# West Virginia HB 5459: Relating to a tax on managed care organizations West Virginia HB 5459, Relating to a tax on managed care organizations, is a 2026 Regular Session House bill sponsored by Matthew Rohrbach (Republican); status signed, last action 2026-06-29 (Chapter 285, Acts, Regular Session, 2026) (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/WV-HB5459-2026rs - 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 5459 - State: West Virginia - Session: 2026 Regular Session - Title: Relating to a tax on managed care organizations - Status: signed - Chamber: House - Introduced: 2026-02-12 - Last action: 2026-06-29, Chapter 285, Acts, Regular Session, 2026 - Sponsor: Matthew Rohrbach (Republican) - Cosponsors: 3 - Subjects: §11-27-10A - Touches household money: no - Roll calls: 2 (124 yes, 3 no in all) - Economic provisions PRIA read: 1 ## Summary No summary available. ## Bill overview: provisions PRIA read - Tax on HMO premiums starts 2027: mixed, low. 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 b… ## Sponsors and cosponsors - Sponsor: Matthew Rohrbach (Republican), House - Cosponsor: Vernon Criss (Republican), House - Cosponsor: Joe Ellington (Republican), House - Cosponsor: Clay Riley (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-11 | Senate | Passed Senate (Roll No. 471) | pass | 34 | 0 | | | 2026-03-02 | House | Passed House (Roll No. 249) | pass | 90 | 3 | | ## Actions (35) - 2026-06-29: Chapter 285, Acts, Regular Session, 2026 (House) - 2026-03-30: Approved by Governor 3/27/2026 (House) - 2026-03-25: To Governor 3/25/26 (House) - 2026-03-14: To Governor 3/25/2026 - Senate Journal (Senate) - 2026-03-14: Approved by Governor 3/27/2026 - House Journal (House) - 2026-03-14: Approved by Governor 3/27/2026 - Senate Journal (Senate) - 2026-03-13: House received Senate message (House) - 2026-03-11: On 3rd reading (Senate) - 2026-03-11: Read 3rd time (Senate) - 2026-03-11: Passed Senate (Roll No. 471) (Senate) - 2026-03-11: Communicated to House (Senate) - 2026-03-11: Completed legislative action (Senate) - 2026-03-10: On 2nd reading (Senate) - 2026-03-10: Read 2nd time (Senate) - 2026-03-09: On 1st reading (Senate) - 2026-03-09: Read 1st time (Senate) - 2026-03-06: Reported do pass (Senate) - 2026-03-04: Introduced in Senate (Senate) - 2026-03-04: To Finance (Senate) - 2026-03-04: To Finance (Senate) - 2026-03-02: On 3rd reading, Special Calendar (House) - 2026-03-02: Read 3rd time (House) - 2026-03-02: Passed House (Roll No. 249) (House) - 2026-03-02: Communicated to Senate (House) - 2026-02-27: On 2nd reading, Special Calendar (House) - 2026-02-27: Read 2nd time (House) - 2026-02-27: Amendment reported by the Clerk (House) - 2026-02-27: Amendment adopted (Voice vote) (House) - 2026-02-26: On 1st reading, Special Calendar (House) - 2026-02-26: Read 1st time (House) - 2026-02-25: Do pass (House) - 2026-02-12: Filed for introduction (House) - 2026-02-12: To Finance (House) - 2026-02-12: Introduced in House (House) - 2026-02-12: To House Finance (House) ## Bill text - Engrossed: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 eng.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 eng.pdf) - Enrolled: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 enr.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 enr.pdf) - Introduced Version: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 intr.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 intr.pdf) ## Related bills - 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) - HB 4354: Relating to necessity allowance (signed) - HB 4390: Relating to the temporary payment to a kinship parent of a subsidy equal to that of a foster parent (signed) - HB 4191: Relating to providing child care generally (became law) - HB 4106: Allowing constitutional carry for 18- to 20-year-olds (signed) ## Sources - [Engrossed (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 eng.htm) - [Engrossed (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 eng.pdf) - [Enrolled (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 enr.htm) - [Enrolled (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 enr.pdf) - [Introduced Version (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 intr.htm) - [Introduced Version (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/hb5459 intr.pdf) ## Related - [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) - [HB 4354: Relating to necessity allowance](https://policyrisk.com/state-bill/WV-HB4354-2026rs) - [HB 4390: Relating to the temporary payment to a kinship parent of a subsidy equal to tha…](https://policyrisk.com/state-bill/WV-HB4390-2026rs) - [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) - [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-HB5459-2026rs (as of 2026-11-04).