Relating to authorizing the Office of Inspector General to promulgate a legislative rule relating to assisted living residences.

House Bill 4226 authorizes West Virginia's Office of Inspector General to issue a rule (71 CSR 21) governing assisted living residences. The bill amends the rule to clarify that a "serious injury" requires medical care beyond routine first aid (e.g., fractures, burns, or limited mobility), replaces "volunteer" with "uncompensated direct access personnel" (as defined in state law), and adds new guidelines for resident use of videoconferencing equipment. These guidelines require residents to notify facilities, follow privacy policies, and avoid uninterrupted video feeds or hidden cameras. The changes directly affect assisted living facilities and their residents by setting clear standards for injury reporting, staffing terminology, and technology use.