HB 4740 West Virginia House of Delegates · 2026 Regular Session

Statutory Commitments in Rural Health Transformation Program

This bill exempts the West Virginia Department of Health from certain state purchasing restrictions when implementing the federal Rural Health Transformation Program. The legislation allows the state to use federal funds more flexibly to meet the program's strict requirements for rapid deployment and specific use of money in rural healthcare areas. By overriding existing state purchasing laws, the bill ensures the Department of Health can comply with federal guidelines from the Centers for Medicare and Medicaid Services without administrative delays. This change directly affects the state's ability to manage federal grants aimed at improving healthcare infrastructure and services in rural communities.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House of Delegates Passage
Feb 2026
Senate Passage
Feb 2026
Signed into Law
Jun 2026
Introduced Jan 22, 2026 Signed Jun 29, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

Committee Substitute Engrossed Committee Substitute · 3 edits · Feb 19, 2026
MINOR
The bill's title page and version history were updated to reflect its current status as an 'Engrossed Committee Substitute' rather than a 'Committee Substitute.' Additionally, a parenthetical note regarding the executive's request was changed from square brackets to parentheses, while a substantive explanatory note about the bill's purpose was removed from the text.
Scope change
The bill's substantive scope, applicability, funding rules, and legal requirements remain unchanged; the modifications are limited to version tracking and formatting.
TECHNICAL

The version label was updated to 'Engrossed Version' to reflect the bill's current legislative stage.

A parenthetical note indicating the bill was introduced by request of the executive was formatted with parentheses instead of brackets.

A detailed explanatory note describing the bill's purpose and its relationship to federal commitments was deleted from the text.

Floor votes · Senate Feb 19, 2026 · House of Delegates Feb 3, 2026

How they voted

320
Passed · 1 other
Total votes 33
Feb 19, 2026
D Democratic2
2 Yea
100% Yea
R Republican31
30 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
35
Key actions
7
Committee
5
Mar 2, 2026
Signed into law
Approved by Governor 2/27/2026 - Senate Journal
upper
Feb 27, 2026
Signed into law
Approved by Governor 2/27/2026 - House Journal
lower
Feb 27, 2026
Signed into law
Approved by Governor 2/27/2026
lower
Feb 19, 2026
Upper · Passed
Passed Senate (Roll No. 157)
upper
Feb 16, 2026
Upper · Passed
Reported do pass
upper
Feb 4, 2026
Committee
To Government Organization
upper
Feb 4, 2026
Introduced
Introduced in Senate
upper
Feb 3, 2026
Lower · Passed
Passed House (Roll No. 40 )
lower
Jan 29, 2026
Lower · Passed
By substitute, do pass
lower
Jan 22, 2026
Committee
To House Health and Human Resources
lower
Jan 22, 2026
Introduced
Introduced in House
lower
Jan 22, 2026
Committee
To Health and Human Resources
lower
1 primary · 1 co-sponsor

Sponsors