West Virginia 2026 Session Status: Enacted Bipartisan · 1 R · 1 D cosponsors

HB 4740 — Statutory Commitments in Rural Health Transformation Program

Last action — Chapter 184, 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 22, 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 90% · high confidence

  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (1 R · 1 D) — cross-party backing.

  • 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 the Rural Health Transformation Program.

The bill addresses statutory commitments within the Rural Health Transformation Program. It aims to facilitate improvements in rural healthcare delivery through legislative measures.

Summary

Statutory Commitments in Rural Health Transformation Program

Bill Text

What changed in the latest version

33 added · 15 removed

Plain-language change summary

The recent amendment to HB 4740 clarifies that funds received from the federal Rural Health Transformation Program can be used without being restricted by certain existing state provisions. This change is important because it ensures that the state can effectively implement vital health initiatives without bureaucratic hurdles. By streamlining the use of these federal funds, the aim is to improve healthcare delivery in rural areas of West Virginia more efficiently.

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WEST VIRGINIA LEGISLATURE REGULAR SESSION ENGROSSED Committee Substitute for House Bill 4740 By Delegates Hanshaw (Mr.
WEST VIRGINIA LEGISLATURE REGULAR SESSION ENROLLED Committee Substitute for House Bill 4740 B YDELEGATESHANSHAW (MR.
Speaker) and Hornbuckle (By Request of the executive) [Originating in the Committee on Health of Human Resources;
PEAKER)AND HORNBUCKLE (BYR EQUEST OF THE EXECUT)VE [Passed February 19, 2026;
Reported on January 28, 2026] Eng CS for HB 4740 A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §5A-3-3d, relating to exempting the Department of Health from purchasing restrictions for implementation of the Rural Health Transformation Program;
in effect from passage] Enr CS for HB 4740 AN ACT to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §5A-3-3d, relating to exempting the Department of Health from purchasing restrictions for implementation of the Rural Health Transformation Program;
and (5) That such utilization be performed within rigid time frames, with the understanding that failures to comply with the limitations on how these funds may be used—as well as requirements 1 Eng CS for HB 4740 on proper processes for the deployment—may result in clawbacks of funds both currently awarded as well as jeopardizing future awards by CMS.
and (5) That such utilization be performed within rigid time frames, with the understanding that failures to comply with the limitations on how these funds may be used—as well as requirements Enr CS for HB 4740 on proper processes for the deployment—may result in clawbacks of funds both currently awarded as well as jeopardizing future awards by CMS.
Enr CS for HB 4740 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 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. On 1st reading, Special Calendar

  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. 40 )

  14. Effective from passage (Roll No. 41)

  15. Communicated to Senate

  16. Introduced in Senate

  17. To Government Organization

  18. To Government Organization

  19. Reported do pass

  20. On 1st reading

  21. Read 1st time

  22. On 2nd reading

  23. Read 2nd time

  24. On 3rd reading

  25. Read 3rd time

  26. Passed Senate (Roll No. 157)

  27. Effective from passage (Roll No. 158)

  28. Communicated to House

  29. Completed legislative action

  30. House received Senate message

  31. To Governor 2/23/2026

  32. To Governor 2/23/2026 - Senate Journal

  33. Approved by Governor 2/27/2026 - Senate Journal

  34. Approved by Governor 2/27/2026

  35. Approved by Governor 2/27/2026 - House Journal

  36. Chapter 184, Acts, Regular Session, 2026

Sponsors

Sponsorship breakdown

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

Sponsors (1)

Co-sponsors (1)

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

Roll Call

Passed 33 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 28001
Democrat 4000
Unaffiliated 1000
Total 33001
% of votes cast 97%0%0%3%
How each member voted (34)
Member Party Vote
MR PRESIDENT — Yea
Anitra Hamilton Democrat Yea
Mike Woelfel Democrat Yea
Mike Woelfel Democrat Yea
Rick Garcia Democrat Yea
Ben Queen Republican Yea
Carl Martin Republican Yea
Chris Phillips Republican Yea
Chris Rose Republican Yea
Chris Rose Republican Yea
Dean Jeffries Republican Yea
Eric Tarr Republican Yea
Eric Tarr Republican Yea
Glenn Jeffries Republican Yea
Jack Woodrum Republican Yea
Jack Woodrum Republican Yea
Jay Taylor Republican Yea
Jimmy Willis Republican Yea
Mark R. Maynard Republican Yea
Mike Oliverio Republican Yea
Patricia Rucker Republican Yea
Patricia Rucker Republican Yea
Robbie Morris Republican Yea
Rollan A. Roberts Republican Yea
Rollan A. Roberts Republican Yea
Rupie Phillips Republican Yea
Rupie Phillips Republican Yea
Ryan Weld Republican Yea
Ryan Weld Republican Yea
Tom Takubo Republican Yea
Tom Takubo Republican Yea
Tom Willis Republican Yea
Trenton Barnhart Republican Yea
Trenton Barnhart Republican Not Voting

Official roll call →

Subjects

healthcare agriculture
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 4740 do?
Statutory Commitments in Rural Health Transformation Program
Who sponsors HB 4740?
HB 4740 is sponsored by Roger Hanshaw (Republican) and Sean Hornbuckle (Democrat).
What is the current status of HB 4740?
This bill has been enacted into law. Introduced January 22, 2026. Enacted.
Where can I track HB 4740?
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Last checked for changes about 1 month ago · updated continuously

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