West Virginia · individual fact

West Virginia health

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.

Uninsured rate · all ages2024: 5.8%4.3%6.9%9.6%West Virginia, 2014: 8.6%West Virginia, 2015: 6%West Virginia, 2016: 5.3%West Virginia, 2017: 6.1%West Virginia, 2018: 6.4%West Virginia, 2019: 6.7%West Virginia, 2021: 6.1%West Virginia, 2022: 5.9%West Virginia, 2023: 5.9%West Virginia, 2024: 5.8%201420192024
✦ Major events & context · 111West Virginia · HB 3017 (2002) passes · 2002-03-09HB 3017 (2002) passageWest Virginia · Approve the Oral Health Improvement Act and program fund · 2002-04-03HB 3017 (2002) approvalWest Virginia · HB 3017 (2002) takes effect · 2002-06-07HB 3017 (2002) effectiveNational context · Affordable Care Act signed · 2010-03-23ACA signedWest Virginia · Legislature passes watershed wastewater financing law · 2011-03-12Watershed law passedWest Virginia · Approve watershed wastewater grants and lottery-backed financing · 2011-03-30Watershed law approvedWest Virginia · Storms prompt a four-county emergency · 2011-04-08April storm emergencyWest Virginia · Watershed wastewater financing law takes effect · 2011-06-10Watershed law effectiveWest Virginia · Establish the Statewide Interoperable Radio Network · 2011-06-16EO 2-11West Virginia · Direct horizontal gas-drilling water and safety safeguards · 2011-07-12Gas drilling safeguardsWest Virginia · Horizontal well emergency rule approved · 2011-08-29Emergency rule approvedWest Virginia · Create substance-abuse advisory council and six regional task forces · 2011-09-06EO 5-11West Virginia · Legislature passes horizontal-well regulation law · 2011-12-14HB 401 passedWest Virginia · Approve horizontal-well regulation and surface-owner protections · 2011-12-22HB 401 approvedWest Virginia · Legislature passes retiree health-benefit funding law · 2012-02-10SB 469 passedWest Virginia · Approve retiree health-benefit funding and school-board OPEB rules · 2012-02-20SB 469 approvedWest Virginia · Seven counties enter a flood emergency · 2012-03-01Seven-county flood emergencyWest Virginia · Flood emergency expands to Lincoln and Wayne · 2012-03-03Flood emergency expandsWest Virginia · SB 676 (2012) passes and takes effect · 2012-03-09SB 676 (2012) passedWest Virginia · Logan and Mingo join the March flood emergency · 2012-03-16Eleven-county flood emergencyWest Virginia · Approve a conditional watershed grant and extend prior-financing eligibility · 2012-03-19SB 676 (2012) approvedWest Virginia · Direct drug-screening policy for WIA-funded workforce training · 2012-04-24EO 8-12National context · Supreme Court makes ACA Medicaid expansion optional for states · 2012-06-28Medicaid expansion rulingWest Virginia · June storms trigger a statewide emergency · 2012-06-29June storm emergencyWest Virginia · Nonessential state employees excused after the storms · 2012-07-02Storm-related paid excusalWest Virginia · Statewide emergency declared ahead of Sandy · 2012-10-29Sandy emergency declaredWest Virginia · Sandy emergency narrows to 22 counties · 2012-11-21Sandy emergency narrowsWest Virginia · Horizontal well emergency filing expires · 2012-11-29Emergency filing expiresWest Virginia · Order a statewide coal-mine safety stand-down · 2013-02-20EO 1-13West Virginia · SB 596 (2013) passes and takes effect · 2013-04-13SB 596 (2013) passedWest Virginia · Approve watershed grant awards tied to certified eligible project costs · 2013-05-02SB 596 (2013) approvedWest Virginia · Create an early-childhood health, readiness and funding planning task force · 2013-05-10EO 5-13West Virginia · Roane County enters a storm emergency · 2013-06-13Roane storm emergencyWest Virginia · Direct a health and human-services appropriation reduction of up to $20 million · 2013-06-28DHHR reductionWest Virginia · Emergency support authorized for the planned Scout Jamboree · 2013-06-28Jamboree support authorizedWest Virginia · Transfer and continue the state homelessness council · 2013-11-21EO 9-13National context · ACA Marketplace coverage and main Medicaid expansion begin · 2014-01-01ACA coverage