Date Requested: January 15, 2015
Time Requested: 06:58 PM
Agency: Health and Human Resources, Department of
CBD Number: Version: Bill Number: Resolution Number:
1473 Introduced SB9
CBD Subject: Public Safety


FUND(S):

0407

Sources of Revenue:

General 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 allow police, fire and emergency service providers to possess Naloxone or other opioid antagonists to administer in suspected narcotic drug overdoses. The bill sets guidelines for administration of these antagonists, establishes training requirements, provides immunities, and outlines responsibilities. The Department of Health and Human Resources, Bureau for Public Health's Office of Emergency Medical Services (OEMS) establishes guidelines for emergency medical service training courses provided by various entities but does not currently conduct trainings.
    The proposed legislation would require OEMS staff to establish and disseminate course guidelines to training entities; monitor OEMS approved training programs; track data and information; and prepare reports under this program. The Department estimates this legislation to cost $113,626 in FY2016 and $110,926 upon full implementation.
    



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 0 113,626 110,926
Personal Services 0 106,426 106,426
Current Expenses 0 7,200 4,500
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):


    The estimated $106,426 in Personal Services for Fiscal Year 2016 and ongoing years includes one full-time Program Manager (HHR Specialist Senior) to manage the program, $44,412; one full-time Office Assistant III to provide clerical support, $25,520; and approximately $36,494 in fringes that include: administration fees ($240 per FTE x 2 FTEs = $480), health insurance ($7,836 x 2 FTEs = $15,672), social security ($69,932 x 7.65% = $5,350) retirement ($69,932 x 14% = $9,790) workers compensation ($69,932 x 1.81% = $1,266), and WV OPEB Contribution ($1,968 x 2 FTEs = $3,936).
    Current Expenses for Fiscal Year 2016, totaling $7,200, are as follows: office supplies to support the Program, $2,000; printing curriculum guidelines and reports, $3,000; postage for disseminating information to training entities, $1,000; and one time purchase of computers for Program staff, $1,200 (2 x $600).
    
    The estimated $4,500 in Current Expenses for Fiscal Year 2017 and ongoing years are for office supplies to continue supporting the Program, $2,000; printing curriculum guidelines and reports, $1,500; and postage for disseminating information to training entities, $1,000.
    
    This new program has the potential for generating revenue by increasing EMS certification fees, but any increases would require revisions to the Emergency Medical Services Act under Legislative Rule 64CSR48. For the purposes of this Fiscal Note, the Bureau is assuming that because revisions to the Emergency Medical Services Act to increase EMS certification fees are not guaranteed, implementation of this program will result in additional expenses to the State during Fiscal Year 2016 and ongoing years.
    



Memorandum


    There is no language in the proposed legislation related to fines or penalties for responders that receive training and administer an opioid antagonist but do not track usage or provide data collected to OEMS for reporting purposes; no clear definition of what the term "revived" means as it pertains to data elements to be collected and reported; and no authorization for OEMS to charge fees for approving other entities training programs or registration costs for courses it might administer in-house.
    



    Person submitting Fiscal Note: Karen L. Bowling
    Email Address: karen.l.bowling@wv.gov