FISCAL NOTE

Date Requested: March 09, 2017
Time Requested: 11:06 AM
Agency: Public Employees Insurance Agency (PEIA)
CBD Number: Version: Bill Number: Resolution Number:
2898 Introduced SB526
CBD Subject: Insurance


FUND(S):

2180

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 mandatory insurance coverage for medically necessary foods in the treatment of inherited enzymatic disorders. This fiscal note will increase costs for the PEIA plan as this aspect of the treatment is currently not a covered benefit. A review of PEIA’s claims information over the past three and one half years indicates 54 members with the conditions listed in §5-16-7b (a) of this bill. Research indicates the average cost of medically necessary formula is $225 a month. By applying this average monthly cost to the current population of members with the applicable conditions, PEIA estimates it will assume additional costs of $145,800 in fiscal year 2018 and $154,548 in FY 2019 using an assumed trend of 6%.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2017
Increase/Decrease
(use"-")
2018
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 145,800 0
Personal Services 0 0 0
Current Expenses 0 145,800 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: jason haught
    Email Address: jason.a.haught@wv.gov