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Read. Follow. Verify.West Virginia Legislature requires health insurers to process prior authorizations within strict timelines and accept electronic or fax submissions
Last action · January 20, 2026: To House Health and Human ResourcesSponsors: Dave Foggin and 4 others
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What This Bill Proposed
Updating law regarding prior authorizations
Patients and health care providers must navigate new procedural deadlines and electronic submission rules for medical treatments and prescription drug coverage, effective from passage for the 2026 amendments.
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.
Health insurers
Health insurers must accept prior authorizations via fax or portal, adhere to strict response timelines, update lists quarterly, and report compliance data to the Insurance Commissioner.
Health care providers
Health care providers gain the ability to submit prior authorizations via fax, are eligible for exemptions after meeting performance thresholds, and participate in peer-review appeal processes.
Patients
Patients benefit from faster insurer response times on medical treatments and immediate three-day coverage for certain discharge prescriptions.
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
How can health care providers submit prior authorization forms under this bill?
What is the deadline for an insurer to respond to a routine prior authorization request?
Are discharge medications subject to prior authorization requirements immediately?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in House committee.
Procedural history
4 actions- Jan 20, 2026HouseCommitteeTo House Health and Human Resources
- Jan 20, 2026HouseIntroducedIntroduced in House
- Jan 20, 2026HouseCommitteeTo Health and Human Resources
- Jan 20, 2026HouseIntroducedFiled 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
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Expansion of Submission Methods
The bill explicitly mandates fax submissions alongside electronic portals for prior authorizations, accommodating varied provider workflows.
Connected Entities
Sources
www.wvlegislature.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 60)
