Increasing and maintaining the bracketed tax rates on the privilege of establishing or operating a health maintenance organization
HB 2473 increases annual taxes on health insurance companies (known as "certified HMOs") operating in West Virginia, based on their Medicaid and non-Medicaid member enrollment. The bill sets tiered tax rates per member month - higher for Medicaid plans with more members and lower for non-Medicaid plans - with rates increasing annually based on changes in West Virginia’s Medicaid funding rates. Starting July 1, 2025, tax rates for Medicaid plans will rise significantly (e.g., $78.75 per Medicaid member month under 250,000), and future rates will be adjusted to maintain the maximum federal limit allowed under federal law (42 C.F.R. § 433.68). This directly affects all HMOs holding a certificate of authority to operate in the state under West Virginia law.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House of Delegates Passage
Mar 2025
Senate Passage
Governor
Introduced Feb 17, 2025
Last action Mar 13, 2025
Maddy AI version diff · 3 comparisons
What changed between versions
Committee Substitute
→
Committee Substitute for the Committee Substitute
·
2 edits
MINOR
The bill version number was updated from 'Committee Substitute (2)' to 'Committee Substitute (1)', and the helpful link reference was changed from 'hb2473 sub1' to 'hb2473 sub2'. These are technical tracking changes that reflect the bill's progression through committee review stages.
TECHNICAL
Bill version identifier updated from Committee Substitute (2) to Committee Substitute (1) to reflect current legislative status
Helpful link reference updated from hb2473 sub1 to hb2473 sub2 to match the new version number
Floor votes · House of Delegates Mar 12, 2025
How they voted
80–5
Passed · 15 other
Total votes 100
Mar 12, 2025
D
Democratic9
88% Yea
R
Republican91
79% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
16
Key actions
2
Committee
4
Mar 13, 2025
Committee
To Finance
upper
Mar 13, 2025
Introduced
Introduced in Senate
upper
Mar 12, 2025
Lower · Passed
Passed House (Roll No. 66)
lower
Mar 7, 2025
Lower · Passed
By substitute, do pass
lower
Feb 17, 2025
Committee
To House Finance
lower
Feb 17, 2025
Introduced
Introduced in House
lower
Feb 17, 2025
Committee
To Finance
lower
1 primary · 1 co-sponsor
Sponsors
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