|Date Requested:February 26, 2008
Time Requested:12:35 PM
| FUND(S) |
0407-Central Office General Administrative Fund
Sources of Revenue
Legislation creates:A New Fund
Effect this measure will have on costs and revenues of state government.
| The purpose of the bill is to create an Office for Oral Health under the Bureau for Public Health and to authorize a full time director.
The proposed legislation requires the Office for Oral Health will employ a director, who shall be a licensed dentist in West Virginia. The bill establishes an advisory board to advise the director in the development of a comprehensive plan with designated benchmarks and responsible parties to improve the oral health of citizens in the state. The Office for Oral Health will design oral health programs that assure children entering kindergarten, grade two and grade six have an oral health exam and appropriate preventive programs including recommendations for potential funding sources. The Office will design a training program for pediatricians, primary care providers and their staff in certain preventive oral health procedures.
Programs designed to address school children at specific times having oral exams and appropriate preventive programs can be accomplished with proposed and current staff, with input from the advisory board at no additional cost at this time. Training programs designed for pediatricians, primary care providers and their staff in certain preventive oral health procedures has been completed and is available.
The Department estimates the costs to be $174,488 in year one, and $169,588 upon full implementation.
|Effect of Proposal||Fiscal Year|
|1. Estmated Total Cost||0||174,488||169,588|
|Repairs and Alterations||0||0||0|
|2. Estimated Total Revenues||0||0||0|
3. Explanation of above estimates (including long-range effect):
Personal services include the addition of the required Dentist (Director), and a Secretary I and associated fringe benefits. The breakdown of costs is: Dentist Salary ($93,000) and benefits ($25,013); Secretary salary ($24,126) and benefits ($11,225). The estimated salary for these two positions was based upon the mid range of the current Division of Personnel pay grade.
Current expense details include increases in rent and utilities ($6,324), phones ($1,200), office supplies and misc expenses ($500), and in-state and out-of-state travel ($3,200) for the new staff. In addition, there is one time expense for computers and printer ($4,900).
This bill requires the establishment of an advisory board to advise the Director in the development of a comprehensive plan with designated benchmarks and responsible parties to improve the oral health of citizens in the state. There is currently a committee that the Oral Health Program has established, with representation similar to that proposed; members would need to be added to meet the bill requirements. Hospitality and travel for these meetings is estimated at $5,000.
| Currently the Oral Health Program within the Bureau for Public Health, Office of Maternal, Child and Family Health is funded with approximately $300,000 of MCH Title V Block Grant Funds and $352,000 of general revenue funds (0407-575 $202,000 and 0407-550 $150,000) for a total budget of $652,000. This budget includes current staff of 3 FTEs ($106,000) and current expense for daily program administration and operations. In addition, the program has a dental consultant at a cost of $110,000 per year.
The program currently spends approximately $304,000 on oral health education activities. This provides a minimal level of oral health education for school systems in every county. No additional funding has been requested. The legislation does not indicate that the Advisory Board is to be reimbursed for travel but the Department has made the assumption that it will reimburse for travel in accordance with current state travel policy.
The legislation requires the Office to recommend potential funding sources. In order to consider an approximate amount to be covered, the Department calculated costs as follows: There are approximately 21,000 children in WV in each age group. It is estimated that 53% would be covered under Medicaid and CHIP, therefore there would be no additional cost for these children. For calculation purposes we assumed 17% would have some other insurance coverage and that 30% would be uninsured. Based on this, approximately 18, 900 children (21,000*3*30%) may require financial assistance. If providers were reimbursed at the current rate allowed by Medicaid and CHIP ($150/exam) it would cost $2,835,000 for exams alone with no cost for treatment included.
The Department is able to design oral health programs for the specified school age groups but to ensure that the specified children have participated in such programs may better reside with the Department of Education.
There are training programs that are available for pediatricians, primary care providers and their staff in certain preventive oral health procedures but the Dental Practice Act conflicts with the provision of these services by non-dental medical professionals.