Supplement: WV HB4956 | 2024 | Regular Session | Public Employees Insurance Agency (PEIA)
For additional supplements on West Virginia HB4956 please see the Bill Drafting List
Bill Title: Creating the Oral Health and Cancer Rights Act
Status: 2024-03-09 - Senate requests House to concur [HB4956 Detail]
Download: West_Virginia-2024-HB4956-Public_Employees_Insurance_Agency_PEIA_.html
The purpose of this bill is to require health benefit plans to cover medically necessary procedures resulting from cancer treatment. PEIA currently covers the majority of the procedures that would arise from cancer treatments. However, PEIA does not currently cover any dental procedures that would arise from cancer treatments. Research indicates a majority of head, neck and oral cancer treatments result in a broad span of dental procedures. Utilizing existing cancer patient claim data and assumptions for the average dental claims and utilization rates, PEIA projects an increased claims expense of $305,000.
Please explain increases and decreases in personal services, current expenses, repairs and alterations, assets, other costs and revenues, including assumptions and data sources and delineation between start-up and ongoing costs. Please also include a long-range schedule of costs and revenues if fiscal impact is expected to vary in future years.
Please identify any areas of vagueness, technical defects, reasons a bill would not have a fiscal impact, and/or any special issues not captured elsewhere on this form.
Person submitting Fiscal Note: Jason Haught
Email Address: jason.a.haught@wv.gov
Bill Title: Creating the Oral Health and Cancer Rights Act
Status: 2024-03-09 - Senate requests House to concur [HB4956 Detail]
Download: West_Virginia-2024-HB4956-Public_Employees_Insurance_Agency_PEIA_.html
FISCAL NOTE
Date Requested: March 05, 2024 Time Requested: 09:33 AM |
|
FUND(S):
PEIA Basic Insurance FundSources of Revenue:
Special FundLegislation creates:
Creates New ExpenseFiscal Note Summary
Effect this measure will have on costs and revenues of state government.
The purpose of this bill is to require health benefit plans to cover medically necessary procedures resulting from cancer treatment. PEIA currently covers the majority of the procedures that would arise from cancer treatments. However, PEIA does not currently cover any dental procedures that would arise from cancer treatments. Research indicates a majority of head, neck and oral cancer treatments result in a broad span of dental procedures. Utilizing existing cancer patient claim data and assumptions for the average dental claims and utilization rates, PEIA projects an increased claims expense of $305,000.
Fiscal Note Detail
Effect of Proposal | Fiscal Year | ||
---|---|---|---|
2024 Increase/Decrease (use"-") |
2025 Increase/Decrease (use"-") |
Fiscal Year (Upon Full Implementation) | |
1. Estmated Total Cost | 0 | 0 | 305,000 |
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):
Please explain increases and decreases in personal services, current expenses, repairs and alterations, assets, other costs and revenues, including assumptions and data sources and delineation between start-up and ongoing costs. Please also include a long-range schedule of costs and revenues if fiscal impact is expected to vary in future years.
Memorandum
Please identify any areas of vagueness, technical defects, reasons a bill would not have a fiscal impact, and/or any special issues not captured elsewhere on this form.
Person submitting Fiscal Note: Jason Haught
Email Address: jason.a.haught@wv.gov