FISCAL NOTE

Date Requested: January 26, 2018
Time Requested: 01:18 PM
Agency: Health and Human Resources, WV Department of
CBD Number: Version: Bill Number: Resolution Number:
2273 Introduced SB406
CBD Subject: Health


FUND(S):

8722 - CONS FEDERAL FUNDS DIV HUMAN SERVICES GEN ADMN FD

Sources of Revenue:

Other Fund 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 clarify that ground emergency medical transportation services providers are eligible for reimbursement from Medicare.
    As written, this legislation would have no fiscal impact to the Department, due to flaws in the bill. §9-5-26 references Medicare and Medicaid reimbursement. Medicare is a federal program for which the state has no authority or plan, unlike the Medicaid program which is administered by states. Although Medicare rates are considered for the calculation of the upper payment limit, the state has no authority over Medicare reimbursement or beneficiaries.
    



Fiscal Note Detail


Effect of Proposal Fiscal Year
2018
Increase/Decrease
(use"-")
2019
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


    The certified match method indicated in §9-5-26 (b) (1)-(3) only applies to governmental entities. §9-5-26 (g) (4) (A)-(C) would not be eligible for reimbursement as described as they are not governmental entities. For these entities to participate, there would need to be an identified non-federal match that flows through the state system (for example a provider tax or increase in general revenue appropriation).
    



    Person submitting Fiscal Note: Bill J. Crouch
    Email Address: Bill J. Crouch@wv.gov