Date Requested: January 16, 2015
Time Requested: 09:30 AM
Agency: Insurance Commission
CBD Number: Version: Bill Number: Resolution Number:
1502 Introduced SB28
CBD Subject: Insurance


FUND(S):

7152

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.


    It is unknown at this time if any fiscal impact could result from the enactment of SB28.
    



Fiscal Note Detail


Effect of Proposal Fiscal Year
2015
Increase/Decrease
(use"-")
2016
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


    Senate Bill 28 requires health insurance coverage for nonnarcotic pain relief systems, driven by an elastomeric pump that automatically and continuously deliver local anesthetic by way of a catheter for targeted pain relief, or other similar device or method, when determined to be medically suitable treatment for pain.
    
    Senate Bill 28 does not contain language limiting the insurance benefits to the essential health benefits (EHB) specified under section 130(b) of the Patient Protection and Affordable Care Act (PPACA), Pub.L.No. 111-148, as amended. PPACA 1311(d)(3) provides that a state must defray the cost by direct payments to enrollees or to the plan of any state mandated benefit in excess of the EHB.
    
    The potential exists that the health insurance benefits required by SB 28 may fall within EHB. To the extent that they do not, a potential cost to the State exists.
    
    There may be fiscal impact to the Public Employees Insurance Agency (PEIA) and that agency should be consulted directly in that regard.



    Person submitting Fiscal Note: Melinda Kiss
    Email Address: Melinda.Kiss@wvinsurance.gov