Prohibiting expanding drug and alcohol treatment facilities and services in certain counties

HB 5184 would prohibit adding new licensed substance abuse treatment beds in any West Virginia county that already has more than 250 such beds. This directly affects counties meeting that bed threshold by restricting the expansion of drug and alcohol treatment facilities. The bill amends existing law to specifically bar new bed additions in these high-capacity counties, while exempting certain approved clinical trials for opioid treatment programs. It does not change rules for counties with fewer than 250 beds or affect existing facilities. The change creates a clear threshold limiting new treatment capacity in areas already serving high demand.