FISCAL NOTE

Date Requested: February 12, 2025
Time Requested: 09:21 PM
Agency: Public Employees Insurance Agency (PEIA)
CBD Number: Version: Bill Number: Resolution Number:
1372 Introduced SB30
CBD Subject:


FUND(S):

PEIA Basic Insurance

Sources of Revenue:

Special Fund

Legislation creates:

Creates New Expense



Fiscal Note Summary


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


The purpose of this bill is to require coverage for newly born children up to the age of 19 for medically necessary congenital anomalies of cleft lip and palate. PEIA will see an increase in costs as it doesn’t currently cover orthodontic or dental services. These benefits are currently available under dental insurance. Assuming 95% of cleft lip and palate cases require orthodontic treatment, PEIA estimates an increased cost of $245,000.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2025
Increase/Decrease
(use"-")
2026
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 245,000 245,000
Personal Services 0 0 0
Current Expenses 0 245,000 245,000
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):


Assuming 95% of cleft lip and palate cases require orthodontic treatment, PEIA estimates an increased cost of $245,000.



Memorandum


Please identify any areas of vagueness, technical defects, reasons a bill would not have a fiscal impact, and/or any special issues not captured elsewhere on this form.



    Person submitting Fiscal Note: Jason Haught
    Email Address: jason.a.haught@wv.gov