Insurance coverage, personal healthcare spending, longevity, mortality, health risks, and provider shortages.
Uninsured rate · all ages5.8%2024 · #36 of 50 · highest first
Uninsured rate · under age 657.3%2024 · #34 of 50 · highest first
Private coverage · under age 6565.6%2024 · #44 of 50 · highest first
West Virginia over time
Explore West Virginia readings, major events and reviewed actions on the same date scale. West Virginia officeholders appear in separate lanes. National event evidence describes national context; it does not measure a West Virginia effect.
Major events & context · A curated selection, including uncertain effects. Milestone dates do not establish that an event caused a West Virginia change.
Enacted / issuedDid not proceedPending / in progressStatus unclear
Colors show the latest recorded status. Passing one chamber is not enactment. A number groups actions with the same date, body and status.
Uninsured rate · all ages West Virginia · source units
West VirginiaPublished U.S. benchmark
Move across the chart to inspect the nearest observation. Click or tap to keep a reading selected, or focus the chart and use the arrow keys. Hover over or focus a marker to explore; click or tap to pin. Press Escape to clear.
75 of 75 reviewed West Virginia actions match · 69 date markers shown. 111 major events shown separately.
West Virginia · 2024: 5.8% · Rank #36 of 50, highest first · U.S. benchmark: 8.2%
FactVote uses the Census Bureau's HIC-4_ACS historical table. Rates and 90% confidence margins of error are the published ACS 1-year estimates for the civilian noninstitutionalized population. ACS annual estimates, all ages. Standard ACS 2020 one-year data were not released; the chart leaves a gap. Survey ranks describe point estimates and do not establish significant differences. Annual observations use December 31; monthly observations use the first of the month. Lines connect consecutive readings and do not supply values between them. Missing observations break the lines.
View observations and export data
West Virginia Uninsured rate · all ages · source units
The timeline combines the corresponding national fact’s reviewed event catalog, labeled National context, with individually reviewed state milestones. State events use primary sources and distinguish signing, effective and filing dates. Each milestone keeps its source-check date, geographical limits and evidence limits. This curated selection is not a complete history.
Date ranges affect events and actions. Action type, status and official-name search affect government records only. Events remain separate from action counts. An event after the latest observation extends context without creating a new reading.
West Virginia · state comparison
Who has health coverage?
Compare ACS annual estimates for all ages or people under 65. Coverage categories can overlap and do not sum to the insured share.
West Virginia · 20245.8%
West Virginia rank#36among all 50 states
U.S. benchmark8.2%Same measure and period when published
#1 is the highest value. Ties share a rank and leave gaps. D.C. and territories are excluded. Rank describes the measured value; it is not an overall score of the state.
Uninsured rate · all ages
FactVote uses the Census Bureau's HIC-4_ACS historical table. Rates and 90% confidence margins of error are the published ACS 1-year estimates for the civilian noninstitutionalized population.
ACS annual estimates, all ages. Standard ACS 2020 one-year data were not released; the chart leaves a gap. Survey ranks describe point estimates and do not establish significant differences.
Hover to inspect. Click or tap to compare that period with every state. Focus the graph and use arrow keys, Home or End to select a period. Press Escape to return to the latest period.
West Virginia
2024 · West Virginia: 5.8% · Rank #36 of 50, highest first · U.S. benchmark: 8.2% · Selected for state comparisonView history and select a period
West Virginia Uninsured rate · all ages history
Period
West Virginia
Compare
2014
8.6%
2015
6%
2016
5.3%
2017
6.1%
2018
6.4%
2019
6.7%
2020
Not available
2021
6.1%
2022
5.9%
2023
5.9%
2024
5.8%
Compare states on the graph
Hover or focus a bar to inspect its value and rank. Use the up and down arrows, Home or End to explore states. Click, tap or press Enter to keep a state selected. West Virginia stays highlighted. Values use the same measure and period.
Explore the map: hover or focus a state to inspect it, then click or tap to select it. Arrow keys move between states alphabetically. West Virginia has a dark outline.
Lower value · 2.8%Higher value · 16.7%Striped: unavailable
Color shows this measure’s value, not an overall state score. Select a state on the map, graph or dropdown to read its value, rank and comparison limits below.
West Virginia · 5.8%2024 · Rank #36 of 50, highest firstSelected state
50 states shown · scroll to explore every state. Missing values have no bar and are excluded from ranks. Bars start at zero; #1 means the highest value.
Compare West Virginia with every state · 50 ranked
Uninsured rate · all ages · 2024 · highest value ranked #1
Rank
State
Value
Comparison notes
#1
Texas
16.7%
—
#2
Georgia
12%
—
#3
Oklahoma
11.5%
—
#4
Nevada
11.4%
—
#5
Alaska
11%
—
#6
Florida
10.9%
—
#7
Arizona
10.3%
—
#7
Wyoming
10.3%
—
#9
New Mexico
10.1%
—
#10
Mississippi
9.7%
—
#10
Tennessee
9.7%
—
#12
Arkansas
9.4%
—
#13
Idaho
9.2%
—
#14
South Carolina
9%
—
#15
Montana
8.8%
—
#16
North Carolina
8.6%
—
#17
Kansas
8.5%
—
#18
Utah
8.3%
—
#19
Alabama
8.2%
—
#20
South Dakota
8.1%
—
#21
Colorado
7.9%
—
#22
Louisiana
7.7%
—
#22
Missouri
7.7%
—
#22
New Jersey
7.7%
—
#25
Indiana
7.5%
—
#26
Nebraska
7.1%
—
#27
Delaware
6.9%
—
#27
Illinois
6.9%
—
#27
Virginia
6.9%
—
#30
Kentucky
6.8%
—
#31
Ohio
6.7%
—
#32
Washington
6.5%
—
#33
Maryland
6.3%
—
#34
North Dakota
6.1%
—
#35
California
5.9%
—
#36
Connecticut
5.8%
—
#36
Pennsylvania
5.8%
—
#36
West Virginia · your comparison
5.8%
—
#39
Maine
5.5%
—
#40
Iowa
5.4%
—
#41
Wisconsin
5.3%
—
#42
Oregon
5.2%
—
#43
Michigan
5.1%
—
#43
Minnesota
5.1%
—
#45
New York
5%
—
#46
Rhode Island
4.6%
—
#47
New Hampshire
4.5%
—
#48
Vermont
4.2%
—
#49
Hawaii
3.5%
—
#50
Massachusetts
2.8%
—
All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.
Share of West Virginia’s civilian noninstitutionalized residents under age 65 who lacked comprehensive health-insurance coverage at the time of the ACS survey.
This source snapshot keeps its own definition and period. A rank shown elsewhere applies only to that comparison’s measure and period.
Method and limitations
U.S. Census Bureau QuickFacts, sourced from the 2024 American Community Survey 1-year estimate.
This is a survey estimate for people under 65 and does not describe coverage type or continuity of coverage.
Insurance status alone does not measure affordability, access, quality, or health outcomes.
State spending is reported for 2020, the latest year available in this CMS state series. Choose a service to compare West Virginia with every state.
West Virginia · 2020$12,769
West Virginia rank#5among all 50 states
U.S. benchmark$10,191Same measure and period when published
#1 is the highest value. Ties share a rank and leave gaps. D.C. and territories are excluded. Rank describes the measured value; it is not an overall score of the state.
Personal healthcare spending per resident
Personal health care expenditure per resident, assigned to the state where the patient resides.
2020 is the last year in this CMS state series. Personal health care excludes administration, public health, and investment included in national health expenditures. This is spending by all payers, not a household bill.
Hover to inspect. Click or tap to compare that period with every state. Focus the graph and use arrow keys, Home or End to select a period. Press Escape to return to the latest period.
West Virginia
2020 · West Virginia: $12,769 · Rank #5 of 50, highest first · U.S. benchmark: $10,191 · Selected for state comparisonView history and select a period
West Virginia Personal healthcare spending per resident history
Period
West Virginia
Compare
2014
$9,385
2015
$9,947
2016
$10,488
2017
$11,017
2018
$11,337
2019
$11,951
2020
$12,769
Compare states on the graph
Hover or focus a bar to inspect its value and rank. Use the up and down arrows, Home or End to explore states. Click, tap or press Enter to keep a state selected. West Virginia stays highlighted. Values use the same measure and period.
Explore the map: hover or focus a state to inspect it, then click or tap to select it. Arrow keys move between states alphabetically. West Virginia has a dark outline.
Lower value · $7.52KHigher value · $14.01KStriped: unavailable
Color shows this measure’s value, not an overall state score. Select a state on the map, graph or dropdown to read its value, rank and comparison limits below.
West Virginia · $12,7692020 · Rank #5 of 50, highest firstSelected state
50 states shown · scroll to explore every state. Missing values have no bar and are excluded from ranks. Bars start at zero; #1 means the highest value.
Compare West Virginia with every state · 50 ranked
Personal healthcare spending per resident · 2020 · highest value ranked #1
Rank
State
Value
Comparison notes
#1
New York
$14,007
—
#2
Alaska
$13,642
—
#3
Massachusetts
$13,319
—
#4
Delaware
$12,899
—
#5
West Virginia · your comparison
$12,769
—
#6
Vermont
$12,756
—
#7
South Dakota
$12,495
—
#8
Connecticut
$12,489
—
#9
Maine
$12,077
—
#10
New Jersey
$11,868
—
#11
New Hampshire
$11,793
—
#12
Rhode Island
$11,694
—
#13
Pennsylvania
$11,603
—
#14
North Dakota
$11,301
—
#15
Wyoming
$10,989
—
#16
Minnesota
$10,846
—
#17
Maryland
$10,839
—
#18
Indiana
$10,517
—
#19
Louisiana
$10,515
—
#20
Nebraska
$10,514
—
#21
Ohio
$10,478
—
#22
California
$10,299
—
#23
Hawaii
$10,291
—
#24
Kentucky
$10,257
—
#25
Montana
$10,212
—
#26
Illinois
$10,190
—
#27
Oregon
$10,071
—
#28
Wisconsin
$9,982
—
#29
Missouri
$9,921
—
#30
Michigan
$9,897
—
#31
Florida
$9,865
—
#32
Iowa
$9,789
—
#33
Oklahoma
$9,444
—
#34
Kansas
$9,408
—
#35
Mississippi
$9,394
—
#36
Arkansas
$9,338
—
#37
Tennessee
$9,336
—
#38
Alabama
$9,280
—
#39
Washington
$9,265
—
#40
Virginia
$9,195
—
#41
North Carolina
$8,917
—
#42
New Mexico
$8,902
—
#43
South Carolina
$8,766
—
#44
Georgia
$8,758
—
#45
Arizona
$8,756
—
#46
Colorado
$8,583
—
#47
Texas
$8,406
—
#48
Nevada
$8,348
—
#49
Idaho
$8,148
—
#50
Utah
$7,522
—
All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.
Use age-adjusted mortality to account for different age distributions; life expectancy summarizes period death rates.
West Virginia · 202272.2 years
West Virginia rank#50among all 50 states
U.S. benchmark77.5 yearsSame measure and period when published
#1 is the highest value. Ties share a rank and leave gaps. D.C. and territories are excluded. Rank describes the measured value; it is not an overall score of the state.
Life expectancy at birth
FactVote uses CDC National Center for Health Statistics annual complete life-table estimates for the total West Virginia population. Values are rounded to the published tenth of a year.
The latest published comparable state series ends in 2022, even though newer national life-expectancy estimates may be available. Period life expectancy summarizes current mortality rates; it is not a forecast of how long a particular person will live. The 2020 and 2021 estimates reflect the mortality shock during the COVID-19 pandemic.
Hover to inspect. Click or tap to compare that period with every state. Focus the graph and use arrow keys, Home or End to select a period. Press Escape to return to the latest period.
West Virginia
2022 · West Virginia: 72.2 years · Rank #50 of 50, highest first · U.S. benchmark: 77.5 years · Selected for state comparisonView history and select a period
West Virginia Life expectancy at birth history
Period
West Virginia
Compare
2018
74.4 years
2019
74.5 years
2020
72.8 years
2021
71 years
2022
72.2 years
Compare states on the graph
Hover or focus a bar to inspect its value and rank. Use the up and down arrows, Home or End to explore states. Click, tap or press Enter to keep a state selected. West Virginia stays highlighted. Values use the same measure and period.
Explore the map: hover or focus a state to inspect it, then click or tap to select it. Arrow keys move between states alphabetically. West Virginia has a dark outline.
Lower value · 72.2 yearsHigher value · 80 yearsStriped: unavailable
Color shows this measure’s value, not an overall state score. Select a state on the map, graph or dropdown to read its value, rank and comparison limits below.
West Virginia · 72.2 years2022 · Rank #50 of 50, highest firstSelected state
50 states shown · scroll to explore every state. Missing values have no bar and are excluded from ranks. Bars start at zero; #1 means the highest value.
Compare West Virginia with every state · 50 ranked
Life expectancy at birth · 2022 · highest value ranked #1
Rank
State
Value
Comparison notes
#1
Hawaii
80 years
—
#2
Massachusetts
79.8 years
—
#3
New Jersey
79.6 years
—
#4
New York
79.5 years
—
#5
Connecticut
79.4 years
—
#6
California
79.3 years
—
#6
Minnesota
79.3 years
—
#8
Rhode Island
79.2 years
—
#9
Utah
79 years
—
#10
New Hampshire
78.7 years
—
#11
Colorado
78.5 years
—
#12
Idaho
78.4 years
—
#12
Washington
78.4 years
—
#14
Nebraska
78.3 years
—
#14
Vermont
78.3 years
—
#16
Wisconsin
78.1 years
—
#17
Florida
77.9 years
—
#17
Iowa
77.9 years
—
#17
North Dakota
77.9 years
—
#20
Maryland
77.8 years
—
#21
Oregon
77.7 years
—
#22
Illinois
77.5 years
—
#22
Virginia
77.5 years
—
#24
Montana
77.3 years
—
#24
Pennsylvania
77.3 years
—
#24
South Dakota
77.3 years
—
#27
Texas
77.1 years
—
#28
Michigan
76.8 years
—
#28
Wyoming
76.8 years
—
#30
Arizona
76.7 years
—
#31
Maine
76.6 years
—
#32
Delaware
76.5 years
—
#32
Kansas
76.5 years
—
#34
Nevada
76.4 years
—
#35
Georgia
75.9 years
—
#35
North Carolina
75.9 years
—
#37
Alaska
75.8 years
—
#38
Ohio
75.6 years
—
#39
Indiana
75.4 years
—
#40
Missouri
75.2 years
—
#41
South Carolina
75.1 years
—
#42
New Mexico
74.5 years
—
#43
Arkansas
73.9 years
—
#44
Alabama
73.8 years
—
#44
Louisiana
73.8 years
—
#44
Oklahoma
73.8 years
—
#44
Tennessee
73.8 years
—
#48
Kentucky
73.6 years
—
#49
Mississippi
72.6 years
—
#50
West Virginia · your comparison
72.2 years
—
All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.
Compare age-adjusted adult prevalence using the same survey year and definition.
West Virginia · 202315.1%
West Virginia rank#1among 48 states with data
U.S. benchmark10.7%Same measure and period when published
#1 is the highest value. Ties share a rank and leave gaps. D.C. and territories are excluded. Rank describes the measured value; it is not an overall score of the state.
Diagnosed diabetes · age adjusted
Adult self-reported prevalence, age-adjusted to a common population.
Published CDC 2019–2023 series. Missing or suppressed estimates remain unranked. Confidence intervals describe sampling uncertainty; point ranks are not significance tests.
Hover to inspect. Click or tap to compare that period with every state. Focus the graph and use arrow keys, Home or End to select a period. Press Escape to return to the latest period.
West Virginia
2023 · West Virginia: 15.1% · Rank #1 of 48, highest first · U.S. benchmark: 10.7% · Selected for state comparisonView history and select a period
West Virginia Diagnosed diabetes · age adjusted history
Period
West Virginia
Compare
2019
13.2%
2020
13.3%
2021
13.3%
2022
14.6%
2023
15.1%
Compare states on the graph
Hover or focus a bar to inspect its value and rank. Use the up and down arrows, Home or End to explore states. Click, tap or press Enter to keep a state selected. West Virginia stays highlighted. Values use the same measure and period.
