Date Requested:February 28, 2013
Time Requested:03:41 PM
Agency: Health and Human Resources, Department of
CBD Number: Version: Bill Number: Resolution Number:
2013R1395 Introduced SB22
CBD Subject: MATERNITY AND CONTRACEPTIVE INSURANCE
FUND(S)
0407 - Central Office General Administrative Fund, 5125 - Family Planning - State Funds Fund, 8750 - Fed Block Grants Maternal/Child Health Prog Fund, 8802 - Public Health-Federal Fund
Sources of Revenue
General Fund,Special 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 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. Under current law, health insurers are not required to cover maternity services for dependents.
    Passage of Committee Substitute for Senate Bill 22 would potentially reduce Office of Maternal, Child and Family Health (OMCFH) expenditures for maternity care by $77,888.
    These estimates of reduction in expenditures would come from General Revenue, Special Revenue, and Federal Revenue.
    

Fiscal Note Detail
Over-all effect
Effect of Proposal Fiscal Year
2013
Increase/Decrease
(use"-")
2014
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 -77,888 -77,888
Personal Services 0 0 0
Current Expenses 0 -77,888 -77,888
Repairs and Alterations 0 0 0
Assets 0 0 0
Other 0 0 0
2. Estimated Total Revenues 0 0 0
3. Explanation of above estimates (including long-range effect):
    Estimated expenditure reductions for the Maternity Services Project are based on 2012 expenditures. The Committee Substitute for Senate Bill 22 generally requires health insurance coverage of maternity services for all individuals participating in or receiving coverage under a policyholder's health insurance plan if those services are covered under the policy. Senate Bill 22, as modified by Committee Substitute, may reduce expenditures for maternity services for the Office of Maternal, Child and Family Health. Through the Maternity Services project, OMCFH provides limited funding of prenatal, delivery, postpartum and routine newborn hospital care for low income, medically indigent pregnant women who are determined to be ineligible for Medicaid, have no insurance to cover obstetrical care and have a monthly income below 185% of the federal poverty level. In 2012, the Maternity Services Project covered maternity/postpartum care for 397 women, at a cost of $490,820 ($1,236.32 per client). The Maternity Services population consists of approximately 63 teens who could potentially be dependents covered under a policyholder’s health insurance plan if those services are covered under this policy; this would be an estimated saving of $77,888.
    


Memorandum
Person submitting Fiscal Note:
Rocco S. Fucillo
Email Address:
dhhrbudgetoffice@wv.gov