beginsWest Virginia · Direct FY2014 General Revenue spending reductions · 2014-01-03Budget order 1-14West Virginia · Extend middle-grades and early-childhood planning deadlines · 2014-01-07EO 2-14West Virginia · Water emergency declared and expanded to nine counties · 2014-01-09Nine-county water emergencyWest Virginia · Water emergency rescinded as monitoring continues · 2014-02-28Water emergency rescindedWest Virginia · HB 106 (2014 first extraordinary session) passes and takes effect · 2014-03-14HB 106 (2014 first extraordinary session) passedWest Virginia · Approve lottery bond backup pledges and debt-service priorities · 2014-03-31HB 106 (2014 first extraordinary session) approvedWest Virginia · Revise radio-network staffing, financial reporting and purchase approvals · 2014-07-09EO 5-14West Virginia · Crude-oil train derails near Mount Carbon · 2015-02-16Mount Carbon derailmentWest Virginia · Train-derailment emergency ends; recovery monitoring continues · 2015-02-26Derailment emergency endsWest Virginia · State prepares for the March winter storm · 2015-03-03March storm preparednessWest Virginia · March storm emergency replaces preparedness · 2015-03-04March storm emergencyWest Virginia · Statewide March storm emergency ends · 2015-03-17March storm emergency endsWest Virginia · April flooding damages five counties · 2015-04-03April five-county floodingWest Virginia · Five-county April flood emergency ends · 2015-04-13April flood emergency endsWest Virginia · Direct FY2015 General Revenue spending reductions · 2015-06-09Budget order 3-15West Virginia · Establish the Oil and Natural Gas Industry Safety Commission · 2015-07-08Oil and gas safety reviewWest Virginia · July flooding prompts a three-county emergency · 2015-07-12July three-county floodWest Virginia · July flood emergency expands to nine counties · 2015-07-14July flood emergency expandsWest Virginia · Nine-county July flood emergency ends · 2015-07-22July flood emergency endsWest Virginia · Direct FY2016 General Revenue spending reductions · 2015-10-22Budget order 7-15West Virginia · State prepares for the January winter storm · 2016-01-20January storm preparednessWest Virginia · Statewide winter-storm emergency replaces preparedness · 2016-01-22January storm emergencyWest Virginia · Winter-storm emergency ends in 51 counties · 2016-01-27January emergency narrowsWest Virginia · 2016 SB419 completes legislative action · 2016-02-26SB419 passedWest Virginia · Sign changes to dedicated tax and insurance revenues · 2016-02-29SB419 signedWest Virginia · Severe flooding strikes West Virginia · 2016-06-23West Virginia June floodWest Virginia · Tomblin narrows emergency coverage to 12 counties · 2016-06-29Emergency narrows to 12 countiesWest Virginia · State health officials issue flood-cleanup advisory · 2016-06-30Flood-cleanup health advisoryWest Virginia · Add a FY2016 health budget cut and revise the community-college cut · 2016-06-30Budget order 4-16West Virginia · SNAP food-loss reporting window extended · 2016-07-01SNAP replacement deadline extendedWest Virginia · Disaster food-assistance applications announced · 2016-07-20D-SNAP eligibility announcedWest Virginia · Tomblin extends the 12-county emergency · 2016-07-21Twelve-county emergency extendedWest Virginia · DHHR reports $4.66 million in flood food assistance · 2016-08-09Flood food-assistance payments reportedWest Virginia · Tomblin ends four county emergencies and extends eight · 2016-08-22Emergency narrows to eight countiesWest Virginia · Tomblin narrows emergency coverage to five counties · 2016-09-21Five-county emergency extendedWest Virginia · Abolish eighteen historical boards and task forces · 2016-11-04Historical bodies abolishedWest Virginia · Direct FY2017 General Revenue spending reductions · 2016-11-15Budget order 9-16National context · Opioid crisis declared a national public-health emergency · 2017-10-26Opioid emergencyWest Virginia · SB 747 (2020) passes · 2020-03-07SB 747 (2020) passageNational context · COVID-19 characterized as a pandemic · 2020-03-11COVID-19 pandemicNational context · Pandemic Medicaid continuous-enrollment condition enacted · 2020-03-18Medicaid coverage protectionWest Virginia · Approve West Virginia’s Diabetes Action Plan requirements · 2020-03-25SB 747 (2020) approvalWest Virginia · SB 747 (2020) takes effect · 2020-06-05SB 747 (2020) effectiveWest Virginia · West Virginia diabetes Task Force holds its kickoff meeting · 2020-08-19Diabetes Task Force kickoffNational context · FDA authorizes the first COVID-19 vaccine for emergency use · 2020-12-11First COVID vaccine EUAWest Virginia · Commissioner calls for action on West Virginia’s diabetes plan · 2021-02-02Diabetes plan forewordNational context · American Rescue Plan expands Marketplace premium assistance · 2021-03-11Marketplace aid expandedNational context · No Surprises Act billing protections begin · 2022-01-01Surprise-billing protectionsWest Virginia · HB 4067 (2022) passes and takes effect · 2022-02-10HB 4067 (2022) passedWest Virginia · Approve electronic agency reporting and specified report, study and diabetes-plan repeals · 2022-02-23HB 4067 (2022) approvedWest Virginia · West Virginia passes soft-drink tax repeal and medical-school funding law · 2022-03-12Tax and medical-school law passesWest Virginia · Governor Justice approves West Virginia’s tax repeal and medical-school funding · 2022-03-30Justice signs tax and school fundingWest Virginia · West Virginia’s tax and medical-school law reaches its general effective date · 2022-06-10General effective dateNational context · Supreme Court overturns Roe and Casey in Dobbs · 2022-06-24Dobbs abortion rulingWest Virginia · West Virginia’s medical-school funding and tax-dedication changes begin · 2022-07-01Medical-school funding provisionsNational context · 988 Suicide & Crisis Lifeline launches nationwide · 2022-07-16988 crisis line launchesNational context · Inflation Reduction Act signed · 2022-08-16Prescription-drug lawNational context · Medicare Part D insulin cost-sharing cap takes effect · 2023-01-01Part D insulin $35 capNational context · Medicaid coverage terminations can resume · 2023-04-01Medicaid terminations resumeNational context · Federal COVID-19 public-health emergency ends · 2023-05-11COVID health emergency endsNational context · Medicare Part D out-of-pocket cap begins · 2025-01-01Part D $2,000 cap (2025)West Virginia · West Virginia passes Gold Card prescription-drug exception · 2025-04-11West Virginia passes Gold Card prescription-drug exceptionWest Virginia · West Virginia passes first-responder PTSD coverage changes · 2025-04-12West Virginia passes first-responder PTSD coverage changesWest Virginia · West Virginia passes insurance reporting changes · 2025-04-12West Virginia passes insurance reporting changesWest Virginia · Morrisey approves Gold Card prescription-drug exception · 2025-04-25Morrisey approves Gold Card prescription-drug exceptionWest Virginia · Morrisey approves insurance reporting changes · 2025-04-25Morrisey approves insurance reporting changesWest Virginia · Morrisey approves first-responder PTSD coverage changes · 2025-04-28Morrisey approves first-responder PTSD coverage changesNational context · 2025 reconciliation law changes Medicaid and funds rural care · 2025-07-04Medicaid and rural-care lawWest Virginia · West Virginia PTSD coverage changes take effect · 2025-07-11West Virginia PTSD coverage changes take effectWest Virginia · West Virginia insurance reporting changes take effect · 2025-07-11West Virginia insurance reporting changes take effectNational context · Rural Health Transformation awards announced for all 50 states · 2025-12-29Rural health awardsNational context · Temporary enhanced Marketplace premium tax credits end · 2026-01-01Enhanced ACA credits endNational context · First negotiated Medicare drug prices take effect · 2026-01-01Negotiated drug prices beginNational context · CMS issues Medicaid community-engagement implementation rule · 2026-06-01Medicaid eligibility rule● West Virginia Legislature · 922● U.S. Congress · West Virginia delegation · 1◆ Governor · 642222■ West Virginia agencies · 12002-03-012026-06-30

