HB 5682 redirects $72 million in unused funds from previous fiscal years to support biomedical research at West Virginia medical schools. It expires $37 million from the 2023 Governor’s Civil Contingent Fund and $35 million from the 2017 fund, adding these to the General Revenue surplus for the 2026 fiscal year. The funds are specifically allocated to: $30 million for Marshall University School of Medicine, $5 million for West Virginia University Dental School, $32 million for West Virginia University School of Medicine, and $5 million for the West Virginia School of Osteopathic Medicine. This supplemental appropriation expands biomedical research capacity without creating new taxes or spending.
HB 5459 imposes an annual tax on certified health maintenance organizations (HMOs) operating in West Virginia that provide Medicaid services. It establishes tiered tax rates based on Medicaid member months (with higher rates for larger volumes) and non-Medicaid member months, adjusting annually using West Virginia's Medicaid capitation rate changes. Starting July 1, 2027, the tax shifts to a flat 2.5% of each HMO's gross premiums in the state, applying uniformly regardless of membership type. The bill exempts Medicare Advantage plans and certain government health plans as specified in federal law.
HB 4196 requires licensed medication-assisted treatment (MAT) programs in West Virginia to offer long-acting reversible contraception (LARC), such as IUDs or implants, to patients receiving methadone or suboxone for substance use treatment. This applies to all facilities providing these services under the state's licensing framework, adding it as a standard requirement to existing operational rules. The bill directly affects MAT facilities, which must now integrate LARC options into their care protocols, and patients using methadone or suboxone at these locations. It creates a concrete policy change by mandating access to these contraceptive methods without requiring additional patient steps.
HB 4982 reestablishes West Virginia's statewide Healthy Lifestyles program, creating the Office of Healthy Lifestyles within the Department of Health. It directly affects all West Virginia residents, particularly Medicaid members with nutrition-related chronic diseases (like obesity or diabetes), by expanding access to "Food Is Medicine" services such as nutrition counseling, medically tailored meals, and grocery provisions. Key provisions include requiring the Bureau for Medical Services to design nutrition-based interventions to reduce healthcare costs, establishing a Healthy Lifestyle Coalition with 13 members to coordinate state and community efforts, and mandating physical fitness initiatives in schools. The bill also repeals previous program sections and adds new rules to promote nutritious food access and prevent diet-related diseases.
This bill (SB 831) reallocates $200,000 within an existing budget line for West Virginia's Department of Human Services Community Mental Health Services (Fund 8794). It decreases funding from the "Federal Coronavirus Pandemic" account and increases funding for "Personal Services and Employee Benefits" to cover staffing costs. The bill does not create new programs or change eligibility for services - it simply shifts existing federal funds between two internal budget categories. This adjustment affects how the Department of Human Services allocates resources for mental health services within its current fiscal year budget.
SB 828 is a procedural bill that allocates unspent funds from the Department of Human Services' Medicaid State Share Fund (Fund 5090) for fiscal year 2026. It directs $174,483,090 already designated for "Medical Services" to cover ongoing Medicaid provider payments, using money remaining unappropriated after the fiscal year began. This bill does not create new policy or change eligibility - it simply ensures existing unspent Medicaid funds are used for medical services as intended. It directly affects Medicaid providers in West Virginia by securing payment for covered services.
SB 742 modifies West Virginia's involuntary hospitalization process by allowing an authorized hospital physician to place a person under a 72-hour hold without first contacting specific officials (like mental hygiene commissioners). It removes the previous 24-hour deadline for filing a formal petition to extend the hold, instead requiring this petition to be filed within 72 hours. The bill also ensures hospitals and physicians are paid standard rates for these services and are protected from liability when acting in good faith. This directly affects individuals facing involuntary hospitalization for mental illness or addiction and the healthcare providers managing their care.
West Virginia Senate Bill 645 prohibits non-network ambulance services from charging patients extra fees beyond standard insurance cost-sharing. It requires insurers to pay non-participating ambulance providers directly at 400% of the Medicare rate (or the provider’s billed amount, whichever is lower) within 30 days of a clean claim. Patients cannot be billed for amounts beyond their standard copayments, coinsurance, or deductibles, and insurers must provide written denial notices with specific reasons. This applies to ground ambulance services covered under health insurance policies issued on or after January 1, 2027.
HB 5074 changes how revenue from West Virginia's medical cannabis program is allocated. For fiscal year 2026, it directs $3 million to the Supreme Court for a child protection pilot, $10 million each to West Virginia University and Marshall University for ibogaine research, and $5 million to homelessness services, with remaining funds reverting to general revenue. Starting July 1, 2026, annual allocations will be: 15% to the Medical Cannabis Bureau for administration, 15% to the Department of Agriculture for cannabis testing, and 45% split among the Fight Substance Abuse Fund (20%), university research (10% each to Marshall and WVU), a Child Protection Commission (10%), and law enforcement training programs (40%). These changes apply to ongoing revenue from medical cannabis taxes, not new taxes or fees.
