FISCAL NOTE



FUND(S):

5084 - MEDICAL SERVICES PROGRAM FUND

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 include pharmacy benefits manager within the definition of third party administrator; to impose reasonable restrictions on audits conducted by pharmacy benefits managers, including an internal appeal process; and to require pharmacy benefits managers to provide notice to purchasers, pharmacies, and pharmacists' information relating to maximum allowable costs. As written, the Department of Health and Human Resources (DHHR) does not estimate any fiscal impact from the proposed legislation. Please see note in the memorandum section.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2014
Increase/Decrease
(use"-")
2015
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


Although there is no anticipated cost to the Department from the proposed legislation, if the legislation is passed there may be modifications required to the existing Medicaid Managed Care Organization (MCO) contracts to incorporate the provisions in this legislation by reference.



    Person submitting Fiscal Note: Karen L. Bowling
    Email Address: dhhrbudgetoffice@wv.gov