Explore the map: hover or focus a state to inspect it, then click or tap to select it. Arrow keys move between states alphabetically. West Virginia has a dark outline.
Lower value · 7.8%Higher value · 15.1%Striped: unavailable
Color shows this measure’s value, not an overall state score. Select a state on the map, graph or dropdown to read its value, rank and comparison limits below.
West Virginia · 15.1%2023 · Rank #1 of 48, highest first95% confidence interval: 13.9% – 16.3%Selected state
50 states shown · scroll to explore every state. Missing values have no bar and are excluded from ranks. Bars start at zero; #1 means the highest value.
Compare West Virginia with every state · 48 ranked, 2 unavailable
Diagnosed diabetes · age adjusted · 2023 · highest value ranked #1
Rank
State
Value
Comparison notes
#1
Mississippi
15.1%
95% CI: 13.7–16.6
#1
West Virginia · your comparison
15.1%
95% CI: 13.9–16.3
#3
Louisiana
14.6%
95% CI: 13.4–15.8
#4
Alabama
14%
95% CI: 12.7–15.3
#5
Arkansas
13.1%
95% CI: 12–14.3
#6
South Carolina
12.7%
95% CI: 11.9–13.6
#6
Tennessee
12.7%
95% CI: 11.7–13.8
#8
Texas
12.1%
95% CI: 11–13.3
#9
Indiana
11.7%
95% CI: 11.1–12.4
#10
Georgia
11.5%
95% CI: 10.7–12.3
#10
Ohio
11.5%
95% CI: 10.8–12.2
#12
Oklahoma
11.3%
95% CI: 10.5–12.1
#13
Delaware
11.1%
95% CI: 9.8–12.6
#14
North Carolina
11%
95% CI: 9.8–12.3
#15
Illinois
10.9%
95% CI: 9.9–12.1
#15
Maryland
10.9%
95% CI: 10.2–11.7
#15
Michigan
10.9%
95% CI: 10.1–11.8
#18
Nevada
10.8%
95% CI: 8.9–13
#18
New Mexico
10.8%
95% CI: 9.3–12.6
#20
Missouri
10.7%
95% CI: 9.9–11.7
#20
South Dakota
10.7%
95% CI: 8.9–12.8
#22
California
10.6%
95% CI: 9.8–11.4
#23
Kansas
10.5%
95% CI: 9.7–11.3
#24
Virginia
10.4%
95% CI: 9.5–11.4
#25
Florida
10.1%
95% CI: 9.1–11.1
#26
Rhode Island
10%
95% CI: 9.1–11
#27
Arizona
9.9%
95% CI: 9.2–10.7
#27
Iowa
9.9%
95% CI: 9.2–10.7
#29
Nebraska
9.7%
95% CI: 9–10.3
#30
Wisconsin
9.6%
95% CI: 9–10.2
#31
Hawaii
9.5%
95% CI: 8.7–10.5
#31
New York
9.5%
95% CI: 8.9–10.1
#31
Oregon
9.5%
95% CI: 8.7–10.5
#34
Wyoming
9.4%
95% CI: 8.5–10.5
#35
Minnesota
9.3%
95% CI: 8.6–10
#36
New Jersey
9.1%
95% CI: 8.4–9.9
#37
Maine
9%
95% CI: 8.4–9.7
#38
North Dakota
8.9%
95% CI: 8.1–9.7
#39
Idaho
8.7%
95% CI: 7.9–9.6
#40
Washington
8.6%
95% CI: 8.2–9
#41
Massachusetts
8.5%
95% CI: 7.8–9.4
#42
Connecticut
8.4%
95% CI: 7.6–9.3
#43
Alaska
8.2%
95% CI: 7.4–9.2
#44
Utah
8.1%
95% CI: 7.5–8.7
#45
Colorado
8%
95% CI: 7.3–8.7
#46
Montana
7.9%
95% CI: 7.2–8.7
#46
New Hampshire
7.9%
95% CI: 7.1–8.8
#48
Vermont
7.8%
95% CI: 7–8.7
—
Kentucky
Not available
No comparable published observation for this period; excluded from rank.
—
Pennsylvania
Not available
No comparable published observation for this period; excluded from rank.
All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.
Compare coverage of need, practitioners needed, or affected population for each discipline.
West Virginia · June 30, 202638.3%
West Virginia rank#40among all 50 states
U.S. benchmark47.4%Same measure and period when published
#1 is the highest value. Ties share a rank and leave gaps. D.C. and territories are excluded. Rank describes the measured value; it is not an overall score of the state.
Primary care · need met
HRSA-designated shortage areas; measures describe need within those areas, not the entire state population.
National report totals can include territories. Designation rules and populations differ by discipline; do not add disciplines. Absolute population and practitioner ranks also reflect state size.
Compare states on the graph
Hover or focus a bar to inspect its value and rank. Use the up and down arrows, Home or End to explore states. Click, tap or press Enter to keep a state selected. West Virginia stays highlighted. Values use the same measure and period.
Explore the map: hover or focus a state to inspect it, then click or tap to select it. Arrow keys move between states alphabetically. West Virginia has a dark outline.
Lower value · 11.2%Higher value · 83.2%Striped: unavailable
Color shows this measure’s value, not an overall state score. Select a state on the map, graph or dropdown to read its value, rank and comparison limits below.
West Virginia · 38.3%June 30, 2026 · Rank #40 of 50, highest firstSelected state
50 states shown · scroll to explore every state. Missing values have no bar and are excluded from ranks. Bars start at zero; #1 means the highest value.
Compare West Virginia with every state · 50 ranked
Primary care · need met · June 30, 2026 · highest value ranked #1
Rank
State
Value
Comparison notes
#1
New Jersey
83.2%
—
#2
Vermont
82.6%
—
#3
South Carolina
79.4%
—
#4
New Hampshire
74.8%
—
#5
Rhode Island
74.3%
—
#6
Louisiana
72.1%
—
#7
Hawaii
67.1%
—
#8
Utah
65.4%
—
#9
Wisconsin
65.2%
—
#10
Alabama
63%
—
#11
Connecticut
60.3%
—
#12
Massachusetts
58%
—
#13
Tennessee
58%
—
#14
Virginia
57.2%
—
#15
Pennsylvania
56.7%
—
#16
Maine
56%
—
#17
Minnesota
55.4%
—
#18
Wyoming
54.4%
—
#19
Indiana
54.2%
—
#20
California
53.2%
—
#21
Arkansas
52.6%
—
#22
Texas
49.8%
—
#23
Ohio
49.7%
—
#24
Nebraska
49.1%
—
#25
Alaska
48.9%
—
#26
North Carolina
48.1%
—
#27
Colorado
47.5%
—
#28
Michigan
44.9%
—
#29
Oregon
43.9%
—
#30
Idaho
43.9%
—
#31
Washington
42.4%
—
#32
Illinois
41.5%
—
#33
Nevada
41.5%
—
#34
Arizona
41.2%
—
#35
Kansas
41.1%
—
#36
Iowa
40.5%
—
#37
Florida
39.7%
—
#38
Georgia
39.1%
—
#39
Montana
38.5%
—
#40
West Virginia · your comparison
38.3%
—
#41
North Dakota
36.5%
—
#42
New York
35.3%
—
#43
South Dakota
34.6%
—
#44
Mississippi
34.1%
—
#45
Maryland
31.6%
—
#46
New Mexico
31.4%
—
#47
Kentucky
30.8%
—
#48
Oklahoma
28.6%
—
#49
Missouri
23.7%
—
#50
Delaware
11.2%
—
All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.
Premium comparisons use a published historical all-state employer survey. Total premiums combine employer and employee payments.
West Virginia · 2020$6,993
West Virginia rank#31among all 50 states
U.S. benchmark$7,149Same measure and period when published
#1 is the highest value. Ties share a rank and leave gaps. D.C. and territories are excluded. Rank describes the measured value; it is not an overall score of the state.
Single coverage premium · all firms
Average total annual employer-plan premium per enrolled employee at private-sector establishments offering coverage.
Historical 2020 published all-state table; not a current quote. Includes both employer and employee contributions, rather than just a worker’s payment. Survey estimates and small firm samples carry uncertainty. Missing estimates remain unavailable.
Compare states on the graph
Hover or focus a bar to inspect its value and rank. Use the up and down arrows, Home or End to explore states. Click, tap or press Enter to keep a state selected. West Virginia stays highlighted. Values use the same measure and period.
Explore the map: hover or focus a state to inspect it, then click or tap to select it. Arrow keys move between states alphabetically. West Virginia has a dark outline.
Lower value · $6.39KHigher value · $8.64KStriped: unavailable
Color shows this measure’s value, not an overall state score. Select a state on the map, graph or dropdown to read its value, rank and comparison limits below.
West Virginia · $6,9932020 · Rank #31 of 50, highest firstSelected state
50 states shown · scroll to explore every state. Missing values have no bar and are excluded from ranks. Bars start at zero; #1 means the highest value.
Compare West Virginia with every state · 50 ranked
Single coverage premium · all firms · 2020 · highest value ranked #1
Rank
State
Value
Comparison notes
#1
Alaska
$8,635
—
#2
New York
$8,177
—
#3
New Hampshire
$7,991
—
#4
Vermont
$7,868
—
#5
Wyoming
$7,743
—
#6
Nebraska
$7,611
—
#7
South Carolina
$7,516
—
#8
Connecticut
$7,501
—
#9
Maine
$7,496
—
#10
Massachusetts
$7,452
—
#11
Washington
$7,440
—
#12
New Mexico
$7,424
—
#13
Illinois
$7,376
—
#14
New Jersey
$7,373
—
#15
Maryland
$7,352
—
#16
Rhode Island
$7,326
—
#17
Indiana
$7,319
—
#18
Delaware
$7,280
—
#19
Wisconsin
$7,250
—
#20
Pennsylvania
$7,246
—
#21
North Dakota
$7,216
—
#22
Colorado
$7,206
—
#23
Missouri
$7,179
—
#24
California
$7,173
—
#25
Florida
$7,078
—
#26
South Dakota
$7,070
—
#27
Oklahoma
$7,058
—
#28
Hawaii
$7,040
—
#29
North Carolina
$7,036
—
#30
Texas
$7,017
—
#31
West Virginia · your comparison
$6,993
—
#32
Ohio
$6,989
—
#33
Kentucky
$6,949
—
#34
Iowa
$6,932
—
#35
Virginia
$6,928
—
#36
Oregon
$6,917
—
#37
Minnesota
$6,910
—
#38
Georgia
$6,876
—
#39
Montana
$6,860
—
#40
Idaho
$6,744
—
#41
Louisiana
$6,713
—
#42
Michigan
$6,683
—
#43
Kansas
$6,675
—
#44
Arizona
$6,612
—
#45
Utah
$6,593
—
#46
Mississippi
$6,561
—
#47
Nevada
$6,493
—
#48
Tennessee
$6,485
—
#49
Arkansas
$6,414
—
#50
Alabama
$6,393
—
All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.
Adult statewide estimates use the same SAMHSA model and survey period. Treatment use is a share of all adults, not a share of adults with mental illness.
West Virginia · 2023–202428.1%
West Virginia rank#3among all 50 states
U.S. benchmark23.1%Same measure and period when published
#1 is the highest value. Ties share a rank and leave gaps. D.C. and territories are excluded. Rank describes the measured value; it is not an overall score of the state.
Any Mental Illness · adults 18+
Civilian noninstitutionalized adults age 18+, past-year prevalence or treatment use, estimated by small-area survey models.
Mental illness and depression estimates pool 2023–2024; treatment use covers 2024 only. Definitions and model-based uncertainty differ from the national page’s annual 2025 survey estimates. Point-estimate ranks do not establish significant differences. Serious mental illness is a subset of any mental illness, so their percentages must not be added.
Compare states on the graph
Hover or focus a bar to inspect its value and rank. Use the up and down arrows, Home or End to explore states. Click, tap or press Enter to keep a state selected. West Virginia stays highlighted. Values use the same measure and period.
Explore the map: hover or focus a state to inspect it, then click or tap to select it. Arrow keys move between states alphabetically. West Virginia has a dark outline.
Lower value · 18.1%Higher value · 31.6%Striped: unavailable
Color shows this measure’s value, not an overall state score. Select a state on the map, graph or dropdown to read its value, rank and comparison limits below.
West Virginia · 28.1%2023–2024 · Rank #3 of 50, highest firstSelected state
50 states shown · scroll to explore every state. Missing values have no bar and are excluded from ranks. Bars start at zero; #1 means the highest value.
Compare West Virginia with every state · 50 ranked
Any Mental Illness · adults 18+ · 2023–2024 · highest value ranked #1
Rank
State
Value
Comparison notes
#1
Oregon
31.6%
—
#2
Vermont
29.1%
—
#3
West Virginia · your comparison
28.1%
—
#4
Washington
27.9%
—
#5
New Hampshire
27.7%
—
#6
Tennessee
27%
—
#7
Utah
26.7%
—
#8
Maine
26.7%
—
#9
Arkansas
26.6%
—
#10
Colorado
26.4%
—
#11
Rhode Island
25.8%
—
#12
Missouri
25.7%
—
#13
Montana
25.6%
—
#14
Indiana
25.3%
—
#15
Kentucky
25.3%
—
#16
Georgia
25.2%
—
#17
Iowa
25%
—
#18
Massachusetts
24.9%
—
#19
Wyoming
24.7%
—
#20
Nevada
24.6%
—
#21
Arizona
24.6%
—
#22
Wisconsin
24.6%
—
#23
Idaho
24.5%
—
#24
Nebraska
24.1%
—
#25
Louisiana
24.1%
—
#26
Alaska
24%
—
#27
Pennsylvania
23.9%
—
#28
New Mexico
23.9%
—
#28
Ohio
23.9%
—
#30
Connecticut
23.7%
—
#31
Kansas
23.7%
—
#32
Michigan
23.6%
—
#33
Virginia
23.1%
—
#34
Alabama
23%
—
#35
North Dakota
23%
—
#36
Maryland
22.7%
—
#37
Oklahoma
22.6%
—
#38
Minnesota
22.6%
—
#39
Illinois
22.2%
—
#40
Delaware
22.1%
—
#41
New York
21.9%
—
#42
South Dakota
21.8%
—
#43
California
21.6%
—
#44
North Carolina
21.4%
—
#45
Florida
20.8%
—
#46
Texas
20.7%
—
#47
Mississippi
20.5%
—
#48
Hawaii
19.8%
—
#49
South Carolina
19.8%
—
#50
New Jersey
18.1%
—
All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.
Explore current officeholders and explicitly reviewed historical executive officials, labeled at the time of their actions. Timeline dates, action type, status and search also filter this list. Read any record’s summary, latest recorded status and official evidence below, or open it beside the timeline.
75 of 75 reviewed West Virginia actions · newest first
Apr 15, 2026 · S 4309 · Deescalation Drone Pilot Program Act of 2026 · In CongressU.S. Congress · West Virginia delegation · S 4309
Deescalation Drone Pilot Program Act of 2026
Apr 15, 2026 · In Congress
Sen. James C. Justice · Sponsored
FactVote reviewed summary
S. 4309 proposes an FAA pilot program to review nonlethal drones for law-enforcement response to active-shooter events, with training and safety protocols, testing, a report and subsequent rulemaking. The proposal requires a program within two months of enactment, a report to the House Transportation and Infrastructure Committee within three months after the program ends, and initiation of rulemaking within 60 days after that report. Program aircraft must be manufactured in the United States under the referenced FTC standard. Its defined active-shooter event requires ongoing unlawful killing or attempted killing using the specified explosives or weapons, significant risk to life and a continuing threat absent immediate force. It reaffirms the existing prohibition on drones armed with dangerous weapons and defines the proposed nonlethal category. This pending proposal concerns response to a subset of firearm violence, not demonstrated effectiveness or all firearm deaths.
Read twice and referred to the Committee on Commerce, Science, and Transportation. No enactment of this bill is recorded at the review cutoff.
Why this record is included
The firearm mortality series includes deaths across intents, including suicide and homicide. Carry rules concern firearm access; active-shooter response concerns a narrower violence component. Neither demonstrates a change in the reported deaths. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Firearm deaths. This record’s connection to the topic does not establish an effect on the measured result.
