West Virginia 2024 Regular Session Status: Enacted 1 R cosponsors

SB 820 — Requiring automatic enrollment of substance abuse disorder population into managed care

Last action — Chapter 165, Acts, Regular Session, 2024

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House of Delegates
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 16, 2024. Enacted.

Prognosis

Likely to advance 74% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

1 added · 1 removed

Plain-language change summary

The recent amendment to SB 820 changes the title of the bill to clarify its focus and updates various requirements for the Department of Human Services (DHS) regarding substance abuse treatment. It now specifically emphasizes the department's responsibility to create performance measures, seek stakeholder input, and develop a quality withholding program. These changes are important because they aim to enhance the effectiveness of substance abuse services and ensure that all eligible Medicaid enrollees can seamlessly access managed care from day one.

→
Previous
Latest
SB820 SFA Weld # 2-28Dellinger  7965 Senator Weld moved to amend the amendment on page 3, section 29, line 47, after the word “enrollees” by inserting the words “who are eligible for managed care”.
SB820 SFAT Tarr # 2-28Dellinger  7965 Senator Tarr moved to amend the bill by striking out the title and substituting therefor a new title, to read as follows:Eng.
    AdoptedRejected
Com.
Sub.
for Senate Bill 820—A Bill to amend and reenact §9-5-29 of the Code of West Virginia, 1931, as amended, relating to substance abuse;
defining terms;
requiring the Department of Human Services to develop performance measures;
stating the Department of Human Services will obtain input from specified stakeholders regarding provider-level outcome measures;
to receive input establishing deadlines;
requiring reporting;
requiring the department to develop a quality withhold program;
establishing deadlines;
and requiring the department to develop a workplan for automatic day one enrollment to a managed care organization for all Medicaid enrollees who are eligible for managed care.
     AdoptedRejected
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How this bill changes current law

9 changes Share ↗

Compared against the W. Va. Code as published AI-generated reading aid — verify against the official bill.

The bill amends existing law to implement performance-based contracting for substance use disorder treatment facilities, reflecting a shift towards incentivizing positive outcomes in Medicaid programs.

  • §9-5-29

    §9-5-29. Department of Human Services to develop outcome measures for substance use disorder; develop a quality withhold program; and develop and implement plan for day one enrollment of Medicaid enrollees. → §9-5-29. Payments to substance use disorder residential treatment facilities based upon performance-based outcomes. Department of Human Services to develop outcome measures for substance use disorder; develop a quality withhold program; and develop and implement plan for day one enrollment of Medicaid enrollees.

    The title of the section is modified to emphasize payments based on performance outcomes.

  • §9-5-29(a)

    "Department" means the Department of Human Services. → "Department" means the Department of Health and Human Resources Department of Human Services.

    The definition of 'Department' has been updated to reflect a name change.

  • §9-5-29(a)

    "Managed care organizations" means a certified health maintenance organization (HMO) that provides health care services to Medicaid members pursuant to an agreement or contract with the Bureau for Medical Services. → "Managed care organizations" "MCOs" means Medicaid managed care organizations a certified health maintenance organization (HMO) that provides health care services to Medicaid members pursuant to an agreement or contract with the Bureau for Medical Services.

    The term 'Managed care organizations' is redefined to include 'MCOs' and specify that they are Medicaid managed care organizations.

  • §9-5-29(a)

    "Performance-based contracting" means structuring all aspects of the service contract around the purpose of the work to be performed and the desired results with the contract requirements set forth in clear, specific, and objective terms with measurable outcomes and linking payment for services to contractor performance. → "Performance-based contracting" means structuring all aspects of the service contract around the purpose of the work to be performed and the desired results with the contract requirements set forth in clear, specific, and objective terms with measurable outcomes and linking payment for services to contractor performance.

    This definition is reiterated with no changes.

  • §9-5-29(b)

    Within 90 days of Centers for Medicare and Medicaid Services approval, Bureau for Medical Services shall enter into contracts with the MCOs wherein, at a minimum, 15 percent of substance use disorder residential treatment contracts for facilities providing substance use disorder treatment services are paid based upon performance-based measures. → Within 90 days of Centers for Medicare and Medicaid Services approval, Bureau for Medical Services shall enter into contracts with the MCOs wherein, at a minimum, 15 percent of substance use disorder residential treatment contracts for facilities providing substance use disorder treatment services are paid based upon performance-based measures.

