FISCAL NOTE

Date Requested: January 14, 2026
Time Requested: 05:45 PM
Agency: Public Employees Insurance Agency (PEIA)
CBD Number: Version: Bill Number: Resolution Number:
1678 Introduced HB4089
CBD Subject: Health; Insurance


FUND(S):

PEIA Basic Insurance

Sources of Revenue:

Special 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 provide health insurance coverage for scalp cooling systems for the preservation of hair during cancer chemotherapy treatment. In January 2026, Medicare adopted permanent codes for scalp cooling systems. Due to PEIA’s policy to follow Medicare guidelines if there are no PEIA policies to the contrary, this bill will have no fiscal impact as it is now deemed a covered service by PEIA.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2026
Increase/Decrease
(use"-")
2027
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):


PEIA has already deemed this service a covered benefit.



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