FISCAL NOTE
FUND(S):
7152
Sources of Revenue:
Special Fund
Legislation creates:
Neither Program nor Fund
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
SB 16 has no fiscal impact to the Offices of the Insurance Commissioner's operations, revenues or expenditures.
Fiscal Note Detail
| Effect of Proposal |
Fiscal Year |
2014
Increase/Decrease
(use"-") |
2015
Increase/Decrease
(use"-") |
Fiscal Year
(Upon Full
Implementation) |
| 1. Estmated Total Cost |
0 |
0 |
0 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
0 |
0 |
| 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):
Memorandum
Senate Bill 16, which generally requires health insurance coverage of hearing aids for minors in certain circumstances, does not have a fiscal impact to the Offices of the Insurance Commissioner (OIC).
There is no fiscal impact to the OIC because SB 16 contains exceptions for required coverage to the extent that the required benefits exceed the essential health benefits (EHB) specified under the Patient Protection and Affordable Care Act (PPACA).
PPACA 1311(d)(3) provides that a state must defray the cost by direct payments to enrollees or to the plan of any state mandated benefit in excess of the essential health benefits (EHB). As the mandated benefit in SB16 is only effective to the extent it does not exceed EHB, there is no additional cost to the State.
However, there may be some fiscal impact to the Public Employees Insurance Agency (PEIA) and that agency should be consulted directly in that regard.
Person submitting Fiscal Note: Melinda Kiss
Email Address: Melinda.Kiss@wvinsurance.gov