    This requirement for contracts with MCOs based on performance measures is expressed with no changes.

  • §9-5-29(c)

    The department, shall develop a managed care quality withhold program based upon nationally recognized measures of performance outcomes, including those related to substance use disorder in-patient care. → The department’s contracts with the MCOs shall be developed and implemented in a manner that complies with the applicable provisions of this code and are exempt from §5A-3-1 et seq. of this code.

    New language specifies that the department's contracts with MCOs are compliant and exempt from certain procurement statutes.

  • §9-5-29(c)

    The department, shall develop a managed care quality withhold program based upon nationally recognized measures of performance outcomes, including those related to substance use disorder in-patient care. → The department, shall develop a managed care quality withhold program based upon nationally recognized measures of performance outcomes, including those related to substance use disorder in-patient care.

    The requirement for a managed care quality withhold program remains unchanged.

  • §9-5-29(d)

    The department, shall plan for automatic day one enrollment to a managed care organization for all Medicaid enrollees. → The department shall plan for automatic day one enrollment to a managed care organization for all Medicaid enrollees.

    The language is streamlined to remove unnecessary punctuation, emphasizing planning for automatic enrollment.

  • §9-5-29(d)

    Substance use disorder residential treatment facilities that opt for performance-based contracting shall including the following: → Substance use disorder residential treatment facilities that opt for performance-based contracting shall including the following:

    This clause is continued without change, outlining requirements for facilities opting for performance-based contracting.

Action History

  1. Chapter 165, Acts, Regular Session, 2024

  2. Approved by Governor 3/27/24

  3. To Governor 3/14/2024

  4. Approved by Governor 3/27/24 - House Journal

  5. Approved by Governor 3/27/24 - Senate Journal

  6. To Governor 3/14/2024 - House Journal

  7. To Governor 3/14/2024 - Senate Journal

  8. House Message received

  9. Completed legislative action

  10. Communicated to Senate

  11. Passed House (Roll No. 647)

  12. Read 3rd time

  13. On 3rd reading, Special Calendar

  14. Read 2nd time

  15. On 2nd reading, Special Calendar

  16. Read 1st time

  17. On 1st reading, Special Calendar

  18. Do pass

  19. To House Health and Human Resources

  20. Introduced in House

  21. Ordered to House

  22. Tarr title amendment adopted

  23. Committee title amendment withdrawn by unanimous consent

  24. Passed Senate (Roll No. 300)

  25. Committee amendment as amended adopted (Voice vote)

  26. Weld amendment to committee amendment adopted (Voice vote)

  27. Takubo amendment to committee amendment adopted (Voice vote)

  28. Committee Amendment Reported

  29. Read 3rd time

  30. On 3rd reading with right to amend

  31. Read 2nd time

  32. Immediate consideration

  33. Reported do pass, with amendment and title amendment

  34. Referred to Finance on 2nd reading

  35. Read 1st time

  36. Immediate consideration

  37. Committee substitute reported, but first to Finance

  38. To Health and Human Resources

  39. Introduced in Senate

  40. To Health and Human Resources then Finance

  41. Filed for introduction

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 1 co-sponsors · 150 not signed on

Sponsors (1)

Co-sponsors (1)

  • Plymale

Not signed on (150)

150 members have not signed on to this bill.