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
PeriodWest VirginiaRankU.S. benchmark
20245.8%#36 of 508.2%
20235.9%#34 of 50Not available
20225.9%#35 of 50Not available
20216.1%#33 of 50Not available
2020Not availableUnavailableNot available
20196.7%#33 of 50Not available
20186.4%#34 of 50Not available
20176.1%#33 of 50Not available
20165.3%#41 of 50Not available
20156%#40 of 50Not available
20148.6%#35 of 50Not available
How major events are selected

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
Uninsured rate · all ages history in West Virginia4.8%6.9%9.1%20142024
2024 · West Virginia: 5.8% · Rank #36 of 50, highest first · U.S. benchmark: 8.2% · Selected for state comparison
View history and select a period
West Virginia Uninsured rate · all ages history
PeriodWest VirginiaCompare
20148.6%
20156%
20165.3%
20176.1%
20186.4%
20196.7%
2020Not available
20216.1%
20225.9%
20235.9%
20245.8%

Compare states on the graph

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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
RankStateValueComparison notes
#1Texas16.7%—
#2Georgia12%—
#3Oklahoma11.5%—
#4Nevada11.4%—
#5Alaska11%—
#6Florida10.9%—
#7Arizona10.3%—
#7Wyoming10.3%—
#9New Mexico10.1%—
#10Mississippi9.7%—
#10Tennessee9.7%—
#12Arkansas9.4%—
#13Idaho9.2%—
#14South Carolina9%—
#15Montana8.8%—
#16North Carolina8.6%—
#17Kansas8.5%—
#18Utah8.3%—
#19Alabama8.2%—
#20South Dakota8.1%—
#21Colorado7.9%—
#22Louisiana7.7%—
#22Missouri7.7%—
#22New Jersey7.7%—
#25Indiana7.5%—
#26Nebraska7.1%—
#27Delaware6.9%—
#27Illinois6.9%—
#27Virginia6.9%—
#30Kentucky6.8%—
#31Ohio6.7%—
#32Washington6.5%—
#33Maryland6.3%—
#34North Dakota6.1%—
#35California5.9%—
#36Connecticut5.8%—
#36Pennsylvania5.8%—
#36West Virginia · your comparison5.8%—
#39Maine5.5%—
#40Iowa5.4%—
#41Wisconsin5.3%—
#42Oregon5.2%—
#43Michigan5.1%—
#43Minnesota5.1%—
#45New York5%—
#46Rhode Island4.6%—
#47New Hampshire4.5%—
#48Vermont4.2%—
#49Hawaii3.5%—
#50Massachusetts2.8%—

All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.

People under 65 without health insurance

7.3%2024 ACS annual estimate

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.
West Virginia · state comparison

Where do healthcare dollars go?

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
Personal healthcare spending per resident history in West Virginia$7.21K$10.35K$13.49K20142020
2020 · West Virginia: $12,769 · Rank #5 of 50, highest first · U.S. benchmark: $10,191 · Selected for state comparison
View history and select a period
West Virginia Personal healthcare spending per resident history
PeriodWest VirginiaCompare
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
RankStateValueComparison notes
#1New York$14,007—
#2Alaska$13,642—
#3Massachusetts$13,319—
#4Delaware$12,899—
#5West Virginia · your comparison$12,769—
#6Vermont$12,756—
#7South Dakota$12,495—
#8Connecticut$12,489—
#9Maine$12,077—
#10New Jersey$11,868—
#11New Hampshire$11,793—
#12Rhode Island$11,694—
#13Pennsylvania$11,603—
#14North Dakota$11,301—
#15Wyoming$10,989—
#16Minnesota$10,846—
#17Maryland$10,839—
#18Indiana$10,517—
#19Louisiana$10,515—
#20Nebraska$10,514—
#21Ohio$10,478—
#22California$10,299—
#23Hawaii$10,291—
#24Kentucky$10,257—
#25Montana$10,212—
#26Illinois$10,190—
#27Oregon$10,071—
#28Wisconsin$9,982—
#29Missouri$9,921—
#30Michigan$9,897—
#31Florida$9,865—
#32Iowa$9,789—
#33Oklahoma$9,444—
#34Kansas$9,408—
#35Mississippi$9,394—
#36Arkansas$9,338—
#37Tennessee$9,336—
#38Alabama$9,280—
#39Washington$9,265—
#40Virginia$9,195—
#41North Carolina$8,917—
#42New Mexico$8,902—
#43South Carolina$8,766—
#44Georgia$8,758—
#45Arizona$8,756—
#46Colorado$8,583—
#47Texas$8,406—
#48Nevada$8,348—
#49Idaho$8,148—
#50Utah$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.

West Virginia · state comparison

Health outcomes

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.