2.Small unmanned aircraft pilot program for law enforcement and public safety(a)In generalChapter 448 of title 49, United States Code, is amended by adding at the end the following:44815.Small unmanned aircraft pilot program for law enforcement and public safety(a)Prohibition regarding weaponsThe prohibition regarding unmanned aircraft armed with dangerous weapons under section 363 of the FAA Reauthorization Act of 2018 (49 U.S.C. 44802 note) is reaffirmed.(b)Pilot program(1)In generalNot later than 2 months after the date of enactment of this section, the Administrator of the Federal Aviation Administration shall establish a deescalation drone pilot program to review the potential use of nonlethal deescalation unmanned aircraft by Federal, State, local, or Tribal law enforcement responding to an active shooter event.(2)ContentsThe pilot program required under paragraph (1) shall—(A)address the process of reviewing and validating nonlethal weapons that may be affixed to an unmanned aircraft;(B)address training protocols for law enforcement and agents of the Administration for the use of nonlethal deescalation unmanned aircraft;(C)address operational and safety protocols for operators of nonlethal deescalation unmanned aircraft and agencies directly overseeing the operation of such unmanned aircraft; and(D)assess the efficacy of nonlethal deescalation unmanned aircraft in indoor active shooter events and the safety benefits associated with increasing the safe engagement distance between a law enforcement officer and an active shooter.(3)PartnershipsIn carrying out the pilot program under this subsection, the Administrator shall use existing partnerships with the unmanned aircraft system test ranges designated under section 44803, in collaboration with Federal, State, and large metropolitan area law enforcement.(4)Interagency aviation agreementsThe Administrator may enter into interagency aviation agreements, as necessary, with the Department of Justice, the Department of Homeland Security, and State large metropolitan and rural law enforcement agencies to support the pilot program under this subsection.(5)ConsultationThe Administrator shall solicit input from, and coordinate with, relevant stakeholders as appropriate in carrying out the pilot program established under this subsection.(6)ReportNot later than 3 months after the conclusion of the pilot program, the Administrator shall submit to the Committee on Transportation and Infrastructure of the House of Representatives a report on the results of the pilot program that includes a plan outlining a proposed process through which a law enforcement applicant to such program may seek permission from the Administrator to operate nonlethal deescalation unmanned aircraft.(c)RulemakingNot later than 60 days after submitting the report required under subsection (b)(6), the Administrator shall initiate a rulemaking to create a process through which the Administrator may provide approval—(1)for Federal, State, local, or Tribal law enforcement to operate nonlethal deescalation unmanned aircraft during an active shooter event; and(2)for manufacturers of nonlethal deescalation unmanned aircraft to operate such devices for testing, validation, and law enforcement demonstrations.(d)Manufacturing requirementAny nonlethal deescalation unmanned aircraft used under the pilot program shall be manufactured in the United States, as defined by the Federal Trade Commission under part 323 of title 16, Code of Federal Regulations.(e)DefinitionsIn this section:(1)Active shooter eventThe term active shooter event means an event in which—(A)an individual is actively engaged in unlawfully killing or attempting to kill people using explosives as defined under chapter 40 of title 18, United States Code, or weapons subject to chapter 44 of title 18 or chapter 53 of the Internal Revenue Code of 1986;(B)responding to the event poses a significant risk to human life, including the lives of law enforcement personnel and other individuals; and(C)absent an immediate use of force, the individual described in subparagraph (A) would continue posing a threat to human life.(2)Nonlethal deescalation unmanned aircraftThe term nonlethal deescalation unmanned aircraft means an unmanned aircraft operated by law enforcement that—(A)is only equipped or armed with 1 or more nonlethal weapons, including those that may be subject to the definition provided in section 930(g)(2) of title 18, United States Code; and(B)may be equipped with other nonlethal devices, including intense sound distraction emitters, cameras, targeting sensors, speakers, strobe lights, and other similar collateral equipment.(3)Nonlethal weaponThe term nonlethal weapon means a weapon, device, or munition that—(A)is explicitly designed and primarily employed to immediately incapacitate targeted individuals or property in the target area while minimizing—(i)fatalities;(ii)permanent injury to individuals; and(iii)undesired damage to property; and(B)is intended to have reversible effects on individuals and property..(b)Clerical amendmentThe analysis for chapter 448 of title 49, United States Code, is amended by adding at the end the following:‘44815. Small unmanned aircraft pilot program for law enforcement and public safety..
Allowing constitutional carry for 18- to 20-year-olds
Apr 1, 2026 · Signed
Gov. Patrick Morrisey · Signed
FactVote reviewed summary
Patrick Morrisey signed HB 4106. HB 4106 extends concealed carry without a license to qualifying people age 18 and older and repeals the separate under-21 licensing offense. The reviewed provision requires U.S. citizenship or legal residency and retains state and federal firearm-possession disqualifications. It does not authorize possession by prohibited persons or establish an effect on firearm deaths.
Approved by the governor on 2026-04-01, Chapter 75. Signing, effective dates, implementation and current enforceability are distinct.
Why this record is included
The firearm mortality series includes deaths across intents, including suicide and homicide. Carry rules concern firearm access; active-shooter response concerns a narrower violence component. Neither demonstrates a change in the reported deaths. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Firearm deaths. This record’s connection to the topic does not establish an effect on the measured result.
§61-7-3. Carrying a deadly weapon without provisional license or other authorization by persons under twenty-one years of age; penalties. [Repealed.] […] (c) Any person may carry a concealed deadly weapon without a license therefor who is: (1) At least 18 years of age; (2) A United States citizen or legal resident thereof; (3) Not prohibited from possessing a firearm under the provisions of this section; and (4) Not prohibited from possessing a firearm under the provisions of 18 U. S. C. §922(g) or (n).
Inspect this action on the timeline ↑Apr 1, 2026 · HB 4106 · Allowing constitutional carry for 18- to 20-year-olds · Enacted · Chapter 75West Virginia Legislature · HB 4106
Allowing constitutional carry for 18- to 20-year-olds
Apr 1, 2026 · Enacted · Chapter 75
Chuck Horst · Sponsored / Eric Brooks · Co-sponsored / Mark Dean · Co-sponsored / Josh Holstein · Co-sponsored / Laura Kimble · Co-sponsored / Phil Mallow · Co-sponsored / Carl Martin · Co-sponsored / Ian T. Masters · Co-sponsored / Chris Phillips · Co-sponsored / Bill Ridenour · Co-sponsored / Bryan Ward · Co-sponsored
FactVote reviewed summary
HB 4106 extends concealed carry without a license to qualifying people age 18 and older and repeals the separate under-21 licensing offense. The reviewed provision requires U.S. citizenship or legal residency and retains state and federal firearm-possession disqualifications. It does not authorize possession by prohibited persons or establish an effect on firearm deaths.
Approved by the governor on 2026-04-01, Chapter 75. Signing, effective dates, implementation and current enforceability are distinct.
Why this record is included
The firearm mortality series includes deaths across intents, including suicide and homicide. Carry rules concern firearm access; active-shooter response concerns a narrower violence component. Neither demonstrates a change in the reported deaths. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Firearm deaths. This record’s connection to the topic does not establish an effect on the measured result.
§61-7-3. Carrying a deadly weapon without provisional license or other authorization by persons under twenty-one years of age; penalties. [Repealed.] […] (c) Any person may carry a concealed deadly weapon without a license therefor who is: (1) At least 18 years of age; (2) A United States citizen or legal resident thereof; (3) Not prohibited from possessing a firearm under the provisions of this section; and (4) Not prohibited from possessing a firearm under the provisions of 18 U. S. C. §922(g) or (n).
Inspect this action on the timeline ↑Mar 14, 2026 · HB 4433 · Prohibiting Human Smuggling and Trafficking · Enacted · Chapter 191West Virginia Legislature · HB 4433
Prohibiting Human Smuggling and Trafficking
Mar 14, 2026 · Enacted · Chapter 191
Bill Ridenour · Sponsored / Jim Butler · Co-sponsored / Phil Mallow · Co-sponsored / Carl Martin · Co-sponsored / Rick Hillenbrand · Co-sponsored / Bryan Ward · Co-sponsored / Laura Kimble · Co-sponsored / D. Rolland Jennings · Co-sponsored / James Robert "JB" Akers II · Co-sponsored / Jordan Maynor · Co-sponsored
FactVote reviewed summary
HB 4433 creates adult and minor human-smuggling offenses and defines smuggling around knowing and willful conduct intended to avoid enforcement. The definition covers people without lawful U.S. status, including those who violated their admission terms. Adult smuggling or knowingly and willfully assisting it carries 2–10 years; the corresponding minor offense carries 3–15 years. Offenses involving a minor victim bar parole; an aggravating-circumstance finding imposes at least five years before parole on an indeterminate sentence. The transportation exception covers voluntary transport by immediate family and specified lawful federal or other-state government work through West Virginia. The advocacy-and-shelter exception is tied to the listed federal requirements and excludes knowingly and willfully evading enforcement. Medical and mental-health services are exempt; the attorney/support-staff exemption requires an active attorney-client relationship in a criminal case against the person or litigation about federal immigration or naturalization status. This connection concerns its immigration-related smuggling provisions, not all foreign-born residents or proof of current enforcement.
Approved by the governor on 2026-03-14, Chapter 191. Signing, effective dates, implementation and current enforceability are distinct.
Why this record is included
Foreign-born residents include naturalized citizens, lawful noncitizens and people without lawful status. The selected provisions concern subsets of that population; they do not establish anyone’s immigration status or change birthplace. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Residents who are foreign-born. This record’s connection to the topic does not establish an effect on the measured result.
“(6)(A) "Human Smuggling", "smuggling", or "smuggles" means knowingly and willfully transporting, transferring, receiving, isolating, enticing, or harboring an illegal alien for the purposes of avoiding enforcement of the laws of this state, another state, or the United States. (B) The term “human smuggling” under this article does not apply to: (i) The voluntary transportation of an illegal alien by an immediate family member; (ii) Any person acting within the scope of employment, or hired or contracted, by the federal government or another state, who is acting in a manner consistent with the laws of this state and the United States, and who is transporting an illegal alien through this state; or (iii) Any person acting within the scope of his or her lawful employment or fulfilling a lawful contractual duty who is providing advocacy and shelter services required by 28 C.F.R. 90.4(c), 28 C.F.R. § 94.103(a), 28 C.F.R. § 94.116, and 45 C.F.R. 1370.2: Provided, That the person is not knowingly and willfully attempting to evade enforcement of the laws of this state, another state, or the United States. (C) Any illegal alien being transported through this state shall not be transported to this state for permanent placement.” (7) "Human trafficking", "trafficking", or "traffics" means knowingly recruiting, transporting, transferring, harboring, receiving, providing, obtaining, isolating, maintaining, or enticing an individual to engage in debt bondage, forced labor, or sexual servitude. (8) "Identification document" means a passport, driver’s license, immigration document, travel document, or other government-issued identification document, including a document issued by a foreign government. (9) “Illegal alien" means any individual who has entered the United States without authorization and is subject to removal if apprehended, an individual who was lawfully admitted into the United States but has since violated the terms of admission, or an individual who is otherwise unlawfully present in the United States as provided under federal immigration law. (10) “Immediate family member” means a person’s spouse, parent or step-parent, child, stepchild, or adopted child, grandparent or step-grandparent, grandchild or step-grandchild, sibling, including step-siblings and adopted siblings. The terms “step” and “adopted” include persons related by marriage or legal adoption in the same manner as those related by blood. (11) "Labor or services" means activity having economic value. (12) "Minor" means a person younger than 18 years of age or a person representing himself or herself to be a minor. Any prosecution, pursuant to this article, relating to a person that is representing himself or herself to be a minor shall be limited to investigations being conducted or overseen by law-enforcement officers. (13) "Patronize" means giving, agreeing to give, or offering to give anything of value to another person in exchange for commercial sexual activity. (14) "Person" means an individual, estate, business or nonprofit entity, or other legal entity. The term does not include a public corporation or government or governmental subdivision, agency, or instrumentality. (15) "Serious harm" means harm, whether physical or nonphysical, including psychological, economic, or reputational, to an individual which would compel a reasonable individual of the same background and in the same circumstances to perform or continue to perform labor or services or sexual activity to avoid incurring the harm. (16) "Sexual activity" means sexual contact, sexual intercourse, or sexual intrusion as defined in §61-8b-1 of this code, or sexually explicit conduct as defined in §61-8-1 of this code. (17) "Sexual servitude" means: (A) Maintaining or making available a minor for the purpose of engaging the minor in commercial sexual activity; or (B) Using coercion to compel an adult to engage in commercial sexual activity. (18) "Victim" means an individual who is subjected to human trafficking, regardless of whether a perpetrator is prosecuted or convicted. §61-14-2. Human trafficking of an individual; aiding and abetting human trafficking; human smuggling of an individual; aiding and abetting human smuggling; penalties. (a) Any person who knowingly and willfully traffics an adult, or who knowingly and willfully aids, assists, or abets in any manner in the trafficking of an adult, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than three years nor more than 15 years. (b) Any person who knowingly and willfully traffics a minor, or who knowingly and willfully aids, assists, or abets in any manner in the trafficking of a minor, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. (c) Any person who knowingly and willfully smuggles an adult, or who knowingly and willfully aids, assists, or abets in any manner in the smuggling of an adult, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than two years nor more than 10 years. (d) Any person who knowingly and willfully smuggles a minor, or who knowingly and willfully aids, assists, or abets in any manner in the smuggling of a minor, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (e) Whenever a vessel, vehicle, or aircraft is used in human trafficking or human smuggling and the owner, operator, master, pilot, conductor, driver, or any other person in charge thereof is subject to criminal penalties pursuant to a conviction for a violation of §61-14-2 of this code, the conveyance involved is subject to seizure, forfeiture, and sale in accordance with the provisions of §60A-7-701 et seq. of this code: Provided, That the owner knowingly and willfully engaged in human trafficking or human smuggling in violation of §61-14-2 of this code. §61-14-3. Use of forced labor; penalties. (a) Any person who knowingly uses an adult in forced labor is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (b) Any person who knowingly uses a minor in forced labor is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. §61-14-4. Use of persons in debt bondage; penalties. (a) Any person who knowingly uses an adult in debt bondage is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (b) Any person who knowingly uses a minor in debt bondage is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. §61-14-5. Sexual servitude; penalties. (a) Any person who knowingly uses coercion to compel an adult to engage in commercial sexual activity is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for a determinate sentence of not less than 25 years. (b) Any person who knowingly maintains or makes available a minor for the purpose of engaging the minor in commercial sexual activity is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for a determinate sentence of not less than 50 years. (c) It is not a defense in a prosecution under subsection (b) of this section that the minor consented to engage in commercial sexual activity, or that the defendant believed the minor was an adult. §61-14-6. Patronizing a victim of sexual servitude; penalties. (a) Any person who knowingly patronizes another in commercial sexual activity and who knows that such person patronized is a victim of sexual servitude, is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than two years nor more than 10 years. (b) Notwithstanding the provisions of subsection (a) of this section, any person who knowingly patronizes a minor to engage in commercial sexual activity and who knows or has reason to know that the minor is a victim of sexual servitude, is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five nor more than 20 years. §61-14-7. General provisions and other penalties. (a) Separate violations. — For purposes of this article, each adult or minor victim constitutes a separate offense. (b) Aggravating circumstance. — (1) Notwithstanding any provision of this code to the contrary, if an individual is convicted of an offense under this article and the trier of fact makes a finding that the offense involved an aggravating circumstance, the individual is not eligible for parole before serving five years in a state correctional facility when the sentence is of an indeterminate nature. (2) Notwithstanding any provision of this code to the contrary, if an individual is convicted of an offense under this article in which the victim is a minor, that individual is not eligible for parole. (3) For purposes of this subsection, "aggravating circumstance" means any of the following: (A) The individual recruited, enticed, or obtained the victim from a shelter or facility that provides services to runaway youth, children in foster care, the homeless, or victims of human trafficking, domestic violence, or sexual assault; or (B) The human trafficking or smuggling offense involved one or more of the following: (i) The use of a deadly weapon, or the threat of use of a deadly weapon; (ii) Bodily injury or disfigurement to any individual who was trafficked or smuggled; (iii) The commission of a sexual offense against any individual who was trafficked or smuggled, or causing individuals being trafficked or smuggled to become a victim of a sexual offense; or (iv) Causing any individual to engage in sexual servitude. (c) Restitution. — (1) The court shall order a person convicted of an offense under this article to pay restitution to the victim of the offense. Restitution may also be awarded to any third parties, public or private, who incurred costs as a result of any offense under this article. (2) A judgment order for restitution may be enforced by the state or a victim named in the order to receive the restitution in the same manner as a judgment in a civil action in accordance with §61-11A-4 of this code, including filing a lien against the person, firm, or corporation against whom restitution is ordered. (3) The court shall order restitution under subdivision (1) of this subsection even if the victim is unavailable to accept payment of restitution. (4) If the victim does not claim restitution ordered under subdivision (1) of this subsection within five years of the entry of the order, the restitution shall be paid to the Crime Victims Compensation Fund created under §14-2A-4 of this code. (d) Eligibility for Compensation Fund. — Notwithstanding the definition of victim in §14-2A-3 of this code, a victim of any offense under this article is a victim for all purposes of §14-2A-1 et seq. of this code: Provided, That for purposes of §14-2A-1(b) of this code, if otherwise qualified, a victim of any offense under this article may not be denied eligibility solely for the failure to report to law enforcement within the designated time frame. (e) Law Enforcement Notification. —If a law-enforcement officer encounters a child who reasonably appears to be a victim of an offense under this article, the officer shall notify the Department of Human Services. If available, the Department of Human Services may notify the Domestic Violence Program serving the area where the child is found. (f) Forfeiture; Debarment. — (1) The following are declared to be contraband and no person shall have a property interest in them: (A) All property which is directly or indirectly used or intended for use in any manner to facilitate a violation of this article; and (B) Any property constituting or derived from gross profits or other proceeds obtained from a violation of this article. (2) In any action under this section, the court may enter such restraining orders or take other appropriate action, including acceptance of performance bonds, in connection with any interest that is subject to forfeiture. (3) Forfeiture actions under this section shall use the procedure set forth in article §60A-7-1 et seq. of this code. (4) Any person or business entity convicted of a violation of this article shall be debarred from state or local government contracts. §61-14-8. Immunity for minor victim of sex trafficking. (a) In a prosecution or a juvenile proceeding for an offense of prostitution in violation of §61-8-5(b) of this code, a minor may not be held criminally liable if the court determines that the minor is a victim of an offense under this article: Provided, That subject to proof, a minor so charged shall be rebuttably presumed to be a victim under the provisions of this article. (b) This section does not apply in a prosecution or a juvenile proceeding for any of the other offenses under §61-8-5(b) of this code, including specifically soliciting, inducing, enticing, or procuring another to commit an act or offense of prostitution, unless it is determined by the court that the minor was coerced into the criminal behavior. (c) A minor who, under subsection (a) or (b) of this section, is not subject to criminal liability or adjudication as a juvenile delinquent is presumed to be an abused child as defined in §49-1-201 of this code and may be eligible for services under Chapter 49 of this code including, but not limited to, appropriate child welfare services including, but not limited to, comprehensive trauma-informed services that are specialized to the needs of child victims of sexual abuse and exploitation or child sex trafficking victims. §61-14-10. Exemption for medical, mental health, and legal services. Notwithstanding any other provision of this code, this article does not apply to any person providing medical or mental health services to an illegal alien, or to any licensed attorney or their support staff who maintain an active attorney-client relationship with an illegal alien and are representing that person in either a criminal matter against the illegal alien or litigation concerning the illegal alien’s legal status under federal immigration or naturalization law.
