FISCAL NOTE
Date Requested: February 26, 2025
Time Requested: 06:31 PM |
| Agency: |
Public Health, Bureau for |
|---|
| CBD Number: |
Version: |
Bill Number: |
Resolution Number: |
| 1498 |
Introduced |
SB163 |
|
|---|
| CBD Subject: |
Health |
|---|
|
FUND(S):
0425-30008 Dept of Health-OMCH-Women's and Family Health
Sources of Revenue:
General Fund
Legislation creates:
Fiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to include postpartum depression, anxiety, psychosis, and obsessive-compulsive disorders in existing public health programs.
The programs most affected by this legislation include the Right From the Start Programs (RFTS), Family Planning Programs, and Health Check programs. Activities in this bill align with current priorities and can be easily implemented using current funding streams with a small increase to support educational materials, outreach and training. Referrals will be made when appropriate through the current referrals systems already in place, such as find help, 844-Help4WV, the federal Maternal Mental Health hotline and the 988 Suicide and Crisis Lifeline.
During calendar year 2024, the WV Family Planning Program (WVFPP), which is comprised of 117 clinical services sites, provided services to more than 24,000 individuals. The WVFPP requires annual provider education. Education is offered through WVFPP trainings and through national organizations, such as the Reproductive Health National Training Center (RHNTC).
RFTS serves annually an estimated 1,200 prenatal moms and infants through one year of age. Currently all prenatal and postpartum clients are screened using evidence-based screening at recommended screening intervals. Regional Care Coordinators provide direct education to providers statewide. Registered nurses and social workers provide care coordination and screenings to enrolled clients.
HealthCheck provides education to pediatricians and primary care providers based upon the American Academy of Pediatrics screening requirements. An update would need to be made to the current periodicity schedule and materials provided on anxiety, psychosis and obsessive-compulsive disorders.
Several initiatives in the state are focused on Maternal Mental Health. The Office of Maternal & Child & Family Health (OMCFH) collaborates with the Office of Behavioral Health on Maternal Mental Health Initiatives, including serving on the Maternal Mental Health Advisory Board. Other partnerships include the WV Perinatal Partnership through work on the Alliance for Innovation on Maternal Health (AIM) Maternal Mental Health AIM Bundles. These initiatives align with identifying assessment tools, provider education and increasing community awareness of perinatal mood disorders.
The Department estimates the fiscal impact related to this legislation to be $45,000.
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 |
45,000 |
45,000 |
| Personal Services |
0 |
0 |
0 |
| Current Expenses |
0 |
45,000 |
45,000 |
| 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):
The anticipated annual increase is $45,000.
$37,500 for a subrecipient grant to support the development and implementation
________________________________________________________________________________
$22,600 for 4 regional provider trainings at $5,650 each (venue $2,500, speaker
$2,000, continuing education units $400, advertising $333.33 & travel $416.67).
$14,900 for 2 train the trainer workshop for community health workers (CHWs) at $7,450
per workshop (venue $2,500; workshop materials $1,800; speaker $2,000; continuing
education units (CEUs) - $400; advertising - $333.34; and travel - $416.66).
$7,500 to support printing of educational materials for dissemination by existing
pubic health programs.
________________________________________________________________________________
$5,000, $0.15/brochure is current cost for printing through WV Correctional
Industries.
$2,500 for travel of OMCFH staff to support regional and/or train the trainer
workshops mileage at $0.71/mile and lodging at $120/night).
Regional trainings would consist of standardized content to be made available to health care professionals at a local level to 1) support the use of assessment tools and effective care planning/management and 2) to support uniform and consistent guidance in nonclinical terms to patients. Train the trainer workshops will focus on selective training of key personnel within existing public health outreach programs to support staff and futureproof training with staff turnover. Public awareness and/or educational outreach materials will be for prenatal/postpartum clients to be disseminated through existing public health programs and/or relevant community partners to assist in the saturation of content, including an educational flyer on recognizing perinatal mood disorders in an already established OMCFH mailing that goes out weekly to all women that have given birth in that week.
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: Russell Crane
Email Address: osafiscalnotes@wv.gov