FISCAL NOTE

Date Requested: January 23, 2026
Time Requested: 08:51 AM
Agency: Insurance Commission
CBD Number: Version: Bill Number: Resolution Number:
2990 Introduced HB4724
CBD Subject: Insurance


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 4724, if enacted, would cap insurance copayments for certain services at $500 a year for insureds who are terminally ill until death. See the 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 4724, if enacted, would cap insurance copayments for certain services at $500 a year for insureds who are terminally ill until death. HB4724 may have an impact on insurance premium rates in the private market. This bill would not have a fiscal impact on the WV Offices of the Insurance Commissioner. It should be noted that HB4724 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 HB4724 do not fall within the EHB, a potential cost to the State exists.



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