| FUND(S) |
Sources of Revenue
Legislation creates:Neither Program nor Fund
Effect this measure will have on costs and revenues of state government.
| ACCESS WEST VIRGINIA
Although AccessWV is not directly named in the bill, the fact that AccessWV benefits are to be “commensurate with health insurance coverage provided through a representative number of large employers in the state“ [§33-48-8(b)] implies this becomes mandated coverage under AccessWV policies as well.
The required benefits are for individuals 3 – 18 years of age. AccessWV membership is primarily older: 55% are >50 years old. The program currently has 32 members less than age 25, the first age band. Assuming the reported prevalence of 1 in 110 children (0.09%), 3 children in the current membership might require services; estimating the maximum of $30,000 per year, the current Plan cost estimate is $90,000 per year.
Historically, the addition of a mandated service has increased the demand for that service, such that future Plan membership has a higher prevalence of autism diagnoses. AccessWV is funded by members' premiums and hospital assessments.
OFFICES OF THE INSURANCE COMMISSIONER ONLY
HB 2693 would have a nominal impact on the revenues and expenditures as they directly relate to the regulatory responsibilities of the Offices of the Insurance Commissioner.
Commercial insurers would file rates and forms incorporating the increased benefits, but the process for filing and review at the state would remain unchanged, so no fiscal impact as it relates to the operations of the Offices of the Insurance Commissioner.
|Effect of Proposal||Fiscal Year|
|1. Estmated Total Cost||0||90,000||120,000|
|Repairs and Alterations||0||0||0|
|2. Estimated Total Revenues||0||0||0|
3. Explanation of above estimates (including long-range effect):
The estimated costs provided are for AccessWV only.
FY 2012 - Assumption is 3 of the current membership may require the services.
3 * $30,000 = $90,000
Full Implementation - it is reasonable to expect the addition of a mandated benefit leads to increased demand for that service. Future years estimate is for 4 members - 4 * $30,000 = $120,000.