FISCAL NOTE

Date Requested: January 11, 2023
Time Requested: 08:45 PM
Agency: Insurance Commission
CBD Number: Version: Bill Number: Resolution Number:
1434 Introduced HB2109
CBD Subject:


FUND(S):

7152 Insurance Commission Fund

Sources of Revenue:

Special Fund

Legislation creates:





Fiscal Note Summary


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


If enacted, House Bill 2109 would require PEIA and other health insurance providers to provide mental health parity between behavioral health, mental health, substance use disorders, and medical and surgical procedures. If enacted, HB2109 would have no fiscal impact on the Offices of the Insurance Commissioner. Please see the memorandum section of this fiscal note for additional information.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2023
Increase/Decrease
(use"-")
2024
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


If enacted, House Bill 2109 would require PEIA and other health insurance providers to provide mental health parity between behavioral health, mental health, substance use disorders, and medical and surgical procedures. If enacted, HB2109 would have no fiscal impact on the Offices of the Insurance Commissioner's operations, expenses or revenues. PEIA should be consulted regarding the fiscal impact to their agency. It should be noted that HB2109 does not contain language limiting the insurance benefits provided under the 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 the 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 HB 2109 do not fall within the EHB, a potential cost to the State exists.



    Person submitting Fiscal Note: Melinda Kiss
    Email Address: Melinda.A.Kiss@wv.gov