|Date Requested:February 28, 2013
Time Requested:03:39 PM
| FUND(S) |
Sources of Revenue
Legislation creates:Neither Program nor Fund
Effect this measure will have on costs and revenues of state government.
| The purpose of this bill is to require health insurers to cover maternity services for all individuals who are participating in or receiving coverage under a policyholder’s health insurance plan if those services are covered under the policy. It is not the purpose of the bill to exceed the essential health benefits specified under section 1302 (b) of the Patient Protection and Affordable Care Act. Under current West Virginia law, health insurers are not required to cover maternity services for dependents.
This fiscal note is the same as HB-2383.
The Patient Protection and Affordable Care Act (PPACA) signed into law on March 23, 2010 by the President already mandates certain preventive health services including contraception without cost sharing for Food and Drug Administration approved contraception methods. The WV Public Employees Insurance Agency (WVPEIA) must already comply with this mandate beginning July 1, 2013. The WVPEIA Finance Board in anticipation of the PPACA mandate for coverage has incorporated the projected costs into the WVPEIA five year financial forecasts.
The bill does not mandate coverage of maternity care if the care is not mandated by the Federal Health Care Reform Act (PPACA). The WVPEIA understanding is that PPACA does not mandate maternity coverage for dependent children. Therefore, WVPEIA would not have to cover maternity care for dependent children. However, should the situation arise that PPACA does require maternity coverage for dependent children WVPEIA estimates the following number of dependent children and maternity related costs.
Assumption will be made that passage of this legislation will only impact dependent children ranging to age 26. For purpose of this projection it is estimated there will be 22 births in the 16-19 age category. It is estimated there will be 602 births in the 20-26 age category. Projections utilize CDC fertility rates of 0.0046128 for the 16-19 and .10232 for the 20-26 age categories
DELIVERY COST $3,805.00
PROJECTED COST $2,540,318.58
|Effect of Proposal||Fiscal Year|
|1. Estmated Total Cost||0||0||0|
|Repairs and Alterations||0||0||0|
|2. Estimated Total Revenues||0||0||0|
3. Explanation of above estimates (including long-range effect):