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West Virginia Bill Requires Health Insurance Payment Parity Between Physicians and Licensed Non-Physician Mental Health Providers

Original title: Requiring PEIA and other health insurance providers to provide payment parity for certain services

Last action · January 21, 2026: To Health and Human ResourcesSponsor: Laura Chapman

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

West Virginia Senate Bill 565 mandates that the Public Employees Insurance Agency (PEIA) and other health insurance providers offer for identical services provided by behavioral health, mental health, and medical or surgical healthcare providers. Under the bill, licensed non-physician mental health practitioners must receive the same reimbursement amount as a licensed physician performing the same care in the same area, effective July 1, 2027.

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Licensed mental health practitioners

Directly affected

Health insurance carriers and PEIA

Carriers must adjust their claims processing and reimbursement structures to ensure parity between behavioral health and medical-surgical care.

Directly affected

Licensed physicians

Physician reimbursement rates are protected from being reduced by insurers attempting to offset parity compliance costs.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What does payment parity mean for mental health providers under this bill?
It means that licensed non-physician mental health practitioners must be reimbursed in the exact same amount as a licensed physician performing the same service in the same geographical area.
Can insurers lower physician reimbursement rates to meet the parity requirement?
No, the bill explicitly prohibits insurers from reducing the reimbursement paid to a licensed physician to comply with the parity requirements.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in Senate committee.

Procedural history

4 actions
  1. Jan 21, 2026SenateCommittee
    To Health and Human Resources
  2. Jan 21, 2026SenateIntroduced
    Introduced in Senate
  3. Jan 21, 2026SenateCommittee
    To Health and Human Resources then Finance
  4. Jan 21, 2026SenateIntroduced
    Filed for introduction

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Expansion of Mental Health Payment Parity

The legislation amends multiple chapters of the West Virginia Code simultaneously to enforce uniform payment parity across PEIA, accident and sickness insurance, hospital service corporations, and health maintenance organizations.

Connected Entities

Joint Committee on Government and Finance, Laura Chapman, West Virginia Legislature and 2 more
OrganizationJoint Committee on Government and Finance“Legislative committee receiving annual compliance reports”Map →
PersonLaura Chapman“Senator sponsoring Senate Bill 565”Map →
OrganizationWest Virginia Legislature“Legislative body enacting the bill”Map →
OrganizationInsurance Commissioner“State official responsible for enforcing insurance regulations and conducting fi”Map →
OrganizationPublic Employees Insurance Agency“State agency administering health plans for public employees”Map →

Sources

Open source document

www.wvlegislature.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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