiscal impact related to this bill of $585,000 (state = $104,598/federal = $480,402).
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 |
585,000 |
585,000 |
| Personal Services |
0 |
585,000 |
585,000 |
| 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):
Adult Medicaid patients with cancer diagnoses in calendar year (CY) 2024: 6,000
Percentage of patients with cancer that receive chemotherapy treatment: 25%
Scalp cooling systems are intended to prevent the development of chemotherapy induced alopecia. The percentage of patients that develop chemotherapy induced alopecia as a proxy for the percent of patient that will use scalp cooling treatment: 65%
In rural areas scalp cooling treatment is available less than 50 miles away for 20% of chemotherapy infusions
Average cost of scalp cooling treatment: $3,000
Fiscal estimate: (6,000 * 25% * 65% * 20%) * $3,000 = $585,000 (state = $104,598/federal = 480,402). Blended Expansion and Regular FMAP used = 82.12%.
Memorandum
Person submitting Fiscal Note: Alex J Mayer, Cabinet Secretary
Email Address: OSAfiscalnotes@wv.gov