HB 4413 West Virginia House of Delegates · 2026 Regular Session

Making syringe exchange service programs unlawful

HB 4413 bans syringe exchange programs in West Virginia by making them unlawful under new law, requiring all existing programs to cease operations by the effective date. It allows harm reduction services (like overdose prevention education, naloxone distribution, and referrals to treatment) to continue without needle exchanges during a 120-day transition period for patient care. Operators who continue syringe exchanges after the effective date face daily civil penalties of up to $2,500, and the state health office can seek court orders to enforce the ban. The bill specifically prohibits offering sterile needles without a prescription, while permitting other health services that don’t involve syringe exchanges.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 16, 2026 Last action Feb 12, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
7
Key actions
0
Committee
4
Feb 12, 2026
Committee
To House Health and Human Resources
lower
Feb 4, 2026
Committee
To House Public Health
lower
Jan 16, 2026
Committee
To House Health and Human Resources
lower
Jan 16, 2026
Introduced
Introduced in House
lower
Jan 16, 2026
Committee
To Health and Human Resources then Judiciary
lower
1 primary · 1 co-sponsor

Sponsors