Patrick Morrisey signed HB 4433. HB 4433 creates adult and minor human-smuggling offenses and defines smuggling around knowing and willful conduct intended to avoid enforcement. The definition covers people without lawful U.S. status, including those who violated their admission terms. Adult smuggling or knowingly and willfully assisting it carries 2–10 years; the corresponding minor offense carries 3–15 years. Offenses involving a minor victim bar parole; an aggravating-circumstance finding imposes at least five years before parole on an indeterminate sentence. The transportation exception covers voluntary transport by immediate family and specified lawful federal or other-state government work through West Virginia. The advocacy-and-shelter exception is tied to the listed federal requirements and excludes knowingly and willfully evading enforcement. Medical and mental-health services are exempt; the attorney/support-staff exemption requires an active attorney-client relationship in a criminal case against the person or litigation about federal immigration or naturalization status. This connection concerns its immigration-related smuggling provisions, not all foreign-born residents or proof of current enforcement.
Approved by the governor on 2026-03-14, Chapter 191. Signing, effective dates, implementation and current enforceability are distinct.
Why this record is included
Foreign-born residents include naturalized citizens, lawful noncitizens and people without lawful status. The selected provisions concern subsets of that population; they do not establish anyone’s immigration status or change birthplace. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Residents who are foreign-born. This record’s connection to the topic does not establish an effect on the measured result.
“(6)(A) "Human Smuggling", "smuggling", or "smuggles" means knowingly and willfully transporting, transferring, receiving, isolating, enticing, or harboring an illegal alien for the purposes of avoiding enforcement of the laws of this state, another state, or the United States. (B) The term “human smuggling” under this article does not apply to: (i) The voluntary transportation of an illegal alien by an immediate family member; (ii) Any person acting within the scope of employment, or hired or contracted, by the federal government or another state, who is acting in a manner consistent with the laws of this state and the United States, and who is transporting an illegal alien through this state; or (iii) Any person acting within the scope of his or her lawful employment or fulfilling a lawful contractual duty who is providing advocacy and shelter services required by 28 C.F.R. 90.4(c), 28 C.F.R. § 94.103(a), 28 C.F.R. § 94.116, and 45 C.F.R. 1370.2: Provided, That the person is not knowingly and willfully attempting to evade enforcement of the laws of this state, another state, or the United States. (C) Any illegal alien being transported through this state shall not be transported to this state for permanent placement.” (7) "Human trafficking", "trafficking", or "traffics" means knowingly recruiting, transporting, transferring, harboring, receiving, providing, obtaining, isolating, maintaining, or enticing an individual to engage in debt bondage, forced labor, or sexual servitude. (8) "Identification document" means a passport, driver’s license, immigration document, travel document, or other government-issued identification document, including a document issued by a foreign government. (9) “Illegal alien" means any individual who has entered the United States without authorization and is subject to removal if apprehended, an individual who was lawfully admitted into the United States but has since violated the terms of admission, or an individual who is otherwise unlawfully present in the United States as provided under federal immigration law. (10) “Immediate family member” means a person’s spouse, parent or step-parent, child, stepchild, or adopted child, grandparent or step-grandparent, grandchild or step-grandchild, sibling, including step-siblings and adopted siblings. The terms “step” and “adopted” include persons related by marriage or legal adoption in the same manner as those related by blood. (11) "Labor or services" means activity having economic value. (12) "Minor" means a person younger than 18 years of age or a person representing himself or herself to be a minor. Any prosecution, pursuant to this article, relating to a person that is representing himself or herself to be a minor shall be limited to investigations being conducted or overseen by law-enforcement officers. (13) "Patronize" means giving, agreeing to give, or offering to give anything of value to another person in exchange for commercial sexual activity. (14) "Person" means an individual, estate, business or nonprofit entity, or other legal entity. The term does not include a public corporation or government or governmental subdivision, agency, or instrumentality. (15) "Serious harm" means harm, whether physical or nonphysical, including psychological, economic, or reputational, to an individual which would compel a reasonable individual of the same background and in the same circumstances to perform or continue to perform labor or services or sexual activity to avoid incurring the harm. (16) "Sexual activity" means sexual contact, sexual intercourse, or sexual intrusion as defined in §61-8b-1 of this code, or sexually explicit conduct as defined in §61-8-1 of this code. (17) "Sexual servitude" means: (A) Maintaining or making available a minor for the purpose of engaging the minor in commercial sexual activity; or (B) Using coercion to compel an adult to engage in commercial sexual activity. (18) "Victim" means an individual who is subjected to human trafficking, regardless of whether a perpetrator is prosecuted or convicted. §61-14-2. Human trafficking of an individual; aiding and abetting human trafficking; human smuggling of an individual; aiding and abetting human smuggling; penalties. (a) Any person who knowingly and willfully traffics an adult, or who knowingly and willfully aids, assists, or abets in any manner in the trafficking of an adult, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than three years nor more than 15 years. (b) Any person who knowingly and willfully traffics a minor, or who knowingly and willfully aids, assists, or abets in any manner in the trafficking of a minor, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. (c) Any person who knowingly and willfully smuggles an adult, or who knowingly and willfully aids, assists, or abets in any manner in the smuggling of an adult, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than two years nor more than 10 years. (d) Any person who knowingly and willfully smuggles a minor, or who knowingly and willfully aids, assists, or abets in any manner in the smuggling of a minor, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (e) Whenever a vessel, vehicle, or aircraft is used in human trafficking or human smuggling and the owner, operator, master, pilot, conductor, driver, or any other person in charge thereof is subject to criminal penalties pursuant to a conviction for a violation of §61-14-2 of this code, the conveyance involved is subject to seizure, forfeiture, and sale in accordance with the provisions of §60A-7-701 et seq. of this code: Provided, That the owner knowingly and willfully engaged in human trafficking or human smuggling in violation of §61-14-2 of this code. §61-14-3. Use of forced labor; penalties. (a) Any person who knowingly uses an adult in forced labor is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (b) Any person who knowingly uses a minor in forced labor is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. §61-14-4. Use of persons in debt bondage; penalties. (a) Any person who knowingly uses an adult in debt bondage is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (b) Any person who knowingly uses a minor in debt bondage is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. §61-14-5. Sexual servitude; penalties. (a) Any person who knowingly uses coercion to compel an adult to engage in commercial sexual activity is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for a determinate sentence of not less than 25 years. (b) Any person who knowingly maintains or makes available a minor for the purpose of engaging the minor in commercial sexual activity is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for a determinate sentence of not less than 50 years. (c) It is not a defense in a prosecution under subsection (b) of this section that the minor consented to engage in commercial sexual activity, or that the defendant believed the minor was an adult. §61-14-6. Patronizing a victim of sexual servitude; penalties. (a) Any person who knowingly patronizes another in commercial sexual activity and who knows that such person patronized is a victim of sexual servitude, is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than two years nor more than 10 years. (b) Notwithstanding the provisions of subsection (a) of this section, any person who knowingly patronizes a minor to engage in commercial sexual activity and who knows or has reason to know that the minor is a victim of sexual servitude, is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five nor more than 20 years. §61-14-7. General provisions and other penalties. (a) Separate violations. — For purposes of this article, each adult or minor victim constitutes a separate offense. (b) Aggravating circumstance. — (1) Notwithstanding any provision of this code to the contrary, if an individual is convicted of an offense under this article and the trier of fact makes a finding that the offense involved an aggravating circumstance, the individual is not eligible for parole before serving five years in a state correctional facility when the sentence is of an indeterminate nature. (2) Notwithstanding any provision of this code to the contrary, if an individual is convicted of an offense under this article in which the victim is a minor, that individual is not eligible for parole. (3) For purposes of this subsection, "aggravating circumstance" means any of the following: (A) The individual recruited, enticed, or obtained the victim from a shelter or facility that provides services to runaway youth, children in foster care, the homeless, or victims of human trafficking, domestic violence, or sexual assault; or (B) The human trafficking or smuggling offense involved one or more of the following: (i) The use of a deadly weapon, or the threat of use of a deadly weapon; (ii) Bodily injury or disfigurement to any individual who was trafficked or smuggled; (iii) The commission of a sexual offense against any individual who was trafficked or smuggled, or causing individuals being trafficked or smuggled to become a victim of a sexual offense; or (iv) Causing any individual to engage in sexual servitude. (c) Restitution. — (1) The court shall order a person convicted of an offense under this article to pay restitution to the victim of the offense. Restitution may also be awarded to any third parties, public or private, who incurred costs as a result of any offense under this article. (2) A judgment order for restitution may be enforced by the state or a victim named in the order to receive the restitution in the same manner as a judgment in a civil action in accordance with §61-11A-4 of this code, including filing a lien against the person, firm, or corporation against whom restitution is ordered. (3) The court shall order restitution under subdivision (1) of this subsection even if the victim is unavailable to accept payment of restitution. (4) If the victim does not claim restitution ordered under subdivision (1) of this subsection within five years of the entry of the order, the restitution shall be paid to the Crime Victims Compensation Fund created under §14-2A-4 of this code. (d) Eligibility for Compensation Fund. — Notwithstanding the definition of victim in §14-2A-3 of this code, a victim of any offense under this article is a victim for all purposes of §14-2A-1 et seq. of this code: Provided, That for purposes of §14-2A-1(b) of this code, if otherwise qualified, a victim of any offense under this article may not be denied eligibility solely for the failure to report to law enforcement within the designated time frame. (e) Law Enforcement Notification. —If a law-enforcement officer encounters a child who reasonably appears to be a victim of an offense under this article, the officer shall notify the Department of Human Services. If available, the Department of Human Services may notify the Domestic Violence Program serving the area where the child is found. (f) Forfeiture; Debarment. — (1) The following are declared to be contraband and no person shall have a property interest in them: (A) All property which is directly or indirectly used or intended for use in any manner to facilitate a violation of this article; and (B) Any property constituting or derived from gross profits or other proceeds obtained from a violation of this article. (2) In any action under this section, the court may enter such restraining orders or take other appropriate action, including acceptance of performance bonds, in connection with any interest that is subject to forfeiture. (3) Forfeiture actions under this section shall use the procedure set forth in article §60A-7-1 et seq. of this code. (4) Any person or business entity convicted of a violation of this article shall be debarred from state or local government contracts. §61-14-8. Immunity for minor victim of sex trafficking. (a) In a prosecution or a juvenile proceeding for an offense of prostitution in violation of §61-8-5(b) of this code, a minor may not be held criminally liable if the court determines that the minor is a victim of an offense under this article: Provided, That subject to proof, a minor so charged shall be rebuttably presumed to be a victim under the provisions of this article. (b) This section does not apply in a prosecution or a juvenile proceeding for any of the other offenses under §61-8-5(b) of this code, including specifically soliciting, inducing, enticing, or procuring another to commit an act or offense of prostitution, unless it is determined by the court that the minor was coerced into the criminal behavior. (c) A minor who, under subsection (a) or (b) of this section, is not subject to criminal liability or adjudication as a juvenile delinquent is presumed to be an abused child as defined in §49-1-201 of this code and may be eligible for services under Chapter 49 of this code including, but not limited to, appropriate child welfare services including, but not limited to, comprehensive trauma-informed services that are specialized to the needs of child victims of sexual abuse and exploitation or child sex trafficking victims. §61-14-10. Exemption for medical, mental health, and legal services. Notwithstanding any other provision of this code, this article does not apply to any person providing medical or mental health services to an illegal alien, or to any licensed attorney or their support staff who maintain an active attorney-client relationship with an illegal alien and are representing that person in either a criminal matter against the illegal alien or litigation concerning the illegal alien’s legal status under federal immigration or naturalization law.
Inspect this action on the timeline ↑Mar 14, 2026 · SB 659 · Prohibiting certain restrictions on regulation of accessory dwelling units · Enacted · Chapter 241West Virginia Legislature · SB 659
Prohibiting certain restrictions on regulation of accessory dwelling units
The enrolled SB 659 limits municipal restrictions on at least one accessory dwelling unit on a single-family lot, including parking requirements, specified design restrictions and fees. A qualifying unit has independent access and its own cooking, sleeping and sanitation facilities on the same parcel as a larger single-family dwelling. Attached and detached units are limited to the lesser of 75% of the main dwelling’s habitable floor area or 1,000 square feet. The $250 impact-fee limit and $250 application-review limit are separate; usual building-permit fees may also apply. Private restrictive covenants remain enforceable. It retains building and safety requirements, historic-district design exceptions and municipal authority over short-term rentals. Conflicting local rules in effect on or after January 1, 2027 are invalid to the extent of the conflict. It does not establish construction, occupancy or lower rents.
Approved by the governor on 2026-03-14, Chapter 241. Signing, effective dates, implementation and current enforceability are distinct.
