FISCAL NOTE

Date Requested: January 20, 2023
Time Requested: 03:12 PM
Agency: Bureau for Medical Services
CBD Number: Version: Bill Number: Resolution Number:
2726 Comm. Sub. SB269
CBD Subject: Human Services


FUND(S):

0403 - Div of Human Services General Administration Fund, 8722 - Cons Federal Funds Div Human Services Gen Admn Fd

Sources of Revenue:

Other Fund General and Federal

Legislation creates:





Fiscal Note Summary


Effect this measure will have on costs and revenues of state government.


The purpose of this bill is to increase the coverage limit and to require the Department of Health and Human Resource to require its Medicaid managed care organizations to provide education to Medicaid enrollees regarding the availability of benefits provided in this section beginning on July 1, 2024, and to require reporting. The cost to increase the dental benefit in FY2024 from $1,000 per member per year to $2,000 is estimated at $49,861,000; this amount is comprised of $12,425,361 in state dollars and $37,435,639 in federal dollars. Until a survey of dental rates across the United States can be conducted, it is not possible to estimate the cost upon implementation. For purposes of this fiscal note, it is assumed the amount would remain at $2,000 per member per year.



Fiscal Note Detail


Effect of Proposal Fiscal Year
2023
Increase/Decrease
(use"-")
2024
Increase/Decrease
(use"-")
Fiscal Year
(Upon Full
Implementation)
1. Estmated Total Cost 0 0 0
Personal Services 0 0 0
Current Expenses 0 49,861,000 49,861,000
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):


FY2024 costs: the $1,000 increase was applied to the total utilization numbers from FY2022. There were 49,861 members served in FY2022. The estimated increase in current expense equates to $49,861,000 (49,861 x $1,000); this amount is comprised of state ($12,425,361) and Federal ($37,435,639) dollars. Until a survey of dental rates across the United States can be conducted, it is not possible to estimate the cost upon implementation. For purposes of this fiscal note, it is assumed the amount would remain at $2,000 per member per year. Total current expenses will remain at $49,861,000.



Memorandum


Technical flaw under 9-5-12a (f) indicates the benefits will begin July 1, 2023.



    Person submitting Fiscal Note: Jeffrey H. Coben
    Email Address: dhhrsecretary@wv.gov