Sources of Revenue:

Special Fund

Legislation creates:

Neither Program nor Fund

Fiscal Note Summary

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

The purpose of this bill is to provide the maximum amount for air-ambulance services which may be collected pursuant to the plans of the West Virginia Public Employees Insurance Agency. Passage of this bill would extend allowable benefit coverage to any air-ambulance provider for which the reimbursement amount in total can’t exceed the amount then in effect for the Federal Medicare program. Passage of this bill would require the Public Employees Insurance Agency (PEIA) to change benefit reimbursement levels from Medicare Urban rate to Medicare Rural rate. This change will result in a reimbursement rate increase of fifty per cent. It should be noted that this is a consumer protection bill to stop vendors from excessive balance billing to the citizens of West Virginia. Projected cost increase for implementation of this bill is estimated to be $2,748,152.00 for the next three fiscal years. CLAIM UNITS RURAL TO MEDICARE MEDICARE MEDICARE MEDICARE MILES URBAN URBAN RURAL URBAN RURAL 11.00 1.5 2,681.47 4,022.21 29,496.22 44,244.34 296.00 1.5 3,117.62 4,676.43 922,814.76 1,384,222.14 3,155 1.5 8.32 12.48 26,249.60 39,374.40 30,702 1.5 22.21 33.32 681,891.42 1,022,837.13 34,361 1,660,452.01 2,490,678.01 Projected Cost FY-2013 830,226.00 Trend Factor 5% FY-2014 $871,737.30 FY-2015 $915,324.17 FY-2016 $961,090.38 Total Cost $2,748,151.85

Fiscal Note Detail

Effect of Proposal	Fiscal Year
Effect of Proposal	2013 Increase/Decrease (use"-")	2014 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