Date Requested:February 03, 2012
Time Requested:01:32 PM
Agency: Pharmacy, West Virginia Board of
CBD Number: Version: Bill Number: Resolution Number:
2012R1789 Introduced HB4336
CBD Subject: SUBSTANCE ABUSE
FUND(S)
Sources of Revenue
Other Fund Ch 30 Board Fees
Legislation creates:
Neither Program nor Fund

Fiscal Note Summary

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

    For the changes to the Controlled Substances Monitoring Program, we don't really know. We are a small Board with 5 FTE office positions and two to four part time positions for seasonal and other clerk duties. All of our other positions are in the field (full time investigator and per diem inspectors). We have never had an "advisory committee" (this one to have at least 10 members as outlined in the bill) to fund or staff. We really don't know what to expect of a "Review Committee" (this one to have at least 5 members as outlined in the bill) and its needs. Travel expenses will cause an estimated $20,000 per year the committees to pay for mileage, meals, and hotel costs for four to six meetings per year for the two committees each. We will have to hire someone to staff the committees, and do their work, as well as assist with the CSMP. We will likely have to upgrade the salary range on our CSMP administrator position which is capped at about $35,000 per year in salary to get a more policy-level employee to run the CSMP. We will have to pay travel costs of the committee members to attend meetings. In addition, it requires the Board to discern "unusual" patient activities and communicate with the prescribers. This will require staffing and office resources that are virtually unknown for us as we've not done anything like this before. Other states that do this have staff for this as well. What will actually need to be done to implement these things, and the costs for them, are an unknown at this point, and will be a guess or very rough estimate at best.
    
    The changes to the CSMP design are planned and will cost approximately $250,000.00 to run the types of reports we anticipate the Advisory Committee and Review Committee may want. They will likely come in with a myriad of suggestions and requests which will likely have fiscal impacts to the current proposed changes, as well as seeking modifications year-by-year as things progress and change.
    
    For the PSE (pseudoephedrine) reporting, the changes will permit us to use a free system offered by the manufacturers through the National Associati0n of Drug Diversion Investigators. Our current license for PSE tracking software is paid for through 2015, so we will not receive any benefit until after that for licensing fees. However, we have been paying betweem approximately $7,000 and $25,000 for annual maintenance and special requests on that database, which we will save. Any staff hired for the CSMP above would also work on PSE reporting issues.

Fiscal Note Detail
Over-all effect
Effect of Proposal Fiscal Year
2012
Increase/Decrease
(use"-")
2013
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 300,000 95,000 110,000
Personal Services 40,000 80,000 80,000
Current Expenses 0 -25,000 0
Repairs and Alterations 250,000 20,000 10,000
Assets 0 0 0
Other 10,000 20,000 20,000
2. Estimated Total Revenues 0 0 0
3. Explanation of above estimates (including long-range effect):
    The Board has one single unified budget. We've never broken-out separately in a budget the CSMP or PSE reporting from our other programs given that we are such a small office and we have cross coverage of staffing and share duties in the office. However, we have typically dedicated one person to the CSMP and PSE reporting databases. We recently upgraded the title from CSMP Clerk to CSMP Administrator and raised the base salary from approximately $25,000 to the range of $30,000 to $35,000 and hired a new administrator. However, before she started, she took a better paying job with another agency. Given that the responsibilities are going to be much greater, more similar to the way things are done in other states with larger staff to be proactive with their Prescription monitoring Programs, we anticipate that the CSMP Administrator position entry-level salary will have to be raised to a policy-making level salary on par with PMP Administrators in other states This will likely have to increase to 2.0 FTE's or more.


Memorandum
Person submitting Fiscal Note:
David E. Potters
Email Address:
david.e.potters@wv.gov
    Except for the rough estimate of costs to upgrade the CSMP at approximately $250,000.00, and the savings from the free real-time PSE database that will be provided by NADDI, this is all a very rough guess as to future cost increases and staffing increases.