Budget & Taxes

HB 4981 designates psychiatric hospitals treating exclusively civil and forensic patients (over 95% court-ordered civil/forensic cases from state custody) as "state-designated facilities" for Medicaid funding purposes. This change allows these specific hospitals to qualify for Medicaid reimbursement under federal rules, rather than being excluded as "state-designated" under current tax code. The bill amends tax provisions to ensure revenue collected from eligible hospitals (via a 0.75% tax on gross receipts) flows directly into a Medicaid funding account. It directly affects licensed psychiatric hospitals meeting the strict patient-mix criteria, enabling them to access Medicaid program funds they previously could not.

HB 4500 authorizes Berkeley County Commission to levy a special excise tax on sales of tangible personal property and services within the Berkeley County Economic Opportunity Development District. This tax would fund economic development initiatives in the designated district, directly affecting businesses operating within its boundaries and residents who purchase taxable goods or services there. The bill specifies that the district will remain active until 2054, unless terminated earlier under existing law, and aligns with similar provisions for other counties’ economic districts. The tax is limited to sales within the district’s defined boundaries and must be approved through required legislative processes.

HB 4574 creates a "Temporary Shortfall Supplement Fund" to provide emergency loans (not grants) to West Virginia counties with reserve funds below 5% of available funding. It directly affects county school boards and their financial officers, allowing loans for personnel and essential operating expenses during fiscal shortfalls. Key provisions require counties to repay funds per a set timeline, implement strict financial reporting via WVEIS, adopt the State Auditor’s fiscal system within 45 days, and face penalties for "maladministration" (e.g., failing to maintain reserves or submitting inaccurate financial data), including potential job bans for responsible employees in public education finance roles for two years.