FISCAL NOTE



FUND(S):

2180

Sources of Revenue:

Special Fund

Legislation creates:

A New Program



Fiscal Note Summary


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


The purpose of this bill is to require insurance coverage for autism spectrum disorders. The bill also ensures any limitation to coverage does not conflict with other applicable law. The Public Employees Insurance Agency (PEIA) presently pays for the diagnosis of autism spectrum disorder. A review of the PEIA membership demographics indicates approximately 53,000 dependent children. By using the standard level of incidents for autism spectrum disorder of 1.67% for PEIA dependent children it is expected that the population requiring the coverage defined in this bill to be approximately 885. The identified dependent children would require intensive services and have high utilization rates for behavior therapy and other required benefits such as drug therapy prescribed by a treating health care provider as well as occupational, physical and speech therapy visits to name a few. It is assumed that there will be a significant number if not all that utilize this benefit when it becomes available. All costs associated with the delivery of these benefits would be an additional cost to the program. Based upon these assumptions it is projected the annual cost to the PEIA to be as follow: FY-2012 $18,224,000.00 FY-2013 $20,046,400.00 FY-2014 $22,051,040.00 Total $60,321,440.00



Fiscal Note Detail


Effect of Proposal Fiscal Year
2011
Increase/Decrease
(use"-")
2012
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):






Memorandum






    Person submitting Fiscal Note: Chip Myers
    Email Address: clifford.m.myers@wv.gov