SB 169 West Virginia Senate · 2025 Regular Session

Increasing Medicaid personal needs allowance

SB 169 increases West Virginia's Medicaid personal needs allowance to $150 per month for nursing home residents, effective July 1, 2026. This allowance allows residents to keep money for personal items like clothing, dentures, cosmetics, and small gifts. The bill defines "personal needs allowance" as the portion of a resident's personal income they can spend on non-medical daily needs. It directly affects Medicaid-funded nursing home residents by providing greater financial flexibility for personal expenses.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 12, 2025 Last action Feb 26, 2025
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What changed between versions

Introduced Version Committee Substitute · 4 edits
MODERATE
The bill was amended from a technical correlation of Medicaid personal needs allowance to the state poverty index into a direct increase of the allowance to $150 per month, effective July 1, 2026. This change simplifies the policy by establishing a fixed dollar amount rather than a formulaic adjustment, providing clearer financial support for elderly Medicaid nursing home residents.
Scope change
The bill's scope shifted from a formula-based correlation to a fixed monetary increase, though the target population (elderly Medicaid nursing home residents) remains unchanged.
FISCAL

Changed from correlating allowance to state poverty index to a fixed increase of $150 per month

DEFINITION

Added a new definition clarifying that personal needs allowance includes cosmetic services, clothing, flowers, plants, and gifts

TIMELINE

Established effective date of July 1, 2026 for the new allowance amount

REQUIREMENT

Removed requirement to tie allowance to state poverty index and replaced with direct legislative increase

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
6
Key actions
1
Committee
4
Feb 26, 2025
Committee
To Finance
upper
Feb 26, 2025
Upper · Passed
Committee substitute reported, but first to Finance
upper
Feb 12, 2025
Committee
To Health and Human Resources
upper
Feb 12, 2025
Introduced
Introduced in Senate
upper
Feb 12, 2025
Committee
To Health and Human Resources then Finance
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Laura Chapman
Laura Chapman
RRepublican
WV
1