Date Requested:March 20, 2009
Time Requested:03:48 PM
Agency: Health and Human Resources, Department of
CBD Number: Version: Bill Number: Resolution Number:
2009R2733 Introduced HB3159
CBD Subject: STATE FUNDING OF ABORTIONS UNDER MEDICAID
FUND(S)
0403 - Div of Human Services General Administrative Fund
Sources of Revenue
General Fund
Legislation creates:
Neither Program nor Fund

Fiscal Note Summary

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

    The purpose of this bill is to prohibit moneys from any state fund or funding source to be expended for any abortion unless the abortion qualifies for federal funding under Medicaid.
    
    The Department currently funds abortions through the Medicaid program with 100% state dollars and estimates this will would reduce expenditures by $245,520 based on State Fiscal Year 2008 payments for abortion services.
    

Fiscal Note Detail
Over-all effect
Effect of Proposal Fiscal Year
2009
Increase/Decrease
(use"-")
2010
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 -245,520 -245,520
Personal Services 0 0 0
Current Expenses 0 0 0
Repairs and Alterations 0 0 0
Assets 0 0 0
Other 0 -245,520 -245,520
2. Estimated Total Revenues 0 0 0
3. Explanation of above estimates (including long-range effect):
     The above reflects the estimate of the savings in state dollars by not covering abortions. This estimate is based on the payments made for abortion services during SFY 2008. It does not provide an estimate of any anticipated cost increase of choosing to deliver the baby as an alternative to the abortion.


Memorandum
Person submitting Fiscal Note:
Martha Yeager Walker
Email Address:
dhhrbudgetoffice@wv.gov
     This legislation could significantly increase costs for the Department's Bureau for Medical Services (BMS). It is difficult to determine the actual fiscal impact of the change in funding policy because it would require estimates of the number of births that would have occurred if Medicaid funding for abortion had continued. The BMS would incur additional costs associated with prenatal care, delivery and postpartum care for the mother and a minimum of 1 year of health care related cost for babies, including high cost neonatal intensive care services.