Date Requested:February 08, 2010
Time Requested:01:32 PM
Agency: Childrens Health Insurance Program
CBD Number: Version: Bill Number: Resolution Number:
2010R1904 Introduced HB4373
0588, 2154 (Children's Operating Fund), 8838
Sources of Revenue
General 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 this bill will eliminate the twelve-month "look-back" period for WVCHIP applicants in families with incomes over 200% FPL. Currently, a child must be without insurance for 12 months at time of application before they will be determined eligible for the program, with some exceptions. Federal regulations require a three-month "look-back" period.
     There is no reliable data to show an impact to the program, but we assume very few children with acute care needs may enroll because of this change. We could expect the costs to be modest, about $200,000 per year; $163,660 federal and $36,340 state. WVCHIP currently has an 81.83% federal match rate.

Fiscal Note Detail
Over-all effect
Effect of Proposal Fiscal Year
Fiscal Year
(Upon Full
1. Estmated Total Cost 0 36,340 36,340
Personal Services 0 0 0
Current Expenses 0 0 0
Repairs and Alterations 0 0 0
Assets 0 0 0
Other 0 36,340 36,340
2. Estimated Total Revenues 0 0 0
3. Explanation of above estimates (including long-range effect):
     WVCHIP expects the cost to drop the 12-month look-back period to be modest, around $200,000 total; $163,660 federal and $36,340 state.

Person submitting Fiscal Note:
Stacey L. Shamblin
Email Address:
     WVCHIP does not have good data to determine how many kids would be affected by eliminating the 12-month "look-back" period for eligiblity purposes. We think the number of children affected, and therefore costs, will be modest because many kids are already excepted from the "look-back" period for various reasons; i.e., parents lost coverage/job, and premium costs >10% of income.