Why this record is included
Median gross rent includes contract rent and estimated tenant-paid utilities. Accessory dwellings can be rental housing; permission does not establish that units were built, rented or changed the median. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Median gross rent. This record’s connection to the topic does not establish an effect on the measured result.
§8-40-1. Definitions. As used in this article: (a) "Accessory dwelling unit" means a self-contained and independently accessed living unit on the same parcel as a single-family dwelling of greater square footage that includes its own cooking, sleeping, and sanitation facilities and complies with, or is otherwise exempt from, any applicable regulatory requirements; (b) "By right" means the ability to be approved without requiring: (1) A public hearing; (2) A variance, conditional use permit, special permit, or special exception; or (3) Other discretionary zoning action other than a determination that a site plan and any construction plans conform with applicable regulatory requirements; (c) "Gross floor area" means the interior habitable area of a single-family dwelling or an accessory dwelling unit; (d)(1) "Regulatory requirements" means the requirements determined by a municipality to be necessary for approval of plans, permits, or applications under this section. (2) "Regulatory requirements" includes: (A) The West Virginia Fire Code as adopted by the State Fire Marshal; (B) Any locally adopted ordinances and amendments to the ordinances; (C) Applicable zoning ordinances and conditions; (D) Design and construction standards, including any applicable building codes; and (E) Other federal, state, and local laws, rules, and ordinances applicable to the plan, permit, or application in question; (e) "Short-term rental" means an individually or collectively owned single-family house or single-family dwelling unit or a unit or group of units in a condominium, cooperative, time-share, or owner-occupied residential home that is offered for a fee for 30 days or less; and (f) "Single-family dwelling" means a building with one or more rooms designed for residential living purposes by one household that is detached from any other dwelling unit. (g) “Manufactured home” means a structure constructed in compliance with the federal Manufactured Home Construction and Safety Standards, 42 U.S.C. §5401 et seq., and installed on a permanent foundation. §8-40-2. Prohibition on policy regulations restricting accessory dwelling units. (a) Except as provided in this article, a municipality shall not adopt a policy, regulation, or ordinance that restricts, prohibits, or otherwise regulates the use of at least one accessory dwelling unit by right on a lot or parcel that contains a single-family dwelling. (b) An accessory dwelling unit may be attached, detached, or internal to the single-family dwelling on a lot or parcel. (c) If the accessory dwelling unit is detached from or attached to the single-family dwelling, it shall not be more than 75 percent of the gross floor area of the single-family dwelling or 1,000 square feet, whichever is less. (d) A municipality may not: (1) Require that a lot or parcel have additional parking to accommodate an accessory dwelling unit or require fees in lieu of additional parking; (2) Require that an accessory dwelling unit match the exterior design, roof pitch, or finishing materials of the single-family dwelling: Provided, That a municipality may require an accessory dwelling unit to match exterior design, roof pitch, finishing materials, and other design guidelines if the single family dwelling or accessory dwelling unit is located within a historic district, as defined in §8A-1-2 of this code, and the requirement is imposed pursuant to an ordinance or regulation duly adopted for the preservation of that historic district; (3) Require a familial, marital, or employment relationship between the occupants of the single-family dwelling and the occupants of the accessory dwelling unit; (4) Assess development impact fees in excess of $250 on the construction of an accessory dwelling unit; (5) Require improvements to public streets or sidewalks as a condition of permitting an accessory dwelling unit, except as necessary to reconstruct or repair a public street or sidewalk that is disturbed as a result of the construction of the accessory dwelling unit; (6) Set maximum building heights, minimum setback requirements, minimum lot sizes, maximum lot coverages, or minimum building frontages for accessory dwelling units that are more restrictive than those for the single-family dwelling on the lot; (7) Impose more onerous development standards on an accessory dwelling unit beyond those set forth in this article; (8)(A) Require a restrictive covenant concerning an accessory dwelling unit on a parcel zoned for residential use by a single-family dwelling. (B)(i) Paragraph (A) of this subdivision does not prohibit restrictive covenants concerning accessory dwelling units entered into between private parties. (ii) Notwithstanding clause (i) of this paragraph, a municipality shall not condition a permit, license, or use of an accessory dwelling unit on the adoption or implementation of a restrictive covenant entered into between private parties; or (9) Require water and sewer for the accessory dwelling unit separate from that serving the primary structure. (e) A manufactured home may be used as an accessory dwelling unit by right on a lot or parcel that contains a single family dwelling in any zoning district where accessory dwelling units are permitted. (f) A municipality may not prohibit or unreasonably restrict the use of a manufactured home as an accessory dwelling unit, provided that the manufactured home is installed on a permanent foundation and complies with applicable building, fire, and safety codes and any other requirements in this article. (g) A municipality may not impose design, aesthetic, age of construction, or prior use requirements on a manufactured home used as an accessory dwelling unit that are more restrictive than those imposed on site built accessory dwelling units of comparable size. (h) A manufactured home used as an accessory dwelling unit shall be assessed and taxed as real property. (i) A manufactured home used as an accessory dwelling unit may share water, sewer, and utility connections with the primary single family dwelling. Separate utility connections or meters may be required only where necessary to protect public health and safety and where such requirements are applied uniformly to all accessory dwelling units. §8-40-3. Exemptions. (a) This article does not prohibit a municipality from regulating short-term rentals. (b)(1)(A) A municipality may require a fee for reviewing applications to create accessory dwelling units; and (B) The application fee may not exceed $250 for each accessory dwelling unit. (2) Subdivision (1) of this subsection does not prohibit a municipality from requiring its usual building fees in addition to the application fee. (c) A policy, regulation, or ordinance in effect on or after January 1, 2027, that applies to an accessory dwelling unit and does not comply with this article is invalid to the extent of its conflict with this article. (d) A municipality may require an accessory dwelling unit to have: (1) A will-serve letter from both the water system and the sewer system that serves the primary dwelling; or (2) Approval from the Department of Health where municipal or private water service or sewer service is not available. (e) This article does not: (1) Supersede applicable regulatory requirements; or (2) Prohibit a municipality from adopting a policy, regulation, or ordinance that is more permissive than the provisions under this article.
Records come from published fact relationships or reviewed topic records with official supporting evidence and verified West Virginia officeholder attribution. Historical executive officials require evidence tied to the action date and are excluded from incumbent proposals. Inclusion follows an explicit topic review, a related state fact, or the action’s title and supporting evidence. Explicit topic reviews take priority; repeated actions use the most recent explicit review for this topic. Duplicate actions attached to several facts appear once. This topic match is not a new finding that an action caused a result, and the reviewed collection is selective. Collection reviewed Oct 7, 2026.
What candidates are saying
Explore statements about health coverage, healthcare costs, access to care and public health from FactVote’s West Virginia candidate profiles. Compare candidates within each recorded race, with each person’s matching statements kept together. These are candidate and campaign statements, not verified outcomes.
26 statements from 5 candidates
2026 West Virginia U.S. House — District 1 — General Election
2 candidates with matching statements · 5 statements
Seven hospitals in our district are likely to close because of disastrous Medicaid funding cuts. This will take away good jobs from working families, hurt our local economies, and negatively impact the health of our already struggling communities. I will fight to reverse harmful cuts to Medicaid and…
Read exact statement & source
Source topic or question: Health care, addiction, and veterans
Candidate campaign source
Seven hospitals in our district are likely to close because of disastrous Medicaid funding cuts. This will take away good jobs from working families, hurt our local economies, and negatively impact the health of our already struggling communities. I will fight to reverse harmful cuts to Medicaid and Medicare.
Statement date not recorded · Profile reviewed Aug 21, 2026
Science-Based, Human-Centered Addiction Recovery Addiction isn’t a moral failing or a decision--it’s disease that grips the human brain and refuses to let go. We must first reclaim funds that our communities used to fight addiction—especially Medicaid—and then invest those funds in programs that are…
Read exact statement & source
Source topic or question: Health care, addiction, and veterans
Candidate campaign source
Science-Based, Human-Centered Addiction Recovery Addiction isn’t a moral failing or a decision--it’s disease that grips the human brain and refuses to let go. We must first reclaim funds that our communities used to fight addiction—especially Medicaid—and then invest those funds in programs that are based in evidence, not profit and half-baked whims.
Statement date not recorded · Profile reviewed Aug 21, 2026
A few years ago, the opioid epidemic was front and center in people’s minds across the country. Somehow when the cameras turned off, politicians assumed the pain had as well. It hasn’t and we will focus on taking the fight back to this epidemic that has directly or indirectly affected every person i…
Read exact statement & source
Source topic or question: Health care, addiction, and veterans
Candidate campaign source
A few years ago, the opioid epidemic was front and center in people’s minds across the country. Somehow when the cameras turned off, politicians assumed the pain had as well. It hasn’t and we will focus on taking the fight back to this epidemic that has directly or indirectly affected every person in West Virginia.
Statement date not recorded · Profile reviewed Aug 21, 2026
American taxpayers pay enough taxes to receive the best healthcare in the world, but our elected leaders only provide it to themselves. We must invest in Medicare, Medicaid and Tricare to allow all Americans to benefit in real time from the healthcare taxpayers invest in. These systems must prioriti…
Read exact statement & source
Source topic or question: Health care, addiction, and veterans
Candidate campaign source
American taxpayers pay enough taxes to receive the best healthcare in the world, but our elected leaders only provide it to themselves. We must invest in Medicare, Medicaid and Tricare to allow all Americans to benefit in real time from the healthcare taxpayers invest in. These systems must prioritize human health and safety and deliver care based on medical necessity. We will invest in the education and training and support of our medical professionals based on our communities' healthcare needs rather than profit. To eliminate the effect of perverse profit incentives to deny care recommended by treating physicians, the government must divest from obsolete non-provider corporations and their subsidiaries.
Statement date not recorded · Profile reviewed Aug 21, 2026
I will put forward a plan for Medicare, Medicaid and Tricare for all that ensures that patients receive the necessary care prescribed by their physicians and healthcare providers. The plan will prohibit discrimination for services deemed medically necessary. The plan will develop our healthcare reso…
Read exact statement & source
Source topic or question: Health care, addiction, and veterans
Candidate campaign source
I will put forward a plan for Medicare, Medicaid and Tricare for all that ensures that patients receive the necessary care prescribed by their physicians and healthcare providers. The plan will prohibit discrimination for services deemed medically necessary. The plan will develop our healthcare resources assuring that healthcare education opportunities are given based on merit and national need. The plan will eliminate perverse and harmful profit incentives for the denial of care and eliminate obsolete third-party non-healthcare providers for taxpayer funded services.
Statement date not recorded · Profile reviewed Aug 21, 2026
The American people have a sacred trust with our service men and women. We call them and support them under the values and framework of our Constitution. We owe them assurances that we will not force them to stray from their oaths to uphold and defend the Constitution. We must assure them that the c…
Read exact statement & source
Source topic or question: Civil and constitutional rights
Candidate campaign source
The American people have a sacred trust with our service men and women. We call them and support them under the values and framework of our Constitution. We owe them assurances that we will not force them to stray from their oaths to uphold and defend the Constitution. We must assure them that the civilian leadership we chose will not be allowed to fritter away our service members' lives in cruel exploits for foreign favors or corrupt interests. We owe them the dignity of serving in the best interest of our most important values: human life, liberty, justice, equality and democracy. To our veterans we owe their prioritization in budgeting, healthcare and services. We owe them adequate HUMAN care for their mental and physical healthcare needs. We cannot soothe our consciences by shuffling veterans' needs off to technology. The diversion of the American military budget to mercenary corporate forces is a corrupting practice that violates our Constitution and the human rights of those who face extensions of American power without Constitutional restraint.
Statement date not recorded · Profile reviewed Aug 21, 2026
As the injuries from war change and a new generation of veterans re-enter civilian life, it is crucial that Congress work with the VA to provide all the resources necessary to ensure a smooth transition for our veterans. This includes continually modernizing efforts in job training and opportunities…
Read exact statement & source
Source topic or question: Health care, addiction, and veterans
Government-published candidate material
As the injuries from war change and a new generation of veterans re-enter civilian life, it is crucial that Congress work with the VA to provide all the resources necessary to ensure a smooth transition for our veterans. This includes continually modernizing efforts in job training and opportunities, mental health services, housing assistance and educational benefits.
Statement date not recorded · Profile reviewed Sep 17, 2026
Senator Capito has grave concerns about the lack of mental health services within the VA. While our veterans are provided with better technology and protection in the face of war, the traumatic effects can be detrimental for returning veterans and their families. Senator Capito was a proud cosponsor…
Read exact statement & source
Source topic or question: Health care, addiction, and veterans
Government-published candidate material
Senator Capito has grave concerns about the lack of mental health services within the VA. While our veterans are provided with better technology and protection in the face of war, the traumatic effects can be detrimental for returning veterans and their families. Senator Capito was a proud cosponsor of The Clay Hunt Suicide Prevention for American Veterans Act, which established a pilot-program to recruit more mental health professionals to the VA, created a website with better access to resources and materials for assistance, and required a third party evaluation of the effectiveness of suicide prevention programs within the VA. Senator Capito believes that there is still more to be done to prevent veteran suicides and has consistently supported legislation to build upon Clay Hunt and ensure that veterans receive the proper support that they need.
Statement date not recorded · Profile reviewed Sep 17, 2026
Senator Capito believes every West Virginian and American deserve access to affordable, quality health care. She is a long-time advocate for rural health care initiatives and has consistently championed funding for community health centers, a vital source of primary care in communities across West V…
Read exact statement & source
Source topic or question: Candidate statement
Candidate campaign source
Senator Capito believes every West Virginian and American deserve access to affordable, quality health care. She is a long-time advocate for rural health care initiatives and has consistently championed funding for community health centers, a vital source of primary care in communities across West Virginia. As Ranking Member of the Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies, Senator Capito has an elevated role and ability to impact many important factors in West Virginia. These factors include groundbreaking medical research, important support for the state’s education institutions and medical facilities, and strengthening medical resources for our coal miners as well as those struggling with addiction.
Statement date not recorded · Profile reviewed Sep 17, 2026
Senator Capito believes that it is important to look into unconventional methods to addressing the mental health of veterans. As a member of the Appropriations Subcommittee on Military Construction and Veterans Affairs, Senator Capito was able to create an Agritherapy pilot program at the Woody Will…
Read exact statement & source
Source topic or question: Health care, addiction, and veterans
Government-published candidate material
Senator Capito believes that it is important to look into unconventional methods to addressing the mental health of veterans. As a member of the Appropriations Subcommittee on Military Construction and Veterans Affairs, Senator Capito was able to create an Agritherapy pilot program at the Woody Williams VAMC in Huntington. Due to the success of the pilot program, it was renewed and serves as a shining example for VA facilities across the country.
Statement date not recorded · Profile reviewed Sep 17, 2026
This section matches specific health coverage, healthcare costs, access to care and public health terms in retained, attributed source text from published West Virginia candidate profiles. A profile heading or biography alone does not qualify. The Florida geography is fixed; saved state preferences cannot change these results. A mention can concern a community or group rather than Florida’s statewide measure.
Matching is automatic and does not establish a candidate’s stance, the accuracy of a claim, or an effect on the measured result. Results are grouped by recorded race, then by candidate name. Within each candidate, the matching issue mentions appear first. Only candidates with matching retained statements are shown; this is not a complete race roster. Repeated identical text for the same candidate is shown once. Coverage follows the existing state profiles and is not a complete record of all candidates or everything they have said. Review dates are not statement dates.
West Virginia incumbents
What incumbents are proposing
Explore reviewed bills sponsored by current West Virginia legislators and West Virginia’s congressional delegation, plus retained proposals from West Virginia’s governor and agencies. Each record keeps its latest recorded status and official evidence.
10 matching sponsorships or proposals · 8 West Virginia incumbents. These filters apply only to this section.
