West Virginia 2026 Session Status: Enacted 3 R cosponsors

HB 4965 — Relating to patient-centered treatment flexibility within the Public Employees Insurance Agency

Last action — Chapter 195, Acts, Regular Session, 2026

  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 January 29, 2026. 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 76% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 R).

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

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

In plain language

This bill relates to patient-centered treatment flexibility in a specific insurance program.

The bill aims to enhance patient-centered treatment options within the Public Employees Insurance Agency. It seeks to improve flexibility in how treatments are delivered and covered under this program.

What this means for you
  • Families: Families of public employees may benefit from broader treatment choices available under their insurance plans.
  • Healthcare: This may provide healthcare providers with increased options for treatment plans tailored to patient needs.

Summary

Relating to patient-centered treatment flexibility within the Public Employees Insurance Agency

Bill Text

What changed in the latest version

33 added · 14 removed

Plain-language change summary

The updated version of Bill HB 4965 now includes specific names of the delegates responsible for the bill and clarifies the effective date of the law. It maintains the core provisions regarding alternative treatment options for patients who have received prior authorization for their original treatment. This change is important because it emphasizes the importance of ensuring that cost for alternative treatments remains comparable to initially approved treatments, promoting patient choice while also containing healthcare costs.

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WEST VIRGINIA LEGISLATURE REGULAR SESSION ENGROSSED Committee Substitute for House Bill 4965 By Delegates Kimble, Vance, and Mazzocchi [Originating in the Committee on Health and Human Resources;
WEST VIRGINIA LEGISLATURE REGULAR SESSION ENROLLED Committee Substitute for House Bill 4965 BYDELEGATEKIMBL,ANCE,ANDMAZZOCCHI [Passed March 12, 2026;
Reported on March 2, 2026] Eng CS for HB 4965 A BILL to amend the Code of West Virginia, 1931, as amended, by adding a new section, designated §5-16-7h, relating to patient-centered treatment flexibility with the Public Employees Insurance Agency.
in effect 90 days from passage (June 10, 2026)] Enr CS for HB 4965 AN ACT to amend the Code of West Virginia, 1931, as amended, by adding a new section, designated §5-16-7h, relating to patient-centered treatment flexibility with the Public Employees Insurance Agency.
"Alternative treatment’ means a different covered treatment for the same diagnosed condition or illness that is medically appropriate and clinically indicated, "Prior authorization" means approval issued by the agency or its administrator authorizing coverage of a specific treatment.
"Alternative treatment" means a different covered treatment for the same diagnosed condition or illness that is medically appropriate and clinically indicated, "Prior authorization" means approval issued by the agency or its administrator authorizing coverage of a specific treatment.
1 Eng CS for HB 4965 (1) A licensed health care provider shall document in the patient's medical record that the alternative treatment is medically appropriate and intended to treat the same diagnosed condition as the originally authorized treatment.
Enr CS for HB 4965 (1) A licensed health care provider shall document in the patient's medical record that the alternative treatment is medically appropriate and intended to treat the same diagnosed condition as the originally authorized treatment.
Enr CS for HB 4965 The Clerk of the House of Delegates and the Clerk of the Senate hereby certify that the foregoing bill is correctly enrolled.
...............................................................
Clerk of the House of Delegates ...............................................................
Clerk of the Senate Originated in the House of Delegates.
In effect 90 days from passage.
...............................................................
Speaker of the House of Delegates ...............................................................
President of the Senate __________ The within is ................................................
this the...........................................
Day of ..........................................................................................................., 2026.
.............................................................
Governor 3
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Action History

  1. Filed for introduction

  2. To Health and Human Resources

  3. Introduced in House

  4. To House Health and Human Resources

  5. Markup Discussion

  6. By substitute, do pass

  7. Immediate consideration

  8. Read 1st time

  9. On 2nd reading, Special Calendar

  10. Read 2nd time

  11. On 3rd reading, Special Calendar

  12. Read 3rd time

  13. Passed House (Roll No. 290)

  14. Communicated to Senate

  15. Introduced in Senate

  16. To Health and Human Resources

  17. To Health and Human Resources

  18. Reported do pass

  19. Immediate consideration

  20. Read 1st time

  21. On 2nd reading

  22. Read 2nd time

  23. On 3rd reading

  24. Read 3rd time

  25. Passed Senate (Roll No. 497)

  26. Communicated to House

  27. Completed legislative action

  28. House received Senate message

  29. To Governor 3/25/2026

  30. To Governor 3/25/2026 - Senate Journal

  31. Approved by Governor 3/31/2026 - Senate Journal

  32. Approved by Governor 3/31/2026

  33. Approved by Governor 3/31/2026 - House Journal

  34. Chapter 195, Acts, Regular Session, 2026

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 149 not signed on

Sponsors (1)

Co-sponsors (2)

Not signed on (149)

149 members have not signed on to this bill.

Show all 149 →

"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

What does HB 4965 do?
Relating to patient-centered treatment flexibility within the Public Employees Insurance Agency
Who sponsors HB 4965?
HB 4965 is sponsored by Laura Kimble (Republican), Adam Vance (Republican), and Margitta Mazzocchi (Republican).
What is the current status of HB 4965?
This bill has been enacted into law. Introduced January 29, 2026. Enacted.
Where can I track HB 4965?
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Last checked for changes about 1 month ago · updated continuously

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