SB 68 creates the "Voluntary Portable Benefit Account Act" in West Virginia, allowing independent contractors to open personal accounts to fund benefits like health insurance, retirement, or life insurance. Businesses hiring independent contractors (called "hiring parties") may voluntarily contribute to these accounts, but only with the contractor’s explicit written agreement and opt-in consent. The bill explicitly prohibits using these contributions to determine a worker’s employment classification as an independent contractor. It defines key terms and ensures contributions cannot be used as a factor in worker classification decisions.
HB 4815 allows West Virginia community health centers designated as political subdivisions to offer recruitment and retention bonuses to staff. These centers, which primarily serve rural and underserved communities and rely on federal grants or third-party funding for most operations, may use non-state funds (like federal grants) for such bonuses. The bill requires all bonuses to comply with federal rules and prohibits the use of state-appropriated funds. It does not create new funding but clarifies how existing non-state resources can be used to address staffing challenges.
SB 453 would allow West Virginia residents to deduct qualified medical expenses from their state income tax. It directly affects taxpayers who pay state income tax and incur medical costs, including premiums, medicine, provider visits, mileage to appointments, and copays. The bill establishes these expenses as deductible items under the state's personal income tax code, reducing taxable income. The Tax Commissioner would have authority to create implementing rules for the deduction.
West Virginia's SB 509 prohibits medical providers from performing pelvic, prostate, rectal, or breast exams on patients who are anesthetized or unconscious, except under four specific circumstances: (1) prior written consent from the patient or their representative, (2) if the exam is part of an ordered surgical procedure with consent, (3) during a medical emergency requiring immediate diagnosis/treatment, or (4) per a court order for evidence collection. The law directly affects healthcare facilities and medical practitioners in West Virginia by establishing clear boundaries for such examinations. Violations are classified as second-degree sexual assault, with penalties including license suspension for at least five years and fines of $1,000-$10,000 deposited into a rape services foundation. The bill takes effect upon passage.
Senate Bill 42 (SB 42) allows licensed pharmacists in West Virginia to sell ivermectin for human use without a prescription. It requires pharmacists to provide the FDA-approved patient information sheet at the time of sale and eliminates the need for consultation. The bill protects pharmacists from liability in civil, criminal, or disciplinary actions if they follow the law in good faith, and also shields healthcare providers from disciplinary action for recommending ivermectin within their scope of practice. This directly affects pharmacists (who gain new dispensing authority) and patients (who can purchase ivermectin without a prescription). The law does not change ivermectin's FDA-approved uses or medical guidelines.
HB 4589 clarifies that time limits for filing occupational pneumoconiosis claims do not restrict when workers can seek medical evaluations from the Occupational Pneumoconiosis Board. It directly affects coal miners and others diagnosed with pneumoconiosis (like black lung disease) who need to obtain board evaluations to pursue compensation. The bill explicitly states that standard claim filing deadlines (three years for diagnosis or exposure) do not apply to the evaluation process itself. This ensures claimants can access necessary medical assessments without being barred by the usual time limits for submitting formal claims.
HB 4336 sets new operational standards for medication-assisted treatment (MAT) programs in West Virginia. It requires all MAT programs to have a licensed medical director who meets specific training and practice requirements, and mandates qualified counseling staff with defined certifications (e.g., licensed psychiatrists, certified addiction counselors). Programs must follow new billing rules, including obtaining written insurance denial before charging patients directly for treatment, and must document patient insurance status. These requirements apply to all MAT programs seeking state licensing or Medicaid enrollment.
HB 4627 requires health insurance plans and self-insured employer health plans in West Virginia to cover preventive cancer screenings for professional firefighters without cost-sharing (such as copays or deductibles), except in high-deductible health plans where standard deductibles apply. The bill applies to all firefighters employed by state, county, or municipal entities and mandates coverage based on the International Association of Fire Fighters' current screening guidelines. This ensures firefighters can access regular cancer screenings at no additional cost, promoting early detection and health monitoring for this occupational group.
SB 72 requires medical professionals who administer vaccines to report all injuries and side effects directly to West Virginia's Bureau for Public Health. It also mandates that these professionals receive annual educational materials about vaccine side effects and complete formal training every five years. The bill requires the Bureau to create a public reporting mechanism for individuals (including parents) to submit adverse vaccine reactions and to produce an annual report for the West Virginia Legislature. These changes aim to improve tracking of vaccine safety data and public transparency.
SB 434 creates the PEIA Stability and Sustainability Act of 2026 to stabilize West Virginia's Public Employees Insurance Agency (PEIA), which covers over 200,000 state employees, teachers, public workers, and retirees. It establishes a PEIA Stabilization Reserve Fund funded by 2% of the state's General Revenue each year, sets employer contributions at 82% (minimum 80%) and employee contributions at 18%, and protects retirees by capping premiums at $100/month for those with under $40,000 annual pension income or covering full Medicare Advantage premiums. The bill mandates public transparency for rate changes (with 30-day notice and actuarial justification), creates an independent oversight board with employee and retiree representation, and requires annual accountability reports. These provisions aim to prevent premium spikes, ensure long-term solvency, and maintain affordable coverage for beneficiaries.
