Date Requested:March 02, 2011
Time Requested:10:47 AM
Agency: Health and Human Resources, Department of
CBD Number: Version: Bill Number: Resolution Number:
2011R2513 Comm. Sub. HB3028
CBD Subject: EXPANDING THE MATERNAL MORTALITY REVIEW TEAM
FUND(S)
0407 - Central Office 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 expand responsibilities of the Maternal Mortality Review Team to include reviewing infant mortalities.
    The infant mortality rate is a measure of the health, social and economic well-being of a community. A comprehensive review of infant deaths provides the public health functions of assessment, quality assurance/improvement, and policy development to impact change. Legislated in 2009, the review of West Virginia maternal deaths provides insight into the causes of maternal deaths, evaluates contributing factors and suggests actions needed to improve maternal health. By reviewing infant deaths, the Review Team will be able to match maternal prenatal care, medical, social and economic factors with infant outcomes providing broader insight about contributing factors of infant deaths. The current cost of the Maternal Mortality Review Team (MMRT) is approximately $20,900 per year. By adding review of infant deaths (approximately 160 per year), the cost will increase by $108,257 for a total cost of $129,157.
    

Fiscal Note Detail
Over-all effect
Effect of Proposal Fiscal Year
2011
Increase/Decrease
(use"-")
2012
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 108,257 106,757
Personal Services 0 105,957 105,957
Current Expenses 0 0 0
Repairs and Alterations 0 0 0
Assets 0 1,500 0
Other 0 800 800
2. Estimated Total Revenues 0 0 0
3. Explanation of above estimates (including long-range effect):
    Review of infant mortality cases is an add-on to the existing Maternal Mortality Review Team. Currently, a contract nurse spends approximately 1,000 hours/year requesting, reviewing, de-identifying and compiling summaries for approximately 11 maternal mortality cases a year. Review of all WV infant deaths will include approximately 160 cases per year. Because of the number of infant deaths, a different review process will be used.
    Personal Services: In addition to the existing contract nurse for maternal cases, the infant mortality review process will require one (1) full-time Nurse III at an average salary of $45,300 and one clerical Office Assistant III at an average salary of $25,520. $35,137 total in fringe benefits are calculated as follows: admin fees and health insurance at $7,715 per FTE X 2 = $15,430; FICA, retirement and workers' compensation at 22.37% of personal services = $15,843. WV OPEB contribution is $161 per month x 12 = $1,932 for each insurance policy holder ($3,864). The estimated salaries for each classification are based upon comparable salaries within the Office of Maternal, Child and Family Health.
    Both positions will need a computer at approximately $750.00 each ($1,500). Meeting expenses will increase by approximately $200.00 per meeting; four meeting will average $800.00 per year. Current maternal mortality review expenses are documented at $20,900. Expansion cost for the addition of infant mortality review equals $108,257. Total cost for the Infant and Maternal Mortality Review Team will be $129,157.
    Members of this review team are to serve with no compensation and may not be reimbursed for any expenses.
    


Memorandum
Person submitting Fiscal Note:
Michael J. Lewis, M.D., Ph.D., Cabinet Secretary
Email Address:
dhhrbudgetoffice@wv.gov