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West Virginia
Life expectancy at birth history in West Virginia70 years74.3 years78.5 years20182022
2022 · West Virginia: 72.2 years · Rank #50 of 50, highest first · U.S. benchmark: 77.5 years · Selected for state comparison
View history and select a period
West Virginia Life expectancy at birth history
PeriodWest VirginiaCompare
201874.4 years
201974.5 years
202072.8 years
202171 years
202272.2 years

Compare states on the graph

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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
RankStateValueComparison notes
#1Hawaii80 years—
#2Massachusetts79.8 years—
#3New Jersey79.6 years—
#4New York79.5 years—
#5Connecticut79.4 years—
#6California79.3 years—
#6Minnesota79.3 years—
#8Rhode Island79.2 years—
#9Utah79 years—
#10New Hampshire78.7 years—
#11Colorado78.5 years—
#12Idaho78.4 years—
#12Washington78.4 years—
#14Nebraska78.3 years—
#14Vermont78.3 years—
#16Wisconsin78.1 years—
#17Florida77.9 years—
#17Iowa77.9 years—
#17North Dakota77.9 years—
#20Maryland77.8 years—
#21Oregon77.7 years—
#22Illinois77.5 years—
#22Virginia77.5 years—
#24Montana77.3 years—
#24Pennsylvania77.3 years—
#24South Dakota77.3 years—
#27Texas77.1 years—
#28Michigan76.8 years—
#28Wyoming76.8 years—
#30Arizona76.7 years—
#31Maine76.6 years—
#32Delaware76.5 years—
#32Kansas76.5 years—
#34Nevada76.4 years—
#35Georgia75.9 years—
#35North Carolina75.9 years—
#37Alaska75.8 years—
#38Ohio75.6 years—
#39Indiana75.4 years—
#40Missouri75.2 years—
#41South Carolina75.1 years—
#42New Mexico74.5 years—
#43Arkansas73.9 years—
#44Alabama73.8 years—
#44Louisiana73.8 years—
#44Oklahoma73.8 years—
#44Tennessee73.8 years—
#48Kentucky73.6 years—
#49Mississippi72.6 years—
#50West Virginia · your comparison72.2 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.

West Virginia · state comparison

Chronic illness and health risks

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.

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West Virginia
Diagnosed diabetes · age adjusted history in West Virginia9.2%12.6%15.9%20192023
2023 · West Virginia: 15.1% · Rank #1 of 48, highest first · U.S. benchmark: 10.7% · Selected for state comparison
View history and select a period
West Virginia Diagnosed diabetes · age adjusted history
PeriodWest VirginiaCompare
201913.2%
202013.3%
202113.3%
202214.6%
202315.1%

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.

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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
RankStateValueComparison notes
#1Mississippi15.1%95% CI: 13.7–16.6
#1West Virginia · your comparison15.1%95% CI: 13.9–16.3
#3Louisiana14.6%95% CI: 13.4–15.8
#4Alabama14%95% CI: 12.7–15.3
#5Arkansas13.1%95% CI: 12–14.3
#6South Carolina12.7%95% CI: 11.9–13.6
#6Tennessee12.7%95% CI: 11.7–13.8
#8Texas12.1%95% CI: 11–13.3
#9Indiana11.7%95% CI: 11.1–12.4
#10Georgia11.5%95% CI: 10.7–12.3
#10Ohio11.5%95% CI: 10.8–12.2
#12Oklahoma11.3%95% CI: 10.5–12.1
#13Delaware11.1%95% CI: 9.8–12.6
#14North Carolina11%95% CI: 9.8–12.3
#15Illinois10.9%95% CI: 9.9–12.1
#15Maryland10.9%95% CI: 10.2–11.7
#15Michigan10.9%95% CI: 10.1–11.8
#18Nevada10.8%95% CI: 8.9–13
#18New Mexico10.8%95% CI: 9.3–12.6
#20Missouri10.7%95% CI: 9.9–11.7
#20South Dakota10.7%95% CI: 8.9–12.8
#22California10.6%95% CI: 9.8–11.4
#23Kansas10.5%95% CI: 9.7–11.3
#24Virginia10.4%95% CI: 9.5–11.4
#25Florida10.1%95% CI: 9.1–11.1
#26Rhode Island10%95% CI: 9.1–11
#27Arizona9.9%95% CI: 9.2–10.7
#27Iowa9.9%95% CI: 9.2–10.7
#29Nebraska9.7%95% CI: 9–10.3
#30Wisconsin9.6%95% CI: 9–10.2
#31Hawaii9.5%95% CI: 8.7–10.5
#31New York9.5%95% CI: 8.9–10.1
#31Oregon9.5%95% CI: 8.7–10.5
#34Wyoming9.4%95% CI: 8.5–10.5
#35Minnesota9.3%95% CI: 8.6–10
#36New Jersey9.1%95% CI: 8.4–9.9
#37Maine9%95% CI: 8.4–9.7
#38North Dakota8.9%95% CI: 8.1–9.7
#39Idaho8.7%95% CI: 7.9–9.6
#40Washington8.6%95% CI: 8.2–9
#41Massachusetts8.5%95% CI: 7.8–9.4
#42Connecticut8.4%95% CI: 7.6–9.3
#43Alaska8.2%95% CI: 7.4–9.2
#44Utah8.1%95% CI: 7.5–8.7
#45Colorado8%95% CI: 7.3–8.7
#46Montana7.9%95% CI: 7.2–8.7
#46New Hampshire7.9%95% CI: 7.1–8.8
#48Vermont7.8%95% CI: 7–8.7
—KentuckyNot availableNo comparable published observation for this period; excluded from rank.
—PennsylvaniaNot availableNo 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.

