West Virginia 2024 Regular Session

West Virginia House Bill HB5241

Introduced
1/26/24  
Refer
1/26/24  
Refer
2/7/24  
Engrossed
2/28/24  
Refer
2/29/24  

Caption

Requiring the West Virginia Office of the Insurance Commissioner to audit certain PEIA claims

Impact

If enacted, HB 5241 would establish a systematic review process for PTSD-related claims, providing oversight to ensure compliance with coverage standards set by the Public Employees Insurance Act. This could lead to improvements in mental health care accessibility for first responders, a group often faced with elevated levels of stress and trauma from their occupations. The annual reporting requirement to various legislative committees ensures that data regarding the claims will be regularly reviewed and made available, potentially resulting in informed policy adjustments and better allocation of resources moving forward.

Summary

House Bill 5241 aims to amend the West Virginia Public Employees Insurance Act by requiring the Insurance Commissioner to conduct annual audits of claims related to post-traumatic stress disorder (PTSD) made by first responders. The bill specifically targets insurance claims for the evaluation, diagnosis, and treatment of PTSD, and also dual diagnoses that include substance use disorders and suicidal ideation. By mandating these audits, the bill seeks to enhance transparency and ensure that relevant claims are properly accounted for and assessed, thereby improving the overall mental health support for first responders in the state.

Sentiment

The sentiment surrounding HB 5241 appears to be predominantly positive, particularly among advocacy groups for mental health and first responder organizations. The proactive approach to addressing PTSD is seen as a necessary step in acknowledging and assisting those who serve in high-stress emergency roles. However, there may also be concerns regarding the adequacy of resources and support following these audits, with stakeholders emphasizing the need for a comprehensive support structure to address any identified gaps.

Contention

The bill primarily centers around the effectiveness of auditing and reporting practices concerning PTSD claims. Although there is strong support for enhancing the focus on mental health for first responders, some opponents may argue about the potential bureaucratic complexities introduced by additional audits or express concerns regarding the implementation of findings from such reports. Ensuring that the audits lead to actionable outcomes, rather than merely being a compliance exercise, will be crucial for the bill's success and the real-world impact on mental health resources for first responders.

Companion Bills

No companion bills found.

Previously Filed As

WV HB2025

Relating to who may diagnose post-traumatic stress disorder as a compensable injury or disease under workers compensation

WV SB664

Dissolving PEIA and converting to employer-owned mutual insurance company

WV HB2534

Relating to public employees insurance

WV HB2109

Requiring the Public Employees Agency and other health insurance providers to provide mental health parity

WV SB268

Relating to PEIA

WV SB676

Requiring report on Medicaid fees and managed care provider reimbursements compared to PEIA, Medicare, and surrounding states

WV HB2073

To establish a state bank of West Virginia

WV HB3306

Relating to the organizational structure of the Office of Drug Control Policy

WV SB239

Requiring Commissioner of Bureau for Behavioral Health to engage certain providers and leaders to study homeless demographic

WV HB113

Relating to making West Virginia an agreement state with the United States Nuclear Regulatory Commission

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