Bill Ridenour
West Virginia House of Delegates, District 100 · R–WV
1 proposalView proposals from Bill RidenourWest Virginia Legislature · HB 4433
Prohibiting Human Smuggling and Trafficking
Mar 14, 2026 · Enacted · Chapter 191
Bill Ridenour · Sponsored / Jim Butler · Co-sponsored / Phil Mallow · Co-sponsored / Carl Martin · Co-sponsored / Rick Hillenbrand · Co-sponsored / Bryan Ward · Co-sponsored / Laura Kimble · Co-sponsored / D. Rolland Jennings · Co-sponsored / James Robert "JB" Akers II · Co-sponsored / Jordan Maynor · Co-sponsored
FactVote reviewed summary
HB 4433 creates adult and minor human-smuggling offenses and defines smuggling around knowing and willful conduct intended to avoid enforcement. The definition covers people without lawful U.S. status, including those who violated their admission terms. Adult smuggling or knowingly and willfully assisting it carries 2–10 years; the corresponding minor offense carries 3–15 years. Offenses involving a minor victim bar parole; an aggravating-circumstance finding imposes at least five years before parole on an indeterminate sentence. The transportation exception covers voluntary transport by immediate family and specified lawful federal or other-state government work through West Virginia. The advocacy-and-shelter exception is tied to the listed federal requirements and excludes knowingly and willfully evading enforcement. Medical and mental-health services are exempt; the attorney/support-staff exemption requires an active attorney-client relationship in a criminal case against the person or litigation about federal immigration or naturalization status. This connection concerns its immigration-related smuggling provisions, not all foreign-born residents or proof of current enforcement.
Approved by the governor on 2026-03-14, Chapter 191. Signing, effective dates, implementation and current enforceability are distinct.
Why this record is included
Foreign-born residents include naturalized citizens, lawful noncitizens and people without lawful status. The selected provisions concern subsets of that population; they do not establish anyone’s immigration status or change birthplace. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Residents who are foreign-born. This record’s connection to the topic does not establish an effect on the measured result.
“(6)(A) "Human Smuggling", "smuggling", or "smuggles" means knowingly and willfully transporting, transferring, receiving, isolating, enticing, or harboring an illegal alien for the purposes of avoiding enforcement of the laws of this state, another state, or the United States. (B) The term “human smuggling” under this article does not apply to: (i) The voluntary transportation of an illegal alien by an immediate family member; (ii) Any person acting within the scope of employment, or hired or contracted, by the federal government or another state, who is acting in a manner consistent with the laws of this state and the United States, and who is transporting an illegal alien through this state; or (iii) Any person acting within the scope of his or her lawful employment or fulfilling a lawful contractual duty who is providing advocacy and shelter services required by 28 C.F.R. 90.4(c), 28 C.F.R. § 94.103(a), 28 C.F.R. § 94.116, and 45 C.F.R. 1370.2: Provided, That the person is not knowingly and willfully attempting to evade enforcement of the laws of this state, another state, or the United States. (C) Any illegal alien being transported through this state shall not be transported to this state for permanent placement.” (7) "Human trafficking", "trafficking", or "traffics" means knowingly recruiting, transporting, transferring, harboring, receiving, providing, obtaining, isolating, maintaining, or enticing an individual to engage in debt bondage, forced labor, or sexual servitude. (8) "Identification document" means a passport, driver’s license, immigration document, travel document, or other government-issued identification document, including a document issued by a foreign government. (9) “Illegal alien" means any individual who has entered the United States without authorization and is subject to removal if apprehended, an individual who was lawfully admitted into the United States but has since violated the terms of admission, or an individual who is otherwise unlawfully present in the United States as provided under federal immigration law. (10) “Immediate family member” means a person’s spouse, parent or step-parent, child, stepchild, or adopted child, grandparent or step-grandparent, grandchild or step-grandchild, sibling, including step-siblings and adopted siblings. The terms “step” and “adopted” include persons related by marriage or legal adoption in the same manner as those related by blood. (11) "Labor or services" means activity having economic value. (12) "Minor" means a person younger than 18 years of age or a person representing himself or herself to be a minor. Any prosecution, pursuant to this article, relating to a person that is representing himself or herself to be a minor shall be limited to investigations being conducted or overseen by law-enforcement officers. (13) "Patronize" means giving, agreeing to give, or offering to give anything of value to another person in exchange for commercial sexual activity. (14) "Person" means an individual, estate, business or nonprofit entity, or other legal entity. The term does not include a public corporation or government or governmental subdivision, agency, or instrumentality. (15) "Serious harm" means harm, whether physical or nonphysical, including psychological, economic, or reputational, to an individual which would compel a reasonable individual of the same background and in the same circumstances to perform or continue to perform labor or services or sexual activity to avoid incurring the harm. (16) "Sexual activity" means sexual contact, sexual intercourse, or sexual intrusion as defined in §61-8b-1 of this code, or sexually explicit conduct as defined in §61-8-1 of this code. (17) "Sexual servitude" means: (A) Maintaining or making available a minor for the purpose of engaging the minor in commercial sexual activity; or (B) Using coercion to compel an adult to engage in commercial sexual activity. (18) "Victim" means an individual who is subjected to human trafficking, regardless of whether a perpetrator is prosecuted or convicted. §61-14-2. Human trafficking of an individual; aiding and abetting human trafficking; human smuggling of an individual; aiding and abetting human smuggling; penalties. (a) Any person who knowingly and willfully traffics an adult, or who knowingly and willfully aids, assists, or abets in any manner in the trafficking of an adult, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than three years nor more than 15 years. (b) Any person who knowingly and willfully traffics a minor, or who knowingly and willfully aids, assists, or abets in any manner in the trafficking of a minor, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. (c) Any person who knowingly and willfully smuggles an adult, or who knowingly and willfully aids, assists, or abets in any manner in the smuggling of an adult, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than two years nor more than 10 years. (d) Any person who knowingly and willfully smuggles a minor, or who knowingly and willfully aids, assists, or abets in any manner in the smuggling of a minor, is guilty of a felony and, upon conviction, shall be confined in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (e) Whenever a vessel, vehicle, or aircraft is used in human trafficking or human smuggling and the owner, operator, master, pilot, conductor, driver, or any other person in charge thereof is subject to criminal penalties pursuant to a conviction for a violation of §61-14-2 of this code, the conveyance involved is subject to seizure, forfeiture, and sale in accordance with the provisions of §60A-7-701 et seq. of this code: Provided, That the owner knowingly and willfully engaged in human trafficking or human smuggling in violation of §61-14-2 of this code. §61-14-3. Use of forced labor; penalties. (a) Any person who knowingly uses an adult in forced labor is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (b) Any person who knowingly uses a minor in forced labor is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. §61-14-4. Use of persons in debt bondage; penalties. (a) Any person who knowingly uses an adult in debt bondage is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than three nor more than 15 years. (b) Any person who knowingly uses a minor in debt bondage is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five years nor more than 20 years. §61-14-5. Sexual servitude; penalties. (a) Any person who knowingly uses coercion to compel an adult to engage in commercial sexual activity is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for a determinate sentence of not less than 25 years. (b) Any person who knowingly maintains or makes available a minor for the purpose of engaging the minor in commercial sexual activity is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for a determinate sentence of not less than 50 years. (c) It is not a defense in a prosecution under subsection (b) of this section that the minor consented to engage in commercial sexual activity, or that the defendant believed the minor was an adult. §61-14-6. Patronizing a victim of sexual servitude; penalties. (a) Any person who knowingly patronizes another in commercial sexual activity and who knows that such person patronized is a victim of sexual servitude, is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than two years nor more than 10 years. (b) Notwithstanding the provisions of subsection (a) of this section, any person who knowingly patronizes a minor to engage in commercial sexual activity and who knows or has reason to know that the minor is a victim of sexual servitude, is guilty of a felony and, upon conviction thereof, shall be imprisoned in a state correctional facility for an indeterminate sentence of not less than five nor more than 20 years. §61-14-7. General provisions and other penalties. (a) Separate violations. — For purposes of this article, each adult or minor victim constitutes a separate offense. (b) Aggravating circumstance. — (1) Notwithstanding any provision of this code to the contrary, if an individual is convicted of an offense under this article and the trier of fact makes a finding that the offense involved an aggravating circumstance, the individual is not eligible for parole before serving five years in a state correctional facility when the sentence is of an indeterminate nature. (2) Notwithstanding any provision of this code to the contrary, if an individual is convicted of an offense under this article in which the victim is a minor, that individual is not eligible for parole. (3) For purposes of this subsection, "aggravating circumstance" means any of the following: (A) The individual recruited, enticed, or obtained the victim from a shelter or facility that provides services to runaway youth, children in foster care, the homeless, or victims of human trafficking, domestic violence, or sexual assault; or (B) The human trafficking or smuggling offense involved one or more of the following: (i) The use of a deadly weapon, or the threat of use of a deadly weapon; (ii) Bodily injury or disfigurement to any individual who was trafficked or smuggled; (iii) The commission of a sexual offense against any individual who was trafficked or smuggled, or causing individuals being trafficked or smuggled to become a victim of a sexual offense; or (iv) Causing any individual to engage in sexual servitude. (c) Restitution. — (1) The court shall order a person convicted of an offense under this article to pay restitution to the victim of the offense. Restitution may also be awarded to any third parties, public or private, who incurred costs as a result of any offense under this article. (2) A judgment order for restitution may be enforced by the state or a victim named in the order to receive the restitution in the same manner as a judgment in a civil action in accordance with §61-11A-4 of this code, including filing a lien against the person, firm, or corporation against whom restitution is ordered. (3) The court shall order restitution under subdivision (1) of this subsection even if the victim is unavailable to accept payment of restitution. (4) If the victim does not claim restitution ordered under subdivision (1) of this subsection within five years of the entry of the order, the restitution shall be paid to the Crime Victims Compensation Fund created under §14-2A-4 of this code. (d) Eligibility for Compensation Fund. — Notwithstanding the definition of victim in §14-2A-3 of this code, a victim of any offense under this article is a victim for all purposes of §14-2A-1 et seq. of this code: Provided, That for purposes of §14-2A-1(b) of this code, if otherwise qualified, a victim of any offense under this article may not be denied eligibility solely for the failure to report to law enforcement within the designated time frame. (e) Law Enforcement Notification. —If a law-enforcement officer encounters a child who reasonably appears to be a victim of an offense under this article, the officer shall notify the Department of Human Services. If available, the Department of Human Services may notify the Domestic Violence Program serving the area where the child is found. (f) Forfeiture; Debarment. — (1) The following are declared to be contraband and no person shall have a property interest in them: (A) All property which is directly or indirectly used or intended for use in any manner to facilitate a violation of this article; and (B) Any property constituting or derived from gross profits or other proceeds obtained from a violation of this article. (2) In any action under this section, the court may enter such restraining orders or take other appropriate action, including acceptance of performance bonds, in connection with any interest that is subject to forfeiture. (3) Forfeiture actions under this section shall use the procedure set forth in article §60A-7-1 et seq. of this code. (4) Any person or business entity convicted of a violation of this article shall be debarred from state or local government contracts. §61-14-8. Immunity for minor victim of sex trafficking. (a) In a prosecution or a juvenile proceeding for an offense of prostitution in violation of §61-8-5(b) of this code, a minor may not be held criminally liable if the court determines that the minor is a victim of an offense under this article: Provided, That subject to proof, a minor so charged shall be rebuttably presumed to be a victim under the provisions of this article. (b) This section does not apply in a prosecution or a juvenile proceeding for any of the other offenses under §61-8-5(b) of this code, including specifically soliciting, inducing, enticing, or procuring another to commit an act or offense of prostitution, unless it is determined by the court that the minor was coerced into the criminal behavior. (c) A minor who, under subsection (a) or (b) of this section, is not subject to criminal liability or adjudication as a juvenile delinquent is presumed to be an abused child as defined in §49-1-201 of this code and may be eligible for services under Chapter 49 of this code including, but not limited to, appropriate child welfare services including, but not limited to, comprehensive trauma-informed services that are specialized to the needs of child victims of sexual abuse and exploitation or child sex trafficking victims. §61-14-10. Exemption for medical, mental health, and legal services. Notwithstanding any other provision of this code, this article does not apply to any person providing medical or mental health services to an illegal alien, or to any licensed attorney or their support staff who maintain an active attorney-client relationship with an illegal alien and are representing that person in either a criminal matter against the illegal alien or litigation concerning the illegal alien’s legal status under federal immigration or naturalization law.
West Virginia House of Delegates, District 95 · R–WV
1 proposalView proposals from Chuck HorstWest Virginia Legislature · HB 4106
Allowing constitutional carry for 18- to 20-year-olds
Apr 1, 2026 · Enacted · Chapter 75
Chuck Horst · Sponsored / Eric Brooks · Co-sponsored / Mark Dean · Co-sponsored / Josh Holstein · Co-sponsored / Laura Kimble · Co-sponsored / Phil Mallow · Co-sponsored / Carl Martin · Co-sponsored / Ian T. Masters · Co-sponsored / Chris Phillips · Co-sponsored / Bill Ridenour · Co-sponsored / Bryan Ward · Co-sponsored
FactVote reviewed summary
HB 4106 extends concealed carry without a license to qualifying people age 18 and older and repeals the separate under-21 licensing offense. The reviewed provision requires U.S. citizenship or legal residency and retains state and federal firearm-possession disqualifications. It does not authorize possession by prohibited persons or establish an effect on firearm deaths.
Approved by the governor on 2026-04-01, Chapter 75. Signing, effective dates, implementation and current enforceability are distinct.
Why this record is included
The firearm mortality series includes deaths across intents, including suicide and homicide. Carry rules concern firearm access; active-shooter response concerns a narrower violence component. Neither demonstrates a change in the reported deaths. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Firearm deaths. This record’s connection to the topic does not establish an effect on the measured result.
§61-7-3. Carrying a deadly weapon without provisional license or other authorization by persons under twenty-one years of age; penalties. [Repealed.] […] (c) Any person may carry a concealed deadly weapon without a license therefor who is: (1) At least 18 years of age; (2) A United States citizen or legal resident thereof; (3) Not prohibited from possessing a firearm under the provisions of this section; and (4) Not prohibited from possessing a firearm under the provisions of 18 U. S. C. §922(g) or (n).
West Virginia House of Delegates, District 77 · R–WV
1 proposalView proposals from Joe StatlerWest Virginia Legislature · HB 2797
First-responder PTSD coverage: diagnostic providers and sunset
Apr 12, 2025 · Enacted · Chapter 243
Joe Statler · Sponsored / Geno Chiarelli · Co-sponsored
Reviewed enacted law and legislative sponsorship
Joe Statler was the recorded lead sponsor, and Geno Chiarelli was a cosponsor. The House first passed HB2797 on March21,94–1with5absent; the Senate passed it April9,34–0. House roll557 shows April11,98–1with1absent, and the April11House journal confirms that vote; the bill-history page dates that entry April12. Final Senate concurrence was April12,33–0with1absent. The law was approved April28 and took effect July11. The House concurrence date discrepancy remains visible. Governor Patrick Morrisey approved HB2797 on April28,2025. It adds qualified mental health nurse practitioners and psychiatric physician assistants as PTSD diagnosing providers alongside psychiatrists and removes the first-responder coverage sunset. Employers still choose whether to provide this coverage; work-related diagnosis, provider qualifications and the three-year claim period remain. These are dated enacted-law and sponsorship records. Passage, approval and effectiveness are separate milestones. Full amendment and incorporated-authority chains, current implementation, delivered benefits and measured outcomes remain unverified.
Review selected law provisions (4 statutory provisions)
These describe the original enacted law provisions selected for this topic. Later amendments and current implementation require separate evidence.
Section 23-4-1f(a): Adds certified mental health nurse practitioners and certified psychiatric physician assistants to the diagnostic provider list alongside psychiatrists. Providers must meet the degree, terminal-license and PTSD-treatment qualifications.
Section 23-4-1f(b)-(c): First responders include police officers, firefighters, emergency medical technicians, paramedics and emergency dispatchers. Coverage concerns work-related PTSD from covered paid or volunteer employment; the employer must elect purchased or self-insured coverage.
Section 23-4-1f(d): Permits the three diagnostic professions, separates ongoing treatment by other licensed providers, excludes good-faith personnel actions and requires a claim within three years of diagnostic awareness. Employer election remains a condition.
Section 23-4-1f sunset: Removes the sunset: the complete reenacted body ends at subsection(d)(5). SB856’s separately enrolled version retained the old psychiatrist-only text and July2026 expiration; the published code agrees with HB2797’s three-profession/no-expiration body.
