Creating Medicaid state plan amendment to provide cost sharing for certain populations

SB 110 would require West Virginia's Medicaid program to implement cost-sharing fees and premiums for Medicaid recipients who use tobacco. Specifically, it mandates that individuals must acknowledge their tobacco use to qualify for coverage, with fees limited to those who sign such an acknowledgment. The bill requires the state to notify current and new Medicaid applicants about these costs, including payment amounts and consequences for non-payment. It does not change eligibility for Medicaid but adds financial obligations for tobacco users under federal Medicaid rules.