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West VirginiaHB 54592026 Regular SessionHouseWALLET

Relating to a tax on managed care organizations

Sponsored By: Matthew Rohrbach (Republican)

Signed by Governor

§11-27-10A

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

Tax on HMO premiums starts 2027

Beginning July 1, 2027, certified HMOs (managed care plans) pay a 2.5% tax on gross premiums written in West Virginia each quarter. The tax year runs July 1 to June 30. The rate applies to all certified HMOs, but not to Medicare Advantage, PEIA plans, or some federal employee plans if federal law blocks it. The state switches from a member‑month charge to this gross‑premium method and must have federal approval that it is an allowable health care‑related tax for Medicaid funding. The state cannot collect the tax for a year until CMS gives written notice that Medicaid rates for that year are actuarially sound. If CMS later finds the tax is not allowed for federal Medicaid funding, it becomes void automatically. Until July 1, 2027, the prior member‑month rules stay in effect.

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Sponsors & Cosponsors

Sponsor

  • Matthew Rohrbach

    Republican • House

Cosponsors

  • Vernon Criss

    Republican • House

  • Joe Ellington

    Republican • House

  • Clay Riley

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 124 • No: 3

Senate vote • 3/11/2026

Passed Senate (Roll No. 471)

Yes: 34 • No: 0

House vote • 3/2/2026

Passed House (Roll No. 249)

Yes: 90 • No: 3

Actions Timeline

  1. Approved by Governor 3/27/2026

    3/30/2026House

  2. To Governor 3/25/26

    3/25/2026House

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

    3/14/2026Senate

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

    3/14/2026House

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

    3/14/2026Senate

  6. House received Senate message

    3/13/2026House

  7. On 3rd reading

    3/11/2026Senate

  8. Read 3rd time

    3/11/2026Senate

  9. Passed Senate (Roll No. 471)

    3/11/2026Senate

  10. Communicated to House

    3/11/2026Senate

  11. Completed legislative action

    3/11/2026Senate

  12. On 2nd reading

    3/10/2026Senate

  13. Read 2nd time

    3/10/2026Senate

  14. On 1st reading

    3/9/2026Senate

  15. Read 1st time

    3/9/2026Senate

  16. Reported do pass

    3/6/2026Senate

  17. Introduced in Senate

    3/4/2026Senate

  18. To Finance

    3/4/2026Senate

  19. To Finance

    3/4/2026Senate

  20. On 3rd reading, Special Calendar

    3/2/2026House

  21. Read 3rd time

    3/2/2026House

  22. Passed House (Roll No. 249)

    3/2/2026House

  23. Communicated to Senate

    3/2/2026House

  24. On 2nd reading, Special Calendar

    2/27/2026House

  25. Read 2nd time

    2/27/2026House

Bill Text

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