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West VirginiaHB 41962026 Regular SessionHouseWALLET

To offer long-acting reversible contraception to patients receiving methadone and suboxone at the treatment facility for the methadone and suboxone

Sponsored By: Sarah Drennan (Republican)

Signed by Governor

§16B-13-5

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 5 benefits, 0 costs, 0 mixed.

Birth control help at MAT clinics

MAT clinics must offer long-acting birth control (LARC) counseling. Counseling is non-coercive and based on your health and preferences. If the clinic cannot insert a device, it must refer you to a licensed provider. If your prescriber is not your OB/GYN, they must try to consult your OB/GYN to check that the prescription is appropriate.

Insurers checked before clinics bill you

MAT programs must enroll with Medicaid and private insurers when eligible. Before billing you directly, the clinic must get a prior authorization rejection, a rejected claim, or a written denial from your insurer or West Virginia Medicaid. The clinic must note if you have no insurance. A state director can allow exceptions. Clinics may start treatment before billing.

Safer prescribing and telehealth for MAT

Only West Virginia–licensed doctors or pharmacists employed by the clinic can dispense MAT drugs on site, unless it is a federally certified narcotic treatment program. Doctors must check the state drug database before prescribing or dispensing, at least every three months, and at each physical exam, and keep the results in your record. Doctors must follow the drug maker’s taper plan or document the reason to deviate. If your buprenorphine dose is over 16 mg a day, the doctor must record why. Clinics must follow rule limits for liquid methadone. Telehealth is allowed when it fits the provider’s scope of practice.

MAT clinics need licenses and qualified staff

All MAT programs in West Virginia must be licensed and registered, and each clinic location needs its own license. Programs must also keep required federal approvals. Clinics must have a medical director with a full, active WV medical license and required training; losing a qualified director can risk the clinic’s license. A non-physician sponsor must hire a physician director when rules require it. Counseling staff must meet listed credentials or work under required supervision.

Tighter oversight of MAT staff and records

Clinics cannot be owned by or employ prescribers with suspended or encumbered DEA numbers or licenses. All employees must pass fingerprint-based state and federal background checks and follow state operating rules. Clinics must keep full treatment plans and medical records, run drug testing, control prescription blanks, and report any theft or loss within 24 hours. Programs must follow pharmacy and federal controlled-substance laws and notify the state in writing right away about changes that affect compliance.

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Sponsors & Cosponsors

Sponsor

  • Sarah Drennan

    Republican • House

Cosponsors

  • Michael Amos

    Republican • House

  • Adam Burkhammer

    Republican • House

  • Kathie Hess Crouse

    Republican • House

  • Walter Hall

    Republican • House

  • Scot C. Heckert

    Republican • House

  • Michael Hite

    Republican • House

  • Dean Jeffries

    Republican • House

  • Jonathan Pinson

    Republican • House

  • Evan Worrell

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 207 • No: 10

House vote • 2/20/2026

House concurred in Senate amendment and passed bill (Roll No. 132)

Yes: 92 • No: 4

Senate vote • 2/19/2026

Passed Senate (Roll No. 152)

Yes: 32 • No: 1

House vote • 1/27/2026

Passed House (Roll No. 18)

Yes: 83 • No: 5

Actions Timeline

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

    3/2/2026Senate

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

    3/2/2026House

  3. Approved by Governor 2/27/2026

    2/27/2026House

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

    2/25/2026Senate

  5. To Governor 2/23/2026

    2/23/2026House

  6. House Message received

    2/21/2026Senate

  7. House received Senate message

    2/20/2026House

  8. House concurred in Senate amendment and passed bill (Roll No. 132)

    2/20/2026House

  9. Communicated to Senate

    2/20/2026House

  10. Completed legislative action

    2/20/2026House

  11. On 3rd reading

    2/19/2026Senate

  12. Read 3rd time

    2/19/2026Senate

  13. Passed Senate (Roll No. 152)

    2/19/2026Senate

  14. Title amendment adopted

    2/19/2026Senate

  15. Senate requests House to concur

    2/19/2026Senate

  16. On 2nd reading

    2/18/2026Senate

  17. Read 2nd time

    2/18/2026Senate

  18. Committee amendment adopted (Voice vote)

    2/18/2026Senate

  19. On 1st reading

    2/17/2026Senate

  20. Read 1st time

    2/17/2026Senate

  21. Reported do pass, with amendment

    2/16/2026Senate

  22. Introduced in Senate

    1/28/2026Senate

  23. To Health and Human Resources

    1/28/2026Senate

  24. To Health and Human Resources

    1/28/2026Senate

  25. On 3rd reading, Special Calendar

    1/27/2026House

Bill Text

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