FISCAL NOTE
FUND(S):
Human Serv. Gen. Adm. Fund, 8722-ConsFed. Funds Div. of Human Serv. Gen Adm. Fund, 8802-Public Health
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 is to establish an independent dispute resolution process for nursing homes.
The Department estimates that there would be 110 non-immediate and 10 immediate jeopardy level IDR requests at a cost of $73,065. Additionally, administrative costs associated with this bill are estimated to be minimal and thus absorbed within the current budget.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2011
Increase/Decrease
(use"-") |
2012
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
73,065 |
73,065 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
73,065 |
73,065 |
| Repairs and Alterations |
0 |
0 |
0 |
| Assets |
0 |
0 |
0 |
| Other |
0 |
0 |
0 |
| 2. Estimated Total Revenues |
0 |
0 |
0 |
Explanation of above estimates (including long-range effect):
Above estimates are based on data from the ASPEN Enforcement Report. It is estimated that there will be four severity levels. Level 1 - No actual harm with potential for minimal harm, Level 2 - No actual harm with a potential for more than miminal harm that is not immediate, Level 3 - Actual harm that is not immediate jeopardy, Level 4 - Immediate jeopardy to resident health or safety.
The following estimates indicate how many individual deficiencies (by severity level) are likely to be contested during an independent IDR. The rates are higher as the severity level increases.
Level 1 - 19 @ $500 = $9500; Level 2 - 75 @ $500 = $37,500; Level 3 - 13 @ $755 = $9815; and Level 4 - 13 @ $1250 = $16,250
Memorandum
Person submitting Fiscal Note: Michael J. Lewis, M.D., Ph.D., Secretary
Email Address: dhhrbudgetoffice@wv.gov