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HB 5168 establishes two new funds to increase emergency medical services (EMS) funding across West Virginia. The County Emergency Medical Services Fund supports counties with dedicated EMS taxes or fees, while the All County Emergency Medical Services Fund provides uniform support to all counties. The bill transfers $6 million annually from the state lottery fund to the renamed EMS Salary Enhancement, Crisis Response, and Mental Health Treatment Fund (for worker salaries and crisis services) and $3 million each to the two new funds. These funds must be used exclusively to boost EMS worker salaries, improve crisis response, and support mental health services to help retain staff.
HB 4025 exempts new hires and promoted employees in West Virginia's Departments of Health Facilities, Human Services, and Health from the classified civil service system and state grievance procedures starting July 1, 2026. Current employees in these departments retain their existing civil service protections and grievance access. The bill grants department secretaries more flexibility in hiring, promotions, and compensation while maintaining prohibitions against nepotism, discrimination, and unethical practices. This change applies only to employees entering or moving within these departments after the effective date, not to current staff or governor-appointed positions.