Joe Statler was the recorded lead sponsor, and Geno Chiarelli was a cosponsor. The House first passed HB2797 on March21,94–1with5absent; the Senate passed it April9,34–0. House roll557 shows April11,98–1with1absent, and the April11House journal confirms that vote; the bill-history page dates that entry April12. Final Senate concurrence was April12,33–0with1absent. The law was approved April28 and took effect July11. The House concurrence date discrepancy remains visible. These are dated enacted-law and sponsorship records. Passage, approval and effectiveness are separate milestones. Full amendment and incorporated-authority chains, current implementation, delivered benefits and measured outcomes remain unverified.
Why this record is included
Conditions for occupational mental-health insurance diagnosis, treatment and claims.
Retained West Virginia evidence context: health · reviewed policy context · unemployment-rate · reviewed policy context. This record’s connection to the topic does not establish an effect on the measured result.
Governor Patrick Morrisey approved HB2797 on April28,2025. It adds qualified mental health nurse practitioners and psychiatric physician assistants as PTSD diagnosing providers alongside psychiatrists and removes the first-responder coverage sunset. Employers still choose whether to provide this coverage; work-related diagnosis, provider qualifications and the three-year claim period remain.
1 proposalView proposals from Laura Wakim ChapmanWest Virginia Legislature · SB 833
Prescription-drug exception to prior-authorization Gold Card exemptions
Apr 11, 2025 · Enacted · Chapter 191
Laura Wakim Chapman · Sponsored
Reviewed enacted law and legislative sponsorship
Laura Wakim Chapman was the recorded lead sponsor. Senate passage and effectiveness votes235and236on March29each recorded33–0with1absent. House passage vote523on April11was98–0with2absent; the separate effectiveness vote528was99–0with1absent. The enacted bill specifies effectiveness from April11passage; governor approval followed April25. Governor Patrick Morrisey approved SB833 on April25,2025. It excludes prescription drugs from prior-authorization Gold Card exemptions across PEIA, Medicaid and five private-insurance provisions. The law retains the exemption’s approval thresholds, response deadlines, appeals, conditional discharge prescriptions and oversight. Medicaid reports go to the Inspector General; the other six provisions name the Insurance Commissioner. HMOs have an additional exception for services with statutory or Medicaid-policy benefit limits. These are dated enacted-law and sponsorship records. Passage, approval and effectiveness are separate milestones. Full amendment and incorporated-authority chains, current implementation, delivered benefits and measured outcomes remain unverified.
Review selected law provisions (7 statutory provisions)
These describe the original enacted law provisions selected for this topic. Later amendments and current implementation require separate evidence.
Section 5-16-7f: Public Employees Insurance Agency; Insurance Commissioner receives compliance reports and may assess penalties; discharge notice from a health care practitioner; PEIA approval carries to other managed-care organizations or health insurers. The Gold Card exemption requires an average of 30 procedures per year and a 90% final approval rating during a six-month period. It lasts at least the next six months, with renewal review, audits and written revocation reasons. Prescription drugs, experimental or noncovered treatment and out-of-network care are outside the exemption. The law retains electronic portals, quarterly service lists, five-business-day routine and two-business-day urgent responses, an incomplete-request notice/reply/decision sequence of two/three/two business days, specialty peer review, five-business-day peer and ten-business-day general appeals, and three-month in-state approval carryover. At discharge, prescriptions costing no more than $5,000 per day receive immediate approval for at least three days when the prescriber supplies the required discharge notice; authorization is required afterward. January 2024 policy and July 2024 portal provisions were retained, rather than newly starting in 2025.
Section 9-5-32: Medicaid/Bureau for Medical Services; Inspector General receives compliance reports and may assess penalties; discharge notice from a health care practitioner; Bureau approval carries to other managed-care organizations or health insurers. The Gold Card exemption requires an average of 30 procedures per year and a 90% final approval rating during a six-month period. It lasts at least the next six months, with renewal review, audits and written revocation reasons. Prescription drugs, experimental or noncovered treatment and out-of-network care are outside the exemption. The law retains electronic portals, quarterly service lists, five-business-day routine and two-business-day urgent responses, an incomplete-request notice/reply/decision sequence of two/three/two business days, specialty peer review, five-business-day peer and ten-business-day general appeals, and three-month in-state approval carryover. At discharge, prescriptions costing no more than $5,000 per day receive immediate approval for at least three days when the prescriber supplies the required discharge notice; authorization is required afterward. January 2024 policy and July 2024 portal provisions were retained, rather than newly starting in 2025.
Section 33-15-4s: Accident and sickness insurers; Insurance Commissioner oversight, physician discharge notice and approval carryover to other managed-care organizations, insurers and PEIA. The Gold Card exemption requires an average of 30 procedures per year and a 90% final approval rating during a six-month period. It lasts at least the next six months, with renewal review, audits and written revocation reasons. Prescription drugs, experimental or noncovered treatment and out-of-network care are outside the exemption. The law retains electronic portals, quarterly service lists, five-business-day routine and two-business-day urgent responses, an incomplete-request notice/reply/decision sequence of two/three/two business days, specialty peer review, five-business-day peer and ten-business-day general appeals, and three-month in-state approval carryover. At discharge, prescriptions costing no more than $5,000 per day receive immediate approval for at least three days when the prescriber supplies the required discharge notice; authorization is required afterward. January 2024 policy and July 2024 portal provisions were retained, rather than newly starting in 2025.
Section 33-16-3dd: Group accident and sickness insurers; Insurance Commissioner oversight and physician discharge notice. This section describes a managed-care organization’s approval carrying to health insurers, PEIA and other managed-care organizations. The Gold Card exemption requires an average of 30 procedures per year and a 90% final approval rating during a six-month period. It lasts at least the next six months, with renewal review, audits and written revocation reasons. Prescription drugs, experimental or noncovered treatment and out-of-network care are outside the exemption. The law retains electronic portals, quarterly service lists, five-business-day routine and two-business-day urgent responses, an incomplete-request notice/reply/decision sequence of two/three/two business days, specialty peer review, five-business-day peer and ten-business-day general appeals, and three-month in-state approval carryover. At discharge, prescriptions costing no more than $5,000 per day receive immediate approval for at least three days when the prescriber supplies the required discharge notice; authorization is required afterward. January 2024 policy and July 2024 portal provisions were retained, rather than newly starting in 2025.
Section 33-24-7s: Hospital, medical, dental and health service corporations; Insurance Commissioner oversight, physician discharge notice and approval carryover to other managed-care organizations, insurers and PEIA. The Gold Card exemption requires an average of 30 procedures per year and a 90% final approval rating during a six-month period. It lasts at least the next six months, with renewal review, audits and written revocation reasons. Prescription drugs, experimental or noncovered treatment and out-of-network care are outside the exemption. The law retains electronic portals, quarterly service lists, five-business-day routine and two-business-day urgent responses, an incomplete-request notice/reply/decision sequence of two/three/two business days, specialty peer review, five-business-day peer and ten-business-day general appeals, and three-month in-state approval carryover. At discharge, prescriptions costing no more than $5,000 per day receive immediate approval for at least three days when the prescriber supplies the required discharge notice; authorization is required afterward. January 2024 policy and July 2024 portal provisions were retained, rather than newly starting in 2025.
Section 33-25-8p: Health care corporations; Insurance Commissioner oversight, physician discharge notice and approval carryover to other managed-care organizations, insurers and PEIA. The Gold Card exemption requires an average of 30 procedures per year and a 90% final approval rating during a six-month period. It lasts at least the next six months, with renewal review, audits and written revocation reasons. Prescription drugs, experimental or noncovered treatment and out-of-network care are outside the exemption. The law retains electronic portals, quarterly service lists, five-business-day routine and two-business-day urgent responses, an incomplete-request notice/reply/decision sequence of two/three/two business days, specialty peer review, five-business-day peer and ten-business-day general appeals, and three-month in-state approval carryover. At discharge, prescriptions costing no more than $5,000 per day receive immediate approval for at least three days when the prescriber supplies the required discharge notice; authorization is required afterward. January 2024 policy and July 2024 portal provisions were retained, rather than newly starting in 2025.
Section 33-25A-8s: Health maintenance organizations; Insurance Commissioner oversight and physician discharge notice. HMO approval carries to other managed-care organizations, insurers and PEIA. The HMO exemption also excludes services or procedures whose benefit maximums or minimums are required by statute or Medicaid policy. The Gold Card exemption requires an average of 30 procedures per year and a 90% final approval rating during a six-month period. It lasts at least the next six months, with renewal review, audits and written revocation reasons. Prescription drugs, experimental or noncovered treatment and out-of-network care are outside the exemption. The law retains electronic portals, quarterly service lists, five-business-day routine and two-business-day urgent responses, an incomplete-request notice/reply/decision sequence of two/three/two business days, specialty peer review, five-business-day peer and ten-business-day general appeals, and three-month in-state approval carryover. At discharge, prescriptions costing no more than $5,000 per day receive immediate approval for at least three days when the prescriber supplies the required discharge notice; authorization is required afterward. January 2024 policy and July 2024 portal provisions were retained, rather than newly starting in 2025.
Laura Wakim Chapman was the recorded lead sponsor. Senate passage and effectiveness votes235and236on March29each recorded33–0with1absent. House passage vote523on April11was98–0with2absent; the separate effectiveness vote528was99–0with1absent. The enacted bill specifies effectiveness from April11passage; governor approval followed April25. These are dated enacted-law and sponsorship records. Passage, approval and effectiveness are separate milestones. Full amendment and incorporated-authority chains, current implementation, delivered benefits and measured outcomes remain unverified.
Why this record is included
Health-insurance prior authorization and patient/provider protections.
Retained West Virginia evidence context: health · reviewed policy context · unemployment-rate · reviewed policy context. This record’s connection to the topic does not establish an effect on the measured result.
Governor Patrick Morrisey approved SB833 on April25,2025. It excludes prescription drugs from prior-authorization Gold Card exemptions across PEIA, Medicaid and five private-insurance provisions. The law retains the exemption’s approval thresholds, response deadlines, appeals, conditional discharge prescriptions and oversight. Medicaid reports go to the Inspector General; the other six provisions name the Insurance Commissioner. HMOs have an additional exception for services with statutory or Medicaid-policy benefit limits.
West Virginia House of Delegates, District 54 · D–WV
1 proposalView proposals from Mike PushkinWest Virginia Legislature · HB 4821
Creating the Affordable Medicaid Buy-In Program
Jan 26, 2026 · Not enacted
Mike Pushkin · Sponsored / Sean Hornbuckle · Co-sponsored / Evan Hansen · Co-sponsored / John Williams · Co-sponsored / Kayla Young · Co-sponsored / Anitra Hamilton · Co-sponsored / Hollis Lewis · Co-sponsored / Shawn Fluharty · Co-sponsored
FactVote reviewed summary
HB 4821 proposed a state-administered Medicaid Buy-In Plan by January 1, 2027 for residents ineligible for Medicaid and Medicare, with protections against employer coverage displacement. Residency requires an intent to reside permanently in West Virginia. Subject to eligibility, coverage would be available regardless of immigration status. The proposal directs sliding-scale premium assistance below 200% of the federal poverty level and, at minimum, premium and cost-sharing assistance below that threshold. People ineligible for federal financial assistance could buy coverage at full cost. It directs applications for Basic Health Plan funding and/or a state innovation waiver. The bill did not become law in the 2026 regular session, so these provisions do not establish an available plan or actual enrollment.
To House Health and Human Resources. The 2026 regular session ended without this bill becoming law. The displayed date is the latest dated legislative action, not the adjournment date.
Why this record is included
The fact measures residents under 65 without insurance. A proposed insurance buy-in concerns coverage eligibility and availability, without establishing enrollment or an observed reduction in uninsured residents. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: People under 65 without health insurance. This record’s connection to the topic does not establish an effect on the measured result.
§9-4F-2. Definitions. As used in this article: "Affordable Medicaid Buy-In Plan" or "plan" means a state-administered, health care coverage plan that leverages the Medicaid coverage structure; "Copayment" means a fixed dollar amount that an Affordable Medicaid Buy-in enrollee must pay directly to a health care provider or pharmacy for a service, visit or item; "Deductible" means a fixed dollar amount that a person enrolled in the Affordable Medicaid buy-in plan may be required to pay during a benefit period before the plan begins payment for covered benefits; "Department" means the Department of Human Services; "Health care coverage premium cost" means the premium charged for health care coverage that is available or currently provided to an individual; "Health care provider" means any physical, mental or behavioral health provider, including a hospital, physician, clinic and other health facility; "Managed care organization" means an organization licensed or authorized through an agreement among state entities to manage, coordinate and receive payment for the delivery of specified services to enrolled members; "Medicaid" means the joint federal-state health coverage program pursuant to Title 19 or Title 21 of the federal Social Security Act, as amended, and the rules promulgated pursuant to that act; "Medicare" means coverage under Part A or Part B of Title 18 of the federal Social Security Act, as amended, and the rules promulgated pursuant to that act; "Premium" means the monthly amount that a plan enrollee must pay directly to the managed care organization offering the enrollee’s plan for consideration of the plan’s coverage; and "Resident" means a person establishing intent to permanently reside in West Virginia. §9-4F-3. The plan. (a) By January 1, 2027, the department shall establish an Affordable Medicaid Buy-In Plan and shall offer the plan for purchase by a resident: (1) Who is ineligible for the following: (A) Medicaid; and (B) Medicare; and (2) Whose employer has not disenrolled or denied the resident enrollment in employer-sponsored health coverage on the basis that the resident would otherwise qualify for enrollment in Affordable Medicaid buy-in coverage. (b) The department shall establish benefits under the plan in accordance with federal and state law to ensure that covered benefits include: (1) Ambulatory patient services; (2) Emergency services; (3) Hospitalization; (4) Maternity and newborn care; (5) Mental health and substance use disorder services, including behavioral health treatment; (6) Prescription drugs; (7) Rehabilitative and habilitative services and devices; (8) Laboratory services; (9) Preventive and wellness services, including reproductive health and chronic disease management; and (10) Pediatric services, including oral and vision care. (c) For services and benefits provided under this section, the department may pursue any available federal financial participation. (d) The department shall coordinate the plans enrollment and eligibility to maximize the continuity of coverage between the plan, Medicaid and private health plans. (e) Health care provider reimbursement rates shall be based on the Medicaid fee schedule. Contingent upon available funds, the department may increase reimbursement rates for health care providers, so long as these increases do not jeopardize the sustainability of Medicaid or the plan. (f) The plan shall be established in compliance with nondiscrimination mandates set forth in the Constitution of West Virginia, the West Virginia Human Rights Act, and the federal Civil Rights Act of 1964 and shall be available to residents irrespective of age, race, gender, national origin, immigration status, disability or geographic location. (g) The department shall establish an updated premium sliding scale for individuals under 200 percent of the federal poverty level who purchase the Medicaid Buy-in plan. The sliding scale shall prioritize individuals transitioning from Medicaid coverage. §9-4F-4. Administration. (a) The department shall develop a plan for administering the plan that prioritizes affordability for enrollees and provides opportunities to maximize federal dollars. (b) The department shall: (1) Establish an affordability scale for premiums and other cost-sharing fees, such as copayments and deductibles, based on household income. The department shall offer discounted premiums and cost-sharing fees in accordance with the affordability scale to residents eligible to enroll in the plan: Provided, That the financial assistance is, at a minimum, offered to residents with household incomes below 200 percent of the federal poverty level; (2) Establish fair and reasonable premium rates that should be assessed to plan enrollees, after an actuarial analysis, to ensure maximum access to coverage. Premiums imposed may be set at a level sufficient to offset the costs of health benefits under the plan and related administrative costs; and (c) The department may: (1) Administer the plan through the managed care organizations under contract with the State to provide Medicaid services and benefits; and (2) Set the medical loss ratio for insurers offering the plan consistent with the ratio applicable to Medicaid; (d) The department shall: (1) Establish a standardized benefit and cost sharing design for the plan; and (2) Establish a method for procuring prescription drugs. This authority includes consulting or contracting with other entities or states for combined purchasing power; and (3) Seek viable opportunities to reduce costs of the plan to consumers and the general fund: Provided, That such opportunities are consistent with the provisions of this article, do not reduce eligibility or benefits for Medicaid enrollees and do not jeopardize federal financing for medical assistance. §9-4F-5. Financing. (a) The department shall apply for a Basic Health Plan Option under Section 1331 and/or a State Innovation Waiver under Section 1332 of the Patient Protection and Affordable Care Act. The department shall maximize all available federal dollars to fund the Affordable Medicaid Buy-In Program Nothing in the waiver application may prohibit individuals and families from purchasing plans on the Marketplace. (b) Individuals who do not qualify for federal financial assistance may purchase the plan at full cost. §9-4F-6. Enrollment. The department and the West Virginia health insurance exchange and the West Virginia Navigator program shall coordinate efforts and cooperate to establish a consumer outreach program to assist residents with enrolling in Medicaid, the Affordable Medicaid Buy-In plan, on the health insurance exchange to minimize gaps in health insurance coverage.
