FISCAL NOTE

Date Requested: February 05, 2018
Time Requested: 01:53 PM
Agency: Insurance Commission
CBD Number: Version: Bill Number: Resolution Number:
2393 Introduced SB478
CBD Subject: Human Services, Insurance, State Personnel


FUND(S):

7152, 1331

Sources of Revenue:

Special Fund

Legislation creates:

Creates New Expense



Fiscal Note Summary


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


Senate Bill 478 seeks to mandate insurance coverage for mitochondrial disease. If enacted, Senate Bill 478 may increase costs to the State of WV. The potential amount of increased cost is unknown at this time. Please see the memorandum to this fiscal note.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2018
Increase/Decrease
(use"-")
2019
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


Senate Bill 478, if enacted, would provide for mandatory insurance coverage for mitochondrial disease. Senate Bill 478 does not appear to have direct fiscal impact on the operations, revenues or expenses of the Offices of the Insurance Commissioner. SB478 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 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 SB478 do not fall within the EHB, a potential cost to the State exists. PEIA and DHHR should be consulted regarding the potential fiscal impact of SB 478.



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