# West Virginia HB 4196: To offer long-acting reversible contraception to patients receiving methadone and suboxone at the treatment facility for the methadone and suboxone West Virginia HB 4196, To offer long-acting reversible contraception to patients receiving methadone and suboxone at the treatment facility for the methadone and suboxone, is a 2026 Regular Session House bill sponsored by Sarah Drennan (Republican); status signed, last action 2026-06-29 (Chapter 181, Acts, Regular Session, 2026) (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/WV-HB4196-2026rs - As of: 2026-11-04 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: West Virginia HB 4196 - State: West Virginia - Session: 2026 Regular Session - Title: To offer long-acting reversible contraception to patients receiving methadone and suboxone at the treatment facility for the methadone and suboxone - Status: signed - Chamber: House - Introduced: 2026-01-14 - Last action: 2026-06-29, Chapter 181, Acts, Regular Session, 2026 - Sponsor: Sarah Drennan (Republican) - Cosponsors: 9 - Subjects: §16B-13-5 - Touches household money: no - Roll calls: 3 (207 yes, 10 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - Birth control help at MAT clinics: benefit, medium. 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 che… - Insurers checked before clinics bill you: benefit, low. 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 dire… - Safer prescribing and telehealth for MAT: benefit, low. 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 exa… - MAT clinics need licenses and qualified staff: benefit, low. 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 r… - Tighter oversight of MAT staff and records: benefit, low. 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, contro… ## Sponsors and cosponsors - Sponsor: Sarah Drennan (Republican), House - Cosponsor: Michael Amos (Republican), House - Cosponsor: Adam Burkhammer (Republican), House - Cosponsor: Kathie Hess Crouse (Republican), House - Cosponsor: Walter Hall (Republican), House - Cosponsor: Scot C. Heckert (Republican), House - Cosponsor: Michael Hite (Republican), House - Cosponsor: Dean Jeffries (Republican), House - Cosponsor: Jonathan Pinson (Republican), House - Cosponsor: Evan Worrell (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-02-20 | House | House concurred in Senate amendment and passed bill (Roll No. 132) | pass | 92 | 4 | | | 2026-02-19 | Senate | Passed Senate (Roll No. 152) | pass | 32 | 1 | | | 2026-01-27 | House | Passed House (Roll No. 18) | pass | 83 | 5 | | ## Actions (48) - 2026-06-29: Chapter 181, Acts, Regular Session, 2026 (House) - 2026-03-02: Approved by Governor 2/27/2026 - Senate Journal (Senate) - 2026-03-02: Approved by Governor 2/27/2026 - House Journal (House) - 2026-02-27: Approved by Governor 2/27/2026 (House) - 2026-02-25: To Governor 2/23/2026 - Senate Journal (Senate) - 2026-02-23: To Governor 2/23/2026 (House) - 2026-02-21: House Message received (Senate) - 2026-02-20: House received Senate message (House) - 2026-02-20: House concurred in Senate amendment and passed bill (Roll No. 132) (House) - 2026-02-20: Communicated to Senate (House) - 2026-02-20: Completed legislative action (House) - 2026-02-19: On 3rd reading (Senate) - 2026-02-19: Read 3rd time (Senate) - 2026-02-19: Passed Senate (Roll No. 152) (Senate) - 2026-02-19: Title amendment adopted (Senate) - 2026-02-19: Senate requests House to concur (Senate) - 2026-02-18: On 2nd reading (Senate) - 2026-02-18: Read 2nd time (Senate) - 2026-02-18: Committee amendment adopted (Voice vote) (Senate) - 2026-02-17: On 1st reading (Senate) - 2026-02-17: Read 1st time (Senate) - 2026-02-16: Reported do pass, with amendment (Senate) - 2026-01-28: Introduced in Senate (Senate) - 2026-01-28: To Health and Human Resources (Senate) - 2026-01-28: To Health and Human Resources (Senate) - 2026-01-27: On 3rd reading, Special Calendar (House) - 2026-01-27: Read 3rd time (House) - 2026-01-27: Passed House (Roll No. 18) (House) - 2026-01-27: Communicated to Senate (House) - 2026-01-26: On 3rd reading, Special Calendar (House) - 2026-01-23: On 2nd reading, Special Calendar (House) - 2026-01-23: Read 2nd time (House) - 2026-01-23: Amendment reported by the Clerk (House) - 2026-01-23: Amendment rejected (Voice vote) (House) - 2026-01-23: Amendment reported by the Clerk (House) - 2026-01-23: Amendment rejected (Voice vote) (House) - 2026-01-23: Amendment reported by the Clerk (House) - 2026-01-23: Amendment ruled not germane (House) - 2026-01-22: On 2nd reading, Special Calendar (House) - 2026-01-22: Postponed on 2nd reading, Special Calendar, until 1/23/2026 (House) - 2026-01-21: On 1st reading, Special Calendar (House) - 2026-01-21: Read 1st time (House) - 2026-01-20: By substitute, do pass (House) - 2026-01-15: Markup Discussion (House) - 2026-01-14: Filed for introduction (House) - 2026-01-14: To Health and Human Resources (House) - 2026-01-14: Introduced in House (House) - 2026-01-14: To House Health and Human Resources (House) ## Bill text - Committee Substitute: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1.pdf) - Engrossed: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1 eng.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1 eng.pdf) - Enrolled: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1 enr.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1 enr.pdf) - Introduced Version: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 intr.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 intr.pdf) ## Related bills - HB 4191: Relating to providing child care generally (became law) - HB 4106: Allowing constitutional carry for 18- to 20-year-olds (signed) - HB 4138: Relating to persons convicted of a crime (signed) - HB 5694: Supplemental appropriation to Department of Education, fund 0313. (signed) - HB 5353: To bring virtual currency kiosks within the purview of money transmission licensure and create disclosure requirements and daily transaction limitations for ne… (signed) - HB 4452: To remove Mortmain restrictions on religious organizations (signed) ## Sources - [Committee Substitute (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1.htm) - [Committee Substitute (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1.pdf) - [Engrossed (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1 eng.htm) - [Engrossed (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1 eng.pdf) - [Enrolled (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1 enr.htm) - [Enrolled (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 sub1 enr.pdf) - [Introduced Version (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 intr.htm) - [Introduced Version (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb4196 intr.pdf) ## Related - [HB 4191: Relating to providing child care generally](https://policyrisk.com/state-bill/WV-HB4191-2026rs) - [HB 4106: Allowing constitutional carry for 18- to 20-year-olds](https://policyrisk.com/state-bill/WV-HB4106-2026rs) - [HB 4138: Relating to persons convicted of a crime](https://policyrisk.com/state-bill/WV-HB4138-2026rs) - [HB 5694: Supplemental appropriation to Department of Education, fund 0313.](https://policyrisk.com/state-bill/WV-HB5694-2026rs) - [HB 5353: To bring virtual currency kiosks within the purview of money transmission licen…](https://policyrisk.com/state-bill/WV-HB5353-2026rs) - [HB 4452: To remove Mortmain restrictions on religious organizations](https://policyrisk.com/state-bill/WV-HB4452-2026rs) - [West Virginia bills](https://policyrisk.com/states/west-virginia/bills) - [West Virginia state hub](https://policyrisk.com/states/west-virginia) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/WV-HB4196-2026rs (as of 2026-11-04).