West Virginia 2021 Regular Session Status: Enacted Bipartisan · 3 D · 2 R cosponsors

HB 2266 — Relating to expanding certain insurance coverages for pregnant women

Last action — Chapter 160, Acts, Regular Session, 2021

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

This bill has been enacted into law. Introduced February 10, 2021. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 66% · high confidence

  • Enacted

    Current position in the legislative process.

  • 9 sponsors

    1 primary, 8 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 D · 2 R) — cross-party backing.

  • Failed a recorded vote

    Failed 1 recorded vote so far — a real headwind.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

4 added · 82 removed

Plain-language change summary

The amendment to Bill HB 2266 involved changing a number from "123" to "203" in section twelve, line twenty-seven. This adjustment could indicate a shift in funding, eligibility criteria, or thresholds that the bill addresses. Understanding this change is important as it may directly impact the number of people or entities affected by the legislation, which can alter its overall effectiveness.

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HB2266 S H&HR AM #1 Dellinger  7965   The Committee on Health and Human Resources moved to amend the bill by striking out everything after the enacting clause and inserting in lieu thereof the following:
HB2266 SFA #1 Maroney 4-9 Dellinger  7965   Senator Maroney moved to amend the bill on page two, section twelve, line twenty-seven, by striking out “123” and inserting in lieu thereof “203”.
§9-5-12.
      Adopted Rejected
Medicaid program;
maternity and infant care.
(a) The Legislature finds that high rates of infant mortality and morbidity are costly to the state in terms of human suffering and of expenditures for long-term institutionalization, special education, and medical care.
It is well documented that appropriate care during pregnancy and delivery can prevent many of the expensive, disabling problems our children experience.
There exists a crisis in this state relating to the availability of obstetrical services, particularly to patients in rural areas, and to the cost patients must pay for obstetrical services.
The availability of obstetrical service for Medicaid patients enables these patients to receive quality medical care and to give birth to healthier babies and, consequently, improve the health status of the next generation.
The Legislature further recognizes that public and private insurance mechanisms remain inadequate, and poor and middle-income women and children are among the most likely to be without insurance.
Generally, low-income, uninsured children receive half as much health care as their insured counterparts.
The state is now investing millions to care for sick infants whose deaths and disabilities could have been avoided.
It is the intent of the Legislature that the Department of Health and Human Resources participate in the Medicaid program for indigent children and pregnant women established by Congress under the Consolidated Omnibus Budget Reconciliation Act (COBRA), Public Law 99-272, the Sixth Omnibus Budget Reconciliation Act (SOBRA), Public Law 99-504, and the Omnibus Budget Reconciliation Act (OBRA), Public Law 100-203.
(b) (a) The department shall:
(1) Extend Medicaid coverage to pregnant women and their newborn infants to 185 percent of the federal poverty level and to provide coverage up to 60 days 1-year postpartum care, effective July 1, 2019, 2021 or as soon as federal approval has occurred.
(2) As provided under COBRA, SOBRA, and OBRA the Consolidated Omnibus Budget Reconciliation Act (COBRA), Public Law 99-272, the Sixth Omnibus Budget Reconciliation Act (SOBRA), Public Law 99-509, and the Omnibus Budget Reconciliation Act (OBRA), Public Law 100-123, effective July 1, 1988, infants shall be included under Medicaid coverage with all children eligible for Medicaid coverage born after October 1, 1983, whose family incomes are at or below 100 percent of the federal poverty level and continuing until such children reach the age of eight years.
(3) Elect the federal options provided under COBRA, SOBRA, and OBRA impacting pregnant women and children below the poverty level:
Provided, That no provision in this article shall restrict the department in exercising new options provided by or to be in compliance with new federal legislation that further expands eligibility for children and pregnant women.
(4) The department is responsible for the implementation and program design for a maternal and infant health care system to reduce infant mortality in West Virginia.
The health system design shall include quality assurance measures, case management, and patient outreach activities.
The department shall assume responsibility for claims processing in accordance with established fee schedules and financial aspects of the program necessary to receive available federal dollars and to meet federal rules and regulations.
(5) Beginning July 1, 1988, the The department shall increase to no less than $600 the reimbursement rates under the Medicaid program for prenatal care, delivery, and post-partum care.
(c) (b) In order to be in compliance with the provisions of OBRA through rules and regulations, the department shall ensure that pregnant women and children whose incomes are above the Aid to Families and Dependent Children (AFDC) payment level are not required to apply for entitlements under the AFDC program as a condition of eligibility for Medicaid coverage.
Further, the department shall develop a short, simplified pregnancy/pediatric application of no more than three pages, paralleling the simplified OBRA standards.
(d) (c) Any woman who establishes eligibility under this section shall continue to be treated as an eligible individual without regard to any change in income of the family of which she is a member until the end of the 60-day 1 year period beginning on the last day of her pregnancy.
(e) (d) The department shall make payment for tubal ligation without requiring at least 30 days between the date of informed consent and the date of the tubal ligation procedure.
    Adopted Rejected
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Action History

  1. Chapter 160, Acts, Regular Session, 2021

  2. Approved by Governor 4/28/21

  3. To Governor 4/22/21

  4. Approved by Governor 4/28/21 - Senate Journal

  5. Approved by Governor 4/28/21 - House Journal

  6. To Governor 4/22/21 - Senate Journal

  7. To Governor 4/22/21 - House Journal

  8. House Message received

  9. Completed legislative action

  10. Communicated to Senate

  11. Effective from passage (Roll No. 590)

  12. House concurred in Senate amendment and passed bill (Roll No. 589)

  13. House received Senate message

  14. Senate requests House to concur

  15. Effective from passage (Roll No. 408)

  16. Passed Senate (Roll No. 408)

  17. Read 3rd time

  18. Floor amendment adopted (Voice vote)

  19. Unanimous consent to amend

  20. On 3rd reading

  21. Committee amendment adopted (Voice vote)

  22. Read 2nd time

  23. On 2nd reading

  24. Read 1st time

  25. On 1st reading

  26. Reported do pass

  27. To Finance

  28. Reported do pass, with amendment, but first to Finance

  29. To Health and Human Resources

  30. To Health and Human Resources then Finance

  31. Introduced in Senate

  32. Communicated to Senate

  33. Passed House (Roll No. 323)

  34. Read 3rd time

  35. On 3rd reading, Special Calendar

  36. Read 2nd time

  37. On 2nd reading, Special Calendar

  38. Read 1st time

  39. On 1st reading, Special Calendar

  40. By substitute, do pass

  41. To House Finance

  42. Do pass, but first to Finance

  43. To House Health and Human Resources

  44. Introduced in House

  45. To Health and Human Resources then Finance

  46. Filed for introduction

Sponsors

Sponsorship breakdown

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1 sponsors · 8 co-sponsors · 143 not signed on

Sponsors (1)

Co-sponsors (8)

Not signed on (143)

143 members have not signed on to this bill.

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"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

Subjects

healthcare health-insurance
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 HB 2266?
HB 2266 is sponsored by Matthew Rohrbach (Republican), Pack, L., Pack, J., Evan Worrell (Republican), Mike Pushkin (Democrat), Fleischauer, Kayla Young (Democrat), Rowe, and John Williams (Democrat).
What is the current status of HB 2266?
This bill has been enacted into law. Introduced February 10, 2021. Enacted.
Where can I track HB 2266?
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