# West Virginia SB 231: Relating to value-based payment requirements West Virginia SB 231, Relating to value-based payment requirements, is a 2026 Regular Session Senate bill sponsored by Brian Helton (Republican); status signed, last action 2026-06-25 (Chapter 176, Acts, Regular Session, 2026) (as of 2026-11-04). - Canonical: https://policyrisk.com/state-bill/WV-SB231-2026rs - 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 SB 231 - State: West Virginia - Session: 2026 Regular Session - Title: Relating to value-based payment requirements - Status: signed - Chamber: Senate - Introduced: 2026-01-14 - Last action: 2026-06-25, Chapter 176, Acts, Regular Session, 2026 - Sponsor: Brian Helton (Republican) - Cosponsors: 6 - Subjects: §9-11-1, §9-11-2, §9-11-3, §9-11-4, §9-11-5, §9-11-6 - Touches household money: no - Roll calls: 4 (246 yes, 7 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - Addiction care payments tied to results: benefit, medium. A one-year baseline starts on or before July 1, 2027 to set benchmarks. By July 1, 2028, Medicaid managed care plans must pay for addiction services using value-based payments tied to approved outcome measures and standard codes. This changes how providers are paid, aiming for better results. - Outcome measures for Medicaid addiction care: benefit, medium. By July 1, 2026, the state sets outcome measures for every level of addiction care. The Bureau works with health experts, providers, law enforcement, and people in recovery. Measures include housing stability, sobriety, avoiding justice and child-welfare involvement, self-sufficiency, and transitio… - Standard billing codes and data checks: benefit, low. The state sets standard billing codes for substance use care by October 1, 2026. Providers must use them by January 15, 2027. The Bureau collects billing and outcome data to track use, costs, and results. Suspected overuse or overbilling goes to the Medicaid Fraud Control Unit. - Federal approval required for these changes: mixed, high. By October 1, 2026, the Bureau submits a state plan amendment to federal CMS as needed. These changes only take effect if CMS approves. Without approval, the article has no force. - Bonuses, penalties, and provider removal: mixed, medium. The payment model pays more to providers who meet outcomes and less to those who do not. If a provider misses targets for three straight quarters, the state can decertify them, block certain billing codes, or end Medicaid participation. The model uses the baseline year, is reviewed yearly, and trac… ## Sponsors and cosponsors - Sponsor: Brian Helton (Republican), Senate - Cosponsor: T. Kevan Bartlett (Republican), Senate - Cosponsor: Vince Deeds (Republican), Senate - Cosponsor: Chris Rose (Republican), Senate - Cosponsor: Patricia Rucker (Republican), Senate - Cosponsor: Jay Taylor (Republican), Senate - Cosponsor: Tom Willis (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-14 | Senate | Senate concurred in House amendments and passed bill (Roll No. 655) | pass | 34 | 0 | | | 2026-03-13 | House | Effective July, 1, 2026 (Roll No. 521) | pass | 93 | 0 | | | 2026-03-13 | House | Passed House (Roll No. 520) | pass | 86 | 7 | | | 2026-02-16 | Senate | Passed Senate (Roll No. 92) | pass | 33 | 0 | | ## Actions (45) - 2026-06-25: Chapter 176, Acts, Regular Session, 2026 (Senate) - 2026-04-01: Approved by Governor 4/1/2026 (Senate) - 2026-03-18: To Governor 3/18/2026 (Senate) - 2026-03-14: House Message received (Senate) - 2026-03-14: Senate concurred in House amendments and passed bill (Roll No. 655) (Senate) - 2026-03-14: Communicated to House (Senate) - 2026-03-14: Completed legislative action (Senate) - 2026-03-14: Effective ninety days from passage (Senate) - 2026-03-14: To Governor 3/18/2026 - Senate Journal (Senate) - 2026-03-14: Approved by Governor 4/1/2026 - Senate Journal (Senate) - 2026-03-14: Approved by Governor 4/1/2026 - House Journal (House) - 2026-03-13: On 3rd reading, Special Calendar (House) - 2026-03-13: Read 3rd time (House) - 2026-03-13: Passed House (Roll No. 520) (House) - 2026-03-13: Effective July, 1, 2026 (Roll No. 521) (House) - 2026-03-13: Communicated to Senate (House) - 2026-03-12: On 2nd reading, Special Calendar (House) - 2026-03-12: Read 2nd time (House) - 2026-03-12: Amendment reported by the Clerk (House) - 2026-03-12: Committee amendment adopted (Voice vote) (House) - 2026-03-11: With amendment, do pass (House) - 2026-03-11: Immediate consideration (House) - 2026-03-11: Read 1st time (House) - 2026-02-25: Do pass, but first to Finance (House) - 2026-02-25: To House Finance (House) - 2026-02-19: Markup Discussion (House) - 2026-02-17: House received Senate message (House) - 2026-02-17: Introduced in House (House) - 2026-02-17: To Health and Human Resources then Finance (House) - 2026-02-17: To House Health and Human Resources (House) - 2026-02-16: On 3rd reading (Senate) - 2026-02-16: Read 3rd time (Senate) - 2026-02-16: Passed Senate (Roll No. 92) (Senate) - 2026-02-16: Ordered to House (Senate) - 2026-02-13: On 2nd reading (Senate) - 2026-02-13: Read 2nd time (Senate) - 2026-02-12: On 1st reading (Senate) - 2026-02-12: Read 1st time (Senate) - 2026-02-11: Com. sub. for com. sub. reported (Senate) - 2026-01-16: Committee substitute reported, but first to Finance (Senate) - 2026-01-16: To Finance (Senate) - 2026-01-14: Filed for introduction (Senate) - 2026-01-14: To Health and Human Resources then Finance (Senate) - 2026-01-14: Introduced in Senate (Senate) - 2026-01-14: To Health and Human Resources (Senate) ## Bill text - Committee Substitute: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 sub2.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 sub2.pdf) - Enrolled: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 sub2 enr.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 sub2 enr.pdf) - Introduced Version: [HTML](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 intr.htm), [PDF](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 intr.pdf) ## Related bills - 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) - HB 4390: Relating to the temporary payment to a kinship parent of a subsidy equal to that of a foster parent (signed) - HB 4354: Relating to necessity allowance (signed) - HB 4191: Relating to providing child care generally (became law) ## Sources - [Committee Substitute (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 sub2.htm) - [Committee Substitute (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 sub2.pdf) - [Enrolled (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 sub2 enr.htm) - [Enrolled (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 sub2 enr.pdf) - [Introduced Version (HTML)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 intr.htm) - [Introduced Version (PDF)](https://www.wvlegislature.gov/Bill_Text_HTML/2026_SESSIONS/RS/bills/sb231 intr.pdf) ## Related - [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) - [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 4354: Relating to necessity allowance](https://policyrisk.com/state-bill/WV-HB4354-2026rs) - [HB 4191: Relating to providing child care generally](https://policyrisk.com/state-bill/WV-HB4191-2026rs) - [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-SB231-2026rs (as of 2026-11-04).