FISCAL NOTE

Date Requested: February 11, 2026
Time Requested: 05:06 PM
Agency: Insurance Commission
CBD Number: Version: Bill Number: Resolution Number:
4073 Introduced HB5430
CBD Subject: Human Services


FUND(S):

7152

Sources of Revenue:

Special Fund

Legislation creates:





Fiscal Note Summary


Effect this measure will have on costs and revenues of state government.


House Bill 5430, if enacted, relates to pharmacy benefit managers and state pharmacy purchasing. HB5430 would have minimal fiscal impact on the WV Offices of the Insurance Commissioner. See Memorandum Summary 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 5430, if enacted, requires an annual dispensing fee study; limits amounts charged by pharmacy benefit managers; prohibits certain pharmacy benefit manager contracts with West Virginia Medicaid and the West Virginia Public Employees Insurance Agency; and requires implementation of a pharmacy cost containment tool. HB5430 would create additional duties within the Offices of the Insurance Commissioner due to the dispensing fee study but it is estimated to have minimal fiscal impact to the the OIC. As this bill amends their respective Code sections, it is recommended that PEIA and BMS be consulted regarding the fiscal impact on their programs.



    Person submitting Fiscal Note: Rhonda C Hartwell
    Email Address: rhonda.c.hartwell@wv.gov