FISCAL NOTE

Date Requested: February 19, 2021
Time Requested: 11:24 AM
Agency: Health and Human Resources, WV Department of
CBD Number: Version: Bill Number: Resolution Number:
2089 Introduced HB2611
CBD Subject:


FUND(S):

0407 - CENTRAL OFFICE GENERAL ADMINISTRATIVE FUND

Sources of Revenue:

General Fund

Legislation creates:

Creates New Program



Fiscal Note Summary


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


The purpose of this bill is to authorize model Community Health Equity Initiative Demonstration Projects which use existing state and local resources to promote community health and wellbeing. The bill authorizes the Commissioner of the Bureau for Public Health (BPH) to establish projects with eligibility requirements; and provides for the administration of projects. Additionally, the bill establishes the Minority Health Advisory Team (MYHAT) including its composition and duties. For the purpose of preparing this fiscal note, the Department assumes that should this bill pass, it will become effective on July 1,2021. Estimated costs for FY2022 is $64,586 and $63,386 ongoing.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2021
Increase/Decrease
(use"-")
2022
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 64,586 63,386
Personal Services 0 62,686 62,686
Current Expenses 0 1,900 700
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):


Estimated Personal Services cost for FY2022 and ongoing is $62,686 and includes salary and employee benefits for a Health and Human Resources Specialist ($41,889) to work with the BPH MYHAT Chairperson to operate and coordinate the program and compensation for non-BPH MYHAT members at $5,700 (19 members x 2 meetings x $150 per meeting) coming together twice per year. Employee benefits are estimated at $14,661 ($41,889 x 35%) for the HHR Specialist and $436 ($5,700 x .0765) for the board members. Estimated Current Expense cost for FY2022 is $1,900 and ongoing is $700. Cost includes landline telephone service for new employee at $600 ($50 per month x 12 months x 1.00 FTE); office supplies at $100 ($100 per FTE x 1.00 FTE). One time FY2022 current expense cost is for computer equipment for new HHR Specialist at $1,200.



Memorandum


The Bureau for Public Health Office of Community Health Systems and Health Promotion (BPH/OCHSHP) staff and others in the state, including the Minority Health Coordinator at Marshall and WVU Department of Sociology and Anthropology staff, have undergone training through the National Association of Chronic Disease Directors and Institute for Healthcare Improvement to engage in systems within BPH to prioritize health equity. Together, the team has come up with actions to: 1) Assess how data is used within BPH to identify populations at risk and outcomes obtained 2) Assess who BPH partners with to address community health equity projects (subrecipient grantees, organizations, etc.) 3) Work within BPH to collaborate to address the same populations at risk (example, if several programs within BPH are addressing African American populations – do we talk to each other, collaborate, know which communities are doing what, tips on what works and what does not given our lessons learned, etc.) 4) Assess what funds are being used within BPH to address health equity and the potential for existing funds to prioritize health equity needs in identified populations 5) Work with a contractor on health equity priority systems changes for accreditation The bill references “(F) The Commissioner of the Bureau for Behavioral Health and Health Facilities or his or her designee.” The Bureau for Behavioral Health and Health Facilities is now the Bureau for Behavioral Health.



    Person submitting Fiscal Note: Bill J. Crouch
    Email Address: Bill.J.Crouch@wv.gov