FISCAL NOTE
FUND(S):
0407 Central Office General Administrative Fund, 8750 Federal Block Grants Maternal/Child Health Program Fund, 5163 Laboratory Services Fund
Sources of Revenue:
General Fund,Special Fund,Other Fund Federal
Legislation creates:
Neither Program nor Fund
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of the bill is to expand newborn screening from the current eight by adding all twenty-nine of the newborn screenings recommended by the March of Dimes and the American Academy of Pediatrics. The tests will be phased in over a two-year period.
The Department anticipates that the legislation will impact the Office of Maternal, Child and Family Health (OMCFH) and the Office of Laboratory Services (OLS) within the Bureau for Public Health (BPH). The total cost associated with Phase I of the proposed expansion is anticipated to be $489,636, and full implementation of the proposed expansion to the twenty-nine screens is anticipated to cost $1,234,333.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2007
Increase/Decrease
(use"-") |
2008
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
489,636 |
1,234,333 |
| Personal Services |
0 |
75,711 |
123,846 |
| Current Expenses |
0 |
80,438 |
444,000 |
| Repairs and Alterations |
0 |
0 |
0 |
| Assets |
0 |
333,487 |
666,487 |
| Other |
0 |
0 |
0 |
| 2. Estimated Total Revenues |
0 |
0 |
0 |
Explanation of above estimates (including long-range effect):
Phase I, Personal Services: $75,711, OLS - $0; OMCFH - 1 Nurse III @ $34,116 + 1 Accounting Tech @ $18,636 = $52,752 X 19.19% (FICA, Ret, Workers Comp.) = $10,123 + $6,418 (Admin. Fees, Health Insurance per FTE) X 2 FTEs = $22,959. Phase I, Current Expense: $80,438, OLS - $12,000 Supplies; OMCFH - Provider Education $10,000; Computers $2,000; Nutritional Supplements $7,500; Expanded WVU Pediatrics and Genetics Services Grant $48,938 Phase I, Equipment: $333,487, OLS - $18,000 Biotinidase Testing Equipment, $315,487 Auto Delphia System; OMCFH - $0
Phase II, Personal Services: $123,846, OLS - 1 Chemist II @ $35,000 X 19.19% (FICA, Ret, Workers Comp.) = $6,717 + $6,418 (Admin. Fees, Health Insurance per FTE) = $13,135; OMCFH - 1 Nurse III @ $34,116 + 1 Accounting Tech @ $18,636 = $52,752 X 19.19% (FICA, Ret, Workers Comp.) = $10,123 + $6,418 (Admin. Fees, Health Insurance per FTE) X 2 FTEs = $22,959 ; Phase II, Current Expense: $444,000, OLS - $12,000 Supplies, $22,000 Courier Service; OMCFH - Nutritional Supplements $50,000, Educational Materials $50,000, $160,000 WVU Pediatrics and Genetics Services Grant, $150,000 Biochemical Geneticist Consultant; Phase II, Equipment: $666,487, OLS - $351,000 Tandem Mass Spectrometer Equipment, $315,487 Auto Delphia System; OMCFH - $0
Memorandum
The OMCFH is in the process of implementing a billing system that will allow the costs of the program to be charged to third party payors. At the present time, the billing system is not in place nor has a current cost related rate been established. When these projects are complete it is anticipated that this program will generate revenue sufficient to cover program costs. No revenue above the actual cost of the program is anticipated.
Upon implementation of the billing system, OMCFH will begin billing third party payors (including Medicaid, PEIA), therefore there will be an additional cost to these programs to cover these activities. Currently newborn metabolic testing is covered by the OLS with MCH Federal Block Grant and General Revenue funding. The MCH Federal Block Grant funding is decreasing, therefore continued funding of these tests through that mechanism will not be available.
The cost increases projected are over and above current program costs of approximately $1,094,194. Therefore, total program costs for SFY 2008 are anticipated to be $1,583,830 and total program costs for SFY 2009 are anticipated to be $2,328,527.
Person submitting Fiscal Note: Martha Yeager Walker
Email Address: fnbudoff@wvdhhr.org