West Virginia · state comparison

Where are healthcare workers in short supply?

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
RankStateValueComparison notes
#1New Jersey83.2%—
#2Vermont82.6%—
#3South Carolina79.4%—
#4New Hampshire74.8%—
#5Rhode Island74.3%—
#6Louisiana72.1%—
#7Hawaii67.1%—
#8Utah65.4%—
#9Wisconsin65.2%—
#10Alabama63%—
#11Connecticut60.3%—
#12Massachusetts58%—
#13Tennessee58%—
#14Virginia57.2%—
#15Pennsylvania56.7%—
#16Maine56%—
#17Minnesota55.4%—
#18Wyoming54.4%—
#19Indiana54.2%—
#20California53.2%—
#21Arkansas52.6%—
#22Texas49.8%—
#23Ohio49.7%—
#24Nebraska49.1%—
#25Alaska48.9%—
#26North Carolina48.1%—
#27Colorado47.5%—
#28Michigan44.9%—
#29Oregon43.9%—
#30Idaho43.9%—
#31Washington42.4%—
#32Illinois41.5%—
#33Nevada41.5%—
#34Arizona41.2%—
#35Kansas41.1%—
#36Iowa40.5%—
#37Florida39.7%—
#38Georgia39.1%—
#39Montana38.5%—
#40West Virginia · your comparison38.3%—
#41North Dakota36.5%—
#42New York35.3%—
#43South Dakota34.6%—
#44Mississippi34.1%—
#45Maryland31.6%—
#46New Mexico31.4%—
#47Kentucky30.8%—
#48Oklahoma28.6%—
#49Missouri23.7%—
#50Delaware11.2%—

All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.

West Virginia · state comparison

Employer coverage costs

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
RankStateValueComparison notes
#1Alaska$8,635—
#2New York$8,177—
#3New Hampshire$7,991—
#4Vermont$7,868—
#5Wyoming$7,743—
#6Nebraska$7,611—
#7South Carolina$7,516—
#8Connecticut$7,501—
#9Maine$7,496—
#10Massachusetts$7,452—
#11Washington$7,440—
#12New Mexico$7,424—
#13Illinois$7,376—
#14New Jersey$7,373—
#15Maryland$7,352—
#16Rhode Island$7,326—
#17Indiana$7,319—
#18Delaware$7,280—
#19Wisconsin$7,250—
#20Pennsylvania$7,246—
#21North Dakota$7,216—
#22Colorado$7,206—
#23Missouri$7,179—
#24California$7,173—
#25Florida$7,078—
#26South Dakota$7,070—
#27Oklahoma$7,058—
#28Hawaii$7,040—
#29North Carolina$7,036—
#30Texas$7,017—
#31West Virginia · your comparison$6,993—
#32Ohio$6,989—
#33Kentucky$6,949—
#34Iowa$6,932—
#35Virginia$6,928—
#36Oregon$6,917—
#37Minnesota$6,910—
#38Georgia$6,876—
#39Montana$6,860—
#40Idaho$6,744—
#41Louisiana$6,713—
#42Michigan$6,683—
#43Kansas$6,675—
#44Arizona$6,612—
#45Utah$6,593—
#46Mississippi$6,561—
#47Nevada$6,493—
#48Tennessee$6,485—
#49Arkansas$6,414—
#50Alabama$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.

West Virginia · state comparison

Mental health and treatment

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
RankStateValueComparison notes
#1Oregon31.6%—
#2Vermont29.1%—
#3West Virginia · your comparison28.1%—
#4Washington27.9%—
#5New Hampshire27.7%—
#6Tennessee27%—
#7Utah26.7%—
#8Maine26.7%—
#9Arkansas26.6%—
#10Colorado26.4%—
#11Rhode Island25.8%—
#12Missouri25.7%—
#13Montana25.6%—
#14Indiana25.3%—
#15Kentucky25.3%—
#16Georgia25.2%—
#17Iowa25%—
#18Massachusetts24.9%—
#19Wyoming24.7%—
#20Nevada24.6%—
#21Arizona24.6%—
#22Wisconsin24.6%—
#23Idaho24.5%—
#24Nebraska24.1%—
#25Louisiana24.1%—
#26Alaska24%—
#27Pennsylvania23.9%—
#28New Mexico23.9%—
#28Ohio23.9%—
#30Connecticut23.7%—
#31Kansas23.7%—
#32Michigan23.6%—
#33Virginia23.1%—
#34Alabama23%—
#35North Dakota23%—
#36Maryland22.7%—
#37Oklahoma22.6%—
#38Minnesota22.6%—
#39Illinois22.2%—
#40Delaware22.1%—
#41New York21.9%—
#42South Dakota21.8%—
#43California21.6%—
#44North Carolina21.4%—
#45Florida20.8%—
#46Texas20.7%—
#47Mississippi20.5%—
#48Hawaii19.8%—
#49South Carolina19.8%—
#50New Jersey18.1%—

All 50 states are listed, including states without a comparable observation. Ranks use stored source precision; displayed values may round to the same number.

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

Carol Miller

3 statements

Republican · U.S. House District 1 · WV

Care & public health

Veterans' Health Care

Read exact statement & source

Source topic or question: Current 2026 Policy Activity

Government-published candidate material

Veterans' Health Care

Statement date not recorded · Profile reviewed Sep 17, 2026

Carol Miller — veterans' health care legislation ↗
View 2 more statements from Carol Miller
Care & public health

Rural Health Care

Read exact statement & source

Source topic or question: Current 2026 Policy Activity

Government-published candidate material

Rural Health Care

Statement date not recorded · Profile reviewed Sep 17, 2026

Carol Miller — official government primary source 9 ↗
Care & public health

Ending the Opioid Epidemic

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

Ending the Opioid Epidemic

Statement date not recorded · Profile reviewed Sep 17, 2026

Carol Miller — candidate-owned primary source 2 ↗

Vince George

2 statements

Democratic · U.S. House District 1 · WV

Health coverage

I’ll also work to reduce the cost of health insurance, so no West Virginian goes bankrupt getting the care they need.

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

I’ll also work to reduce the cost of health insurance, so no West Virginian goes bankrupt getting the care they need.

Statement date not recorded · Profile reviewed Aug 21, 2026

Vince George — candidate-owned primary source 2 ↗
View 1 more statement from Vince George
Health coverage

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…

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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

Vince George — candidate-owned primary source 2 ↗

2026 West Virginia U.S. House — District 2 — General Election

1 candidate with matching statements · 12 statements

Ace Parsi

12 statements

Democratic · U.S. House District 2 · WV

Health coverage

Smooth SNAP, Medicaid, childcare, and housing subsidy offramps as incomes rise

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

Smooth SNAP, Medicaid, childcare, and housing subsidy offramps as incomes rise

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
View 11 more statements from Ace Parsi
Health coverage

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

Ace Parsi — candidate-owned primary source 2 ↗
Health coverage

Reverse Big Beautiful Bill cuts to SNAP and Medicaid

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

Reverse Big Beautiful Bill cuts to SNAP and Medicaid

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

Hold developers, for-profit schools, for-profit healthcare companies, and for-profit childcare facilities accountable for results and waste

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

Hold developers, for-profit schools, for-profit healthcare companies, and for-profit childcare facilities accountable for results and waste

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

Expand access to early childhood education, healthcare, and nutrition

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

Expand access to early childhood education, healthcare, and nutrition

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

Healthcare access: Fund rural hospitals and ensure healthcare infrastructure matches community need, not corporate profitability

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

Healthcare access: Fund rural hospitals and ensure healthcare infrastructure matches community need, not corporate profitability

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

Protect the right to make personal healthcare decisions

Read exact statement & source

Source topic or question: Reproductive rights and health care

Candidate campaign source

Protect the right to make personal healthcare decisions

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

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

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

Ensure timely access to high-quality healthcare, including mental health and addiction services

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Source topic or question: Health care, addiction, and veterans

Candidate campaign source

Ensure timely access to high-quality healthcare, including mental health and addiction services

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

Protect individuals from discrimination in employment, housing, healthcare, and education

Read exact statement & source

Source topic or question: Civil and constitutional rights

Candidate campaign source

Protect individuals from discrimination in employment, housing, healthcare, and education

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

Healthcare: Fund rural hospitals; pursue a single-payer public option

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

Healthcare: Fund rural hospitals; pursue a single-payer public option

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗
Care & public health

Guarantee protections for workers who speak out about unsafe conditions — particularly in extraction, agriculture, and healthcare

Read exact statement & source

Source topic or question: Economy, jobs, taxes, and government spending

Candidate campaign source

Guarantee protections for workers who speak out about unsafe conditions — particularly in extraction, agriculture, and healthcare

Statement date not recorded · Profile reviewed Aug 21, 2026

Ace Parsi — candidate-owned primary source 2 ↗

2026 West Virginia U.S. Senate — General Election

2 candidates with matching statements · 9 statements

Democratic · U.S. Senate · WV

Health coverage

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

Rachel Fetty Anderson — candidate-owned primary source 3 ↗
View 3 more statements from Rachel Fetty Anderson
Health coverage

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

Rachel Fetty Anderson — candidate-owned primary source 4 ↗
Care & public health

I support full vaccination for children before starting school.

Read exact statement & source

Source topic or question: Health care, addiction, and veterans

Candidate campaign source

I support full vaccination for children before starting school.

Statement date not recorded · Profile reviewed Aug 21, 2026

Rachel Fetty Anderson — candidate-owned primary source 3 ↗
Care & public health

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

Rachel Fetty Anderson — candidate-owned primary source 3 ↗

Republican · U.S. Senate · WV

Care & public health

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

Shelley Moore Capito — official government primary source 7 ↗
View 4 more statements from Shelley Moore Capito
Care & public health

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

Shelley Moore Capito — official government primary source 7 ↗
Care & public health

Health Care

Read exact statement & source

Source topic or question: Issues

Candidate campaign source

Health Care

Statement date not recorded · Profile reviewed Sep 17, 2026

Shelley Moore Capito campaign source 23 ↗
Care & public health

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

Shelley Moore Capito campaign source 23 ↗
Care & public health

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

Shelley Moore Capito — official government primary source 7 ↗
How statements are selected

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 proposal
View proposals from Bill Ridenour
West 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.
Review official supporting evidence ↗

Chuck Horst

West Virginia House of Delegates, District 95 · R–WV

1 proposal
View proposals from Chuck Horst
West 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).
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Joe Statler

West Virginia House of Delegates, District 77 · R–WV

1 proposal
View proposals from Joe Statler
West 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.
Review official supporting evidence ↗

Laura Wakim Chapman

West Virginia Senate, District 1 · R–WV

1 proposal
View proposals from Laura Wakim Chapman
West 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.
Review official supporting evidence ↗

Mike Pushkin

West Virginia House of Delegates, District 54 · D–WV

1 proposal
View proposals from Mike Pushkin
West 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.
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Patricia Rucker

West Virginia Senate, District 16 · R–WV

3 proposals
View proposals from Patricia Rucker
West Virginia Legislature · SB 659

Prohibiting certain restrictions on regulation of accessory dwelling units

Mar 14, 2026 · Enacted · Chapter 241

Patricia Rucker · Sponsored / Zack Maynard · Co-sponsored / Darren Thorne · Co-sponsored

FactVote reviewed summary

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.
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West Virginia Legislature · SB 43

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.
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West Virginia Legislature · SB 856

Insurance reporting and oversight changes

Apr 12, 2025 · Enacted · Chapter 131

Patricia Puertas Rucker · Sponsored

Reviewed enacted law and legislative sponsorship

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.
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What sponsorship and proposal counts tell us

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.