Date Requested: February 21, 2017
Time Requested: 02:08 PM
Agency: Public Employees Insurance Agency (PEIA)
CBD Number: Version: Bill Number: Resolution Number:
2407 Introduced HB2471
CBD Subject: Insurance



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.

The purpose of this bill is to expand the age range for breast cancer screening procedures for females age 30 to 40 years old. This bill will increase costs to the PEIA plan. The bill would also require PEIA cover services not recommended by the 2015 American Cancer Society Breast Cancer Screening Guidelines. Current standards recommend an opportunity for regular cancer screening at age 40. PEIA’s current benefit provides screenings starting at age 40. PEIA has approximately 12,800 female members 30 to 40 years of age. A study by the University of North Carolina found that 29% of women in this age category had a breast cancer screening procedure. Including an increase 15% due to the access to new benefits, PEIA has assumed the new population will utilize benefits at a rate of 33% of the current eligible age group. Since this bill allows for one screening for female members between the ages of 30 to 40, members will have varying time to utilize the new benefit. This makes it difficult to assume when the utilization will occur. PEIA has assumed 20% of the eligible members will utilize the benefit annually in the first five years of their eligibility period. These assumptions will result in $44,688 of additional cost for fiscal year 2018. This is half of the full year costs as it goes into effect January 2018. The subsequent full fiscal year trended at 6% will result in an annual cost of $94,740. Eventually after all the current, newly eligible 30 to 40-year-old members have utilized the benefit over their 10 year eligibility period, the total cost is estimated to be $446,887.

Fiscal Note Detail

Effect of Proposal Fiscal Year
Fiscal Year
(Upon Full
1. Estmated Total Cost 0 44,688 94,740
Personal Services 0 0 0
Current Expenses 0 44,688 94,740
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):


    Person submitting Fiscal Note: jason haught
    Email Address: