West Virginia 2026 Session Status: Enacted 11 R cosponsors

HB 4869 — Establish narrow, clearly bounded guaranteed-issue rights for Medicare Supplement policies in West Virginia.

Last action — Chapter 185, 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 28, 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 82% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 11 sponsors

    1 primary, 10 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (11 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

The bill establishes guaranteed-issue rights for Medicare Supplement policies in West Virginia.

This legislation creates specific rights for individuals to obtain Medicare Supplement policies without medical underwriting in West Virginia. It aims to provide clearer access to these insurance options for eligible residents.

What this means for you
  • Consumers: What this means for you: Consumers eligible for Medicare in West Virginia may find it easier to obtain supplemental insurance without health-related restrictions.

Summary

Establish narrow, clearly bounded guaranteed-issue rights for Medicare Supplement policies in West Virginia.

Bill Text

What changed in the latest version

126 added · 106 removed

Plain-language change summary

The updated version of HB 4869 clarifies the eligibility criteria for individuals seeking to enroll in Medicare supplement policies. It ensures that those who have had continuous coverage can obtain a new policy from the same insurer or an affiliated one, as long as it offers the same or fewer benefits. Additionally, it includes a provision that allows individuals to purchase a policy from any authorized insurer if their current insurer hasn’t accepted new applicants for 12 months. These changes are important because they broaden access to necessary coverage for seniors, providing them with more options for their healthcare needs.

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Previous
Latest
WEST VIRGINIA LEGISLATURE REGULAR SESSION ENGROSSED Committee Substitute for House Bill 4869 By Delegates Green, Hanshaw (Mr.
WEST VIRGINIA LEGISLATURE REGULAR SESSION ENROLLED Committee Substitute for House Bill 4869 B YD ELEGATESG REEN, HANSHAW (MR.
Speaker), Hott, Jeffries, Kyle, Rohrbach, Hall, Worrell, Hite, Ellington, and Statler [Originating in the Committee on Finance, February 25, 2026] Eng CS for HB 4869 A BILL to amend the Code of West Virginia, 1931, as amended, by adding a new article, designated §33-15F-1, relating to Medicare supplement policies;
SPEAKER), OTT, JEFFRIE, KYLE, OHRBACH , ALL, WORRELL, HIT, ELLINGTON,ANDS TATLER [Passed March 13, 2026;
in effect 90 days from passage (June 11, 2026)] Enr CS for HB 4869 AN ACT to amend the Code of West Virginia, 1931, as amended, by adding a new article, designated §33-15F-1, relating to Medicare supplement policies;
1 Eng CS for HB 4869 (2) Continuous coverage requirement.
Enr CS for HB 4869 (2) Continuous coverage requirement.
2 Eng CS for HB 4869 (B) This subdivision does not waive the continuous coverage requirement set forth in subdivision (2) of this subsection and does not permit the purchase of a policy with greater benefits than the policy being replaced.
Enr CS for HB 4869 (B) This subdivision does not waive the continuous coverage requirement set forth in subdivision (2) of this subsection and does not permit the purchase of a policy with greater benefits than the policy being replaced.
– (1) An individual who is 65 years of age or older on the date the individual’s Medicaid eligibility ends, is entitled to Medicare, and loses eligibility for medical assistance under Title XIX of 3 Eng CS for HB 4869 the Social Security Act (Medicaid), including full or partial dual eligibility, shall have a guaranteed issue right to purchase a Medicare supplement policy.
– (1) An individual who is 65 years of age or older on the date the individual’s Medicaid eligibility ends, is entitled to Medicare, and loses eligibility for medical assistance under Title XIX Enr CS for HB 4869 of the Social Security Act (Medicaid), including full or partial dual eligibility, shall have a guaranteed issue right to purchase a Medicare supplement policy.
4 Eng CS for HB 4869 (A) Year-over-year premium changes for Medicare supplement policies, broken out by insurer;
Enr CS for HB 4869 (A) Year-over-year premium changes for Medicare supplement policies, broken out by insurer;
Enr CS for HB 4869 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 7
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Action History

  1. Filed for introduction

  2. To Finance

  3. Introduced in House

  4. To House Finance

  5. To House Banking and Insurance

  6. To House Finance

  7. By substitute, do pass

  8. On 1st reading, Special Calendar

  9. Read 1st time

  10. On 2nd reading, Special Calendar

  11. Read 2nd time

  12. On 3rd reading, Special Calendar

  13. Read 3rd time

  14. Passed House (Roll No. 261)

  15. Communicated to Senate

  16. Introduced in Senate

  17. To Banking and Insurance

  18. To Banking and Insurance

  19. Reported do pass

  20. Immediate consideration

  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. 550)

  27. Communicated to House

  28. Completed legislative action

  29. To Governor 3/25/2026

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

  31. Approved by Governor 3/27/2026

  32. Approved by Governor 3/27/2026 - House Journal

  33. Approved by Governor 3/27/2026 - Senate Journal

  34. Chapter 185, Acts, Regular Session, 2026

Sponsors

Sponsorship breakdown

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1 sponsors · 10 co-sponsors · 141 not signed on

Sponsors (1)

Co-sponsors (10)

Not signed on (141)

141 members have not signed on to this bill.

Show all 141 →

"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

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 4869 do?
Establish narrow, clearly bounded guaranteed-issue rights for Medicare Supplement policies in West Virginia.
Who sponsors HB 4869?
HB 4869 is sponsored by David Green (Republican), Roger Hanshaw (Republican), John Paul Hott (Republican), Dean Jeffries (Republican), Jonathan Kyle (Republican), Matthew Rohrbach (Republican), Walter Hall (Republican), Evan Worrell (Republican), Michael Hite (Republican), Joe Ellington (Republican), and Joe Statler (Republican).
What is the current status of HB 4869?
This bill has been enacted into law. Introduced January 28, 2026. Enacted.
Where can I track HB 4869?
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Last checked for changes about 1 month ago · updated continuously

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