Show all 150 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

PASSAGE

Passed 97 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 64002
Unaffiliated 25001
Democrat 8000
Total 97003
% of votes cast 97%0%0%3%
How each member voted (100)
Member Party Vote
Forsht — Yea
Kirby — Yea
Ross — Yea
Foster — Yea
Kump — Yea
Rowe — Yea
Linville — Yea
Longanacre — Yea
Smith — Yea
Griffith — Yea
Hamilton — Yea
Martin — Yea
Summers — Yea
Hardy — Yea
Tully — Yea
Nestor — Yea
Warner — Yea
Devault — Yea
Westfall — Yea
Phillips — Yea
Householder — Yea
Winzenreid — Yea
Espinosa — Yea
Fast — Yea
Jeffries — Yea
Steele — Not Voting
Evan Hansen Democrat Yea
Hollis Lewis Democrat Yea
Joey Garcia Democrat Yea
John Williams Democrat Yea
Kayla Young Democrat Yea
Mike Pushkin Democrat Yea
Sean Hornbuckle Democrat Yea
Shawn Fluharty Democrat Yea
Adam Burkhammer Republican Yea
Adam Vance Republican Yea
Andy Shamblin Republican Yea
Betsy Kelly Republican Yea
Bill Ridenour Republican Yea
Bob Fehrenbacher Republican Yea
Bryan Ward Republican Yea
Charles Sheedy Republican Yea
Christopher W. Toney Republican Yea
Chuck Horst Republican Yea
Clay Riley Republican Yea
D. Rolland Jennings Republican Yea
Dana Ferrell Republican Yea
Darren Thorne Republican Yea
Dave Foggin Republican Yea
David Green Republican Yea
Elias Coop-Gonzalez Republican Yea
Eric Brooks Republican Yea
Erica Moore Republican Yea
Evan Worrell Republican Yea
Gary G. Howell Republican Yea
Geno Chiarelli Republican Yea
George Miller Republican Yea
George Street Republican Yea
Henry Dillon Republican Yea
James Robert "JB" Akers II Republican Yea
Jarred Cannon Republican Yea
Jeff Campbell Republican Yea
Jeffrey Stephens Republican Yea
Jim Butler Republican Yea
Jimmy Willis Republican Yea
Joe Ellington Republican Yea
Joe Statler Republican Yea
John Paul Hott Republican Yea
Jonathan Pinson Republican Yea
Jordan Bridges Republican Not Voting
Jordan Maynor Republican Yea
Josh Holstein Republican Yea
Kathie Hess Crouse Republican Yea
Keith Marple Republican Yea
Laura Kimble Republican Yea
Lori Dittman Republican Yea
Margitta Mazzocchi Republican Yea
Mark Dean Republican Not Voting
Mark Zatezalo Republican Yea
Marty Gearheart Republican Yea
Matthew Rohrbach Republican Yea
Michael Hite Republican Yea
Michael Hornby Republican Yea
Mickey Petitto Republican Yea
Pat McGeehan Republican Yea
Patrick Lucas Republican Yea
Phil Mallow Republican Yea
Rick Hillenbrand Republican Yea
Roger Hanshaw Republican Yea
Roy Cooper Republican Yea
Scot C. Heckert Republican Yea
Stanley Adkins Republican Yea
Trenton Barnhart Republican Yea
Vacant1 Republican Yea
Vacant1 Republican Yea
Vernon Criss Republican Yea
Walter Hall Republican Yea
Wayne Clark Republican Yea
Wayne Clark Republican Yea
William Anderson Republican Yea

Official roll call →

Passage

Passed 33 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 16000
Unaffiliated 16001
Democrat 1000
Total 33001
% of votes cast 97%0%0%3%
How each member voted (34)
Member Party Vote
MARONEY — Not Voting
STOVER — Yea
MARTIN — Yea
STUART — Yea
BOLEY — Yea
SWOPE — Yea
CAPUTO — Yea
NELSON — Yea
PHILLIPS — Yea
PLYMALE — Yea
TRUMP — Yea
HAMILTON — Yea
HUNT — Yea
JEFFRIES — Yea
SMITH — Yea
MR PRESIDENT — Yea
KARNES — Yea
Mike Woelfel Democrat Yea
Amy Grady Republican Yea
Ben Queen Republican Yea
Charles H. Clements Republican Yea
Eric Tarr Republican Yea
Jack Woodrum Republican Yea
Jason Barrett Republican Yea
Jay Taylor Republican Yea
Laura Wakim Chapman Republican Yea
Mark R. Maynard Republican Yea
Mike Azinger Republican Yea
Mike Oliverio Republican Yea
Patricia Rucker Republican Yea
Rollan A. Roberts Republican Yea
Ryan Weld Republican Yea
Tom Takubo Republican Yea
Vince Deeds Republican Yea

Official roll call →

Subjects

public-safety healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors SB 820?
SB 820 is sponsored by Plymale and Ryan Weld (Republican).
What is the current status of SB 820?
This bill has been enacted into law. Introduced February 16, 2024. Enacted.
Where can I track SB 820?
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