Relating to authorizing the Office of Inspector General to promulgate a legislative rule relating to nursing home licensure.

HB 4224 authorizes West Virginia's Office of Inspector General to implement a specific legislative rule (71 CSR 15) governing nursing home licensure. This rule, originally filed in July 2025 and revised after addressing legislative committee feedback in December 2025, sets standards for nursing home licensing requirements. The bill formally approves this rule, ensuring it becomes effective without further legislative action. It directly affects nursing homes in West Virginia by establishing the regulatory framework they must follow to maintain licensure.