The enrolled SB 659 limits municipal restrictions on at least one accessory dwelling unit on a single-family lot, including parking requirements, specified design restrictions and fees. A qualifying unit has independent access and its own cooking, sleeping and sanitation facilities on the same parcel as a larger single-family dwelling. Attached and detached units are limited to the lesser of 75% of the main dwelling’s habitable floor area or 1,000 square feet. The $250 impact-fee limit and $250 application-review limit are separate; usual building-permit fees may also apply. Private restrictive covenants remain enforceable. It retains building and safety requirements, historic-district design exceptions and municipal authority over short-term rentals. Conflicting local rules in effect on or after January 1, 2027 are invalid to the extent of the conflict. It does not establish construction, occupancy or lower rents.
Approved by the governor on 2026-03-14, Chapter 241. Signing, effective dates, implementation and current enforceability are distinct.
Why this record is included
Median gross rent includes contract rent and estimated tenant-paid utilities. Accessory dwellings can be rental housing; permission does not establish that units were built, rented or changed the median. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Median gross rent. This record’s connection to the topic does not establish an effect on the measured result.
§8-40-1. Definitions. As used in this article: (a) "Accessory dwelling unit" means a self-contained and independently accessed living unit on the same parcel as a single-family dwelling of greater square footage that includes its own cooking, sleeping, and sanitation facilities and complies with, or is otherwise exempt from, any applicable regulatory requirements; (b) "By right" means the ability to be approved without requiring: (1) A public hearing; (2) A variance, conditional use permit, special permit, or special exception; or (3) Other discretionary zoning action other than a determination that a site plan and any construction plans conform with applicable regulatory requirements; (c) "Gross floor area" means the interior habitable area of a single-family dwelling or an accessory dwelling unit; (d)(1) "Regulatory requirements" means the requirements determined by a municipality to be necessary for approval of plans, permits, or applications under this section. (2) "Regulatory requirements" includes: (A) The West Virginia Fire Code as adopted by the State Fire Marshal; (B) Any locally adopted ordinances and amendments to the ordinances; (C) Applicable zoning ordinances and conditions; (D) Design and construction standards, including any applicable building codes; and (E) Other federal, state, and local laws, rules, and ordinances applicable to the plan, permit, or application in question; (e) "Short-term rental" means an individually or collectively owned single-family house or single-family dwelling unit or a unit or group of units in a condominium, cooperative, time-share, or owner-occupied residential home that is offered for a fee for 30 days or less; and (f) "Single-family dwelling" means a building with one or more rooms designed for residential living purposes by one household that is detached from any other dwelling unit. (g) “Manufactured home” means a structure constructed in compliance with the federal Manufactured Home Construction and Safety Standards, 42 U.S.C. §5401 et seq., and installed on a permanent foundation. §8-40-2. Prohibition on policy regulations restricting accessory dwelling units. (a) Except as provided in this article, a municipality shall not adopt a policy, regulation, or ordinance that restricts, prohibits, or otherwise regulates the use of at least one accessory dwelling unit by right on a lot or parcel that contains a single-family dwelling. (b) An accessory dwelling unit may be attached, detached, or internal to the single-family dwelling on a lot or parcel. (c) If the accessory dwelling unit is detached from or attached to the single-family dwelling, it shall not be more than 75 percent of the gross floor area of the single-family dwelling or 1,000 square feet, whichever is less. (d) A municipality may not: (1) Require that a lot or parcel have additional parking to accommodate an accessory dwelling unit or require fees in lieu of additional parking; (2) Require that an accessory dwelling unit match the exterior design, roof pitch, or finishing materials of the single-family dwelling: Provided, That a municipality may require an accessory dwelling unit to match exterior design, roof pitch, finishing materials, and other design guidelines if the single family dwelling or accessory dwelling unit is located within a historic district, as defined in §8A-1-2 of this code, and the requirement is imposed pursuant to an ordinance or regulation duly adopted for the preservation of that historic district; (3) Require a familial, marital, or employment relationship between the occupants of the single-family dwelling and the occupants of the accessory dwelling unit; (4) Assess development impact fees in excess of $250 on the construction of an accessory dwelling unit; (5) Require improvements to public streets or sidewalks as a condition of permitting an accessory dwelling unit, except as necessary to reconstruct or repair a public street or sidewalk that is disturbed as a result of the construction of the accessory dwelling unit; (6) Set maximum building heights, minimum setback requirements, minimum lot sizes, maximum lot coverages, or minimum building frontages for accessory dwelling units that are more restrictive than those for the single-family dwelling on the lot; (7) Impose more onerous development standards on an accessory dwelling unit beyond those set forth in this article; (8)(A) Require a restrictive covenant concerning an accessory dwelling unit on a parcel zoned for residential use by a single-family dwelling. (B)(i) Paragraph (A) of this subdivision does not prohibit restrictive covenants concerning accessory dwelling units entered into between private parties. (ii) Notwithstanding clause (i) of this paragraph, a municipality shall not condition a permit, license, or use of an accessory dwelling unit on the adoption or implementation of a restrictive covenant entered into between private parties; or (9) Require water and sewer for the accessory dwelling unit separate from that serving the primary structure. (e) A manufactured home may be used as an accessory dwelling unit by right on a lot or parcel that contains a single family dwelling in any zoning district where accessory dwelling units are permitted. (f) A municipality may not prohibit or unreasonably restrict the use of a manufactured home as an accessory dwelling unit, provided that the manufactured home is installed on a permanent foundation and complies with applicable building, fire, and safety codes and any other requirements in this article. (g) A municipality may not impose design, aesthetic, age of construction, or prior use requirements on a manufactured home used as an accessory dwelling unit that are more restrictive than those imposed on site built accessory dwelling units of comparable size. (h) A manufactured home used as an accessory dwelling unit shall be assessed and taxed as real property. (i) A manufactured home used as an accessory dwelling unit may share water, sewer, and utility connections with the primary single family dwelling. Separate utility connections or meters may be required only where necessary to protect public health and safety and where such requirements are applied uniformly to all accessory dwelling units. §8-40-3. Exemptions. (a) This article does not prohibit a municipality from regulating short-term rentals. (b)(1)(A) A municipality may require a fee for reviewing applications to create accessory dwelling units; and (B) The application fee may not exceed $250 for each accessory dwelling unit. (2) Subdivision (1) of this subsection does not prohibit a municipality from requiring its usual building fees in addition to the application fee. (c) A policy, regulation, or ordinance in effect on or after January 1, 2027, that applies to an accessory dwelling unit and does not comply with this article is invalid to the extent of its conflict with this article. (d) A municipality may require an accessory dwelling unit to have: (1) A will-serve letter from both the water system and the sewer system that serves the primary dwelling; or (2) Approval from the Department of Health where municipal or private water service or sewer service is not available. (e) This article does not: (1) Supersede applicable regulatory requirements; or (2) Prohibit a municipality from adopting a policy, regulation, or ordinance that is more permissive than the provisions under this article.
Removing rape and incest exception to obtain abortion in WV
Jan 14, 2026 · Not enacted
Patricia Rucker · Sponsored / Mike Azinger · Co-sponsored
FactVote reviewed summary
SB 43 proposed deleting the rape and incest exceptions in §16-2R-3, while retaining the nonviable-pregnancy, ectopic-pregnancy and medical-emergency exceptions. The retained exceptions require the reasonable medical judgment of a licensed professional. The introduced text also retained the prohibition on partial-birth procedures, the licensed-hospital requirement for surgical abortions and the requirement that the professional performing an abortion have admitting privileges at a West Virginia hospital. The proposal did not become law in the 2026 regular session; it did not remove these exceptions or change the 2025 reported count.
To Health and Human Resources. The 2026 regular session ended without this bill becoming law. The displayed date is the latest dated legislative action, not the adjournment date.
Why this record is included
The fact counts induced terminations reported as performed in West Virginia under statutory exceptions. It does not count residents obtaining abortions elsewhere. A proposal to remove exceptions concerns that access policy, without establishing a change in the earlier count. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.
Retained West Virginia evidence context: Induced terminations reported in-state. This record’s connection to the topic does not establish an effect on the measured result.
§16-2R-3. Prohibition to perform an abortion. (a) An abortion may not be performed or induced or be attempted to be performed or induced unless in the reasonable medical judgment of a licensed medical professional: (1) The embryo or fetus is nonviable; (2) The pregnancy is ectopic; or (3) A medical emergency exists. (b) An abortion performed pursuant to this section may not use the partial birth abortion procedure. (c) A surgical abortion performed or induced or attempted to be performed or induced pursuant to this section shall be in a hospital, as defined in §16-5B-1 of this code, which is licensed by the Office of Health Facility Licensure and Certification of the West Virginia Department of Health and Human Resources. (d) An abortion performed or induced or attempted to be performed or induced shall be performed by a licensed medical professional who has West Virginia hospital privileges.
Patricia Puertas Rucker was the recorded lead sponsor. Senate passage vote201on March27recorded32–0with2absent; House passage vote566on April12recorded91–0with9absent. The House journal also records Gary G. Howell saying he was absent and would have voted yes, although the roll-call sheet lists him under yeas. That individual conflict is unresolved; a stated intention is not treated as a cast vote. Governor approval was April25and effectiveness July11. Chris Phillips’s proposed floor amendment has an unverified disposition; neighboring rejected or withdrawn amendments in the journal concern SB299. Governor Patrick Morrisey approved SB856 on April 25, 2025. It repeals five insurance-reporting sections and changes workplace-safety, first-responder PTSD, flood-notice and state-worker program duties. The annual flood notice remains required on the agency website. Passage, approval and July 11 effectiveness are separate milestones. These are dated enacted-law and sponsorship records. Passage, approval and effectiveness are separate milestones. Full amendment and incorporated-authority chains, current implementation, delivered benefits and measured outcomes remain unverified.
Review selected law provisions (5 statutory provisions)
These describe the original enacted law provisions selected for this topic. Later amendments and current implementation require separate evidence.
Section 23-1-17: Repeals the joint Insurance Commissioner/Occupational Pneumoconiosis Board report to the Governor, due on or about September 15 using June 30 information. It covered injury causes and awards, diagnostic techniques, impairment and scientific support, occupational-disease research, fund disbursements and condition, and recommendations. Copies were filed with the Secretary of State and available to legislators and the public. This report repeal does not itself abolish occupational-disease benefits or the Board.
Section 23-2C-5: Removes the Industrial Council’s biennial safety-initiative overview and legislative report, carrier/self-insured cooperation in evaluating loss control and accident/disease prevention services, and the related on-request employer/carrier/self-insured data duty. The council remains, with its governance, rule review, performance monitoring, budget, information-gathering and claims-index duties. Historical 2005 creation, member qualifications, terms, quarterly meetings, voting rules and up-to-$350 meeting-day pay are retained rather than newly created.
Section 23-4-1f: Removes elective employers’ first-responder PTSD claims-data submissions, formerly starting July 2021 or the later elected coverage term, and the Commissioner’s annual claims report to the Volunteer Fire Department and Emergency Medical Services committee, formerly starting January 2022. This original keeps employer-elected coverage for work-related paid/volunteer first-responder PTSD, psychiatrist diagnosis, separate treatment providers, good-faith personnel-action exclusion, three-year claim limit and the July 2026 sunset. Separately enacted HB2797 removes that sunset and expands qualified diagnostic providers; the published code follows HB2797. The SB856 original’s older diagnosis/sunset clauses are not presented as today’s rules.
Section 33-20B-6: Repeals annual review of malpractice rules/rates/rating plans for insurers providing at least 5% of state coverage in the preceding year, related loss/expense evaluation rules, annual submissions of 15 categories of claims, litigation, settlements/verdicts, reserves, expenses, profit/loss, investment income and cancellations, and the November Judiciary committee report on loss experience, rates/plans, investment portfolio/return and submitted data. It also removes the reporting fines of $10,000 for each of the first five failures and $100,000 for the sixth and each later failure. Other malpractice ratemaking and filing sections are not repealed by SB856.
Section 33-20B-8: Repeals professional-liability insurers’ 60-day reports on judgments, no-payment dismissals, settlement releases and closed pre-lawsuit claims, supplemental resolution reports, and the reporting duty for the Insurance Guaranty Association and BRIM. The former body covered multiple health-provider types, facilities and professional entities; data included date, appeal, payment, mediation and settlement structure. It removes probable-cause notice, a 30-day hearing-request process, $1,000–$10,000 per-violation civil penalties paid to General Revenue, collection proceedings after 30 days without payment, and good-faith report immunity. These are reporting sanctions, not malpractice liability or criminal penalties.
Patricia Puertas Rucker was the recorded lead sponsor. Senate passage vote201on March27recorded32–0with2absent; House passage vote566on April12recorded91–0with9absent. The House journal also records Gary G. Howell saying he was absent and would have voted yes, although the roll-call sheet lists him under yeas. That individual conflict is unresolved; a stated intention is not treated as a cast vote. Governor approval was April25and effectiveness July11. Chris Phillips’s proposed floor amendment has an unverified disposition; neighboring rejected or withdrawn amendments in the journal concern SB299. These are dated enacted-law and sponsorship records. Passage, approval and effectiveness are separate milestones. Full amendment and incorporated-authority chains, current implementation, delivered benefits and measured outcomes remain unverified.
Why this record is included
Occupational-health/PTSD and medical-malpractice reporting, review and sanctions.
Retained West Virginia evidence context: health · reviewed policy context · deficit-debt-interest · reviewed policy context · cpi · reviewed policy context · unemployment-rate · reviewed policy context. This record’s connection to the topic does not establish an effect on the measured result.
Governor Patrick Morrisey approved SB856 on April 25, 2025. It repeals five insurance-reporting sections and changes workplace-safety, first-responder PTSD, flood-notice and state-worker program duties. The annual flood notice remains required on the agency website. Passage, approval and July 11 effectiveness are separate milestones.
Only current West Virginia officeholders retained in the reviewed collection qualify. Bills require a recorded primary sponsorship; cosponsors and signing officials are excluded from sponsorship counts. An official introducer recorded as acting by request is labeled “Introduced by request”; that procedural role does not establish personal policy endorsement. Governor and agency records qualify when recorded as proposed. A separately verified governor transmittal can also establish an original proposal whose latest status reflects its later outcome. Signing an enacted law alone does not establish a proposal. A record appearing under several facts is counted once per officeholder. A bill with multiple primary sponsors appears under each recorded sponsor.
Enacted bills, adopted resolutions and unsuccessful measures remain visible as proposal history. Passing one chamber is not enactment. These counts do not measure effectiveness or prove that an action changed a West Virginia statistic. Collection reviewed Oct 7, 2026.
Sources & methods
Every section retains its primary sources, units, reporting periods and comparison limits. Maps, graphs and tables use the same observation and cohort. All 50 states are listed; D.C. and territories are excluded. Missing and suppressed values remain unavailable and never become zero.
#1 is the highest measured value. Equal source values share a rank and leave gaps (1, 2, 2, 4). Ranks use source precision and are descriptive, not a score of the state. Survey uncertainty and reporting coverage can limit comparisons. Published U.S. benchmarks are used where available; a state average is not substituted.
West Virginia snapshots and fiscal sources keep their own dates and accounting scope. National events and federal distribution explainers describe national context. Actions and statements are filtered to West Virginia, retain their reviewed evidence, and do not establish that a policy caused a measured change.
Retained state source collections assembled October 5, 2026. Original review and source dates remain visible. Refreshing this page does not refresh an official data release.