FISCAL NOTE
Date Requested: February 05, 2026
Time Requested: 04:25 PM |
| Agency: |
Insurance Commission |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 3184 |
Introduced |
HB5238 |
|
|---|
| CBD Subject: |
Health; 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 5238, if enacted, requires all public and private health insurance offered in this state to cover screening for adverse childhood experiences as part of preventative child wellness visits.
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 5238, if enacted, requires all public and private health insurance offered in this state to cover screening for adverse childhood experiences as part of preventative child wellness visits.
HB5238 may impact insurance premium rates in the public and private markets. This bill would have no fiscal impact on the WV Offices of the Insurance Commissioner.
It should be noted that HB5238 does not contain language limiting the insurance benefits provided under the proposed bill to the essential health benefits (EHB) specified under section 130(b) of the Patient Protection and Affordable Care Act (PPACA). PPACA 1311 (d)(3) provides that a state must defray the cost by direct payment to enrollees or to the Plan of any state mandated benefit in excess of the EHB. To the extent that the health insurance benefits required by HB5238 do not fall within the EHB, a potential cost to the State exists.
As this bill may apply to PEIA and BMS, it is recommended that both agencies be consulted regarding the fiscal impact on those programs. The Department of Education is specifically mentioned in an administrative capacity and should also be consulted.
Person submitting Fiscal Note: Juanita Wimmer
Email Address: juanita.d.wimmer@wv.gov