FISCAL NOTE
Date Requested: February 19, 2025
Time Requested: 01:37 PM |
| Agency: |
Public Employees Insurance Agency (PEIA) |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 2932 |
Introduced |
SB430 |
|
|---|
| CBD Subject: |
Insurance |
|---|
|
FUND(S):
PEIA Basic Insurance
Sources of Revenue:
Special Fund
Legislation creates:
Increases Existing Expenses
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to require insurance providers to provide diagnostic and supplemental breast examinations without cost sharing. PEIA currently provides screening mammograms every one to two years for women over 40 at no cost. When billed with a medical diagnosis applicable coinsurance and deductible apply. This bill will require no cost sharing for these services. This will increase PEIA costs. Assuming a 15% increase in utilization due to no cost sharing, PEIA would see an increase of $160,000 in claim costs.
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 |
160,000 |
160,000 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
160,000 |
160,000 |
| 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 a 15% increase in utilization due to no cost sharing, PEIA would see an increase of $160,000 in claim costs.
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