HOUSE CONCURRENT RESOLUTION NO. 43

(By Delegates L. White, Willison, Varner, Givens,

Martin, Amores, Trump, Staton, Manual, Michael, Ennis,
Hubbard, Facemyer, Hutchins, Pettit and Beane)

Requesting the Joint Committee on Government and Finance to make a study of the practices, policies, procedures, administration and management of the West Virginia public employees insurance agency and its finance board.

Whereas, The public employees insurance agency has experienced a deficit in fiscal year 1997 of $24.8 million and is projecting a deficit in fiscal year 1998 of $37 million; and
Whereas, The financial plan adopted by the financial board of the public employees insurance agency for fiscal year 1999 to address the said deficits includes an 11.63% premium increase for state agencies and other participating political subdivisions of the State, and also raises copayments and deductibles of policyholders and at the same time reduces reimbursement rates of providers; and
Whereas, The reductions of rates of reimbursements for providers under the said financial plan for fiscal year 1999 vary extensively among the various providers; hospitals will receive a 5% overall reduction and physician providers will receive a 3% reduction; however, certain physician providers will receive as much as a 44% reduction in reimbursement rates; and
Whereas, Various managed care organizations who provide services to approximately 21% of all public employees insurance policyholders are also significantly increasing their premiums, and these premium increases vary significantly among the various managed care organizations; and
Whereas, The Legislature finds that these recent trends and developments with regard to increasing costs to the state and to the policyholders of public employees insurance, as well as reduction in the rates of reimbursement to participating health care providers indicate a need for a review of policies, practices, procedures, administration and management of the public employees insurance agency and its finance board; therefore, be it
Resolved by the Legislature of West Virginia:
That the Joint Committee on Government and Finance is hereby requested to appoint a joint interim committee of the Senate and of the House of Delegates, consisting of five members of the House of Delegates, to be designated by the speaker of the House of Delegates, and five members of the Senate, to be designated by the president of the Senate, to study and investigate the practices, policies, procedures, administration and management of the public employees insurance agency and its finance board with particular regard to the matters referred to in this resolution; and, be it
Further Resolved, That the committee shall report to the Legislature its findings, conclusions and recommendations, together with drafts of any legislation necessary to effectuate its recommendations, no later than the first day of January, one thousand nine hundred ninety-nine; and, be it
Further Resolved, That the expenses necessary to conduct the study and to prepare appropriate reports, recommendations and proposed legislation be paid from legislative appropriations to the Joint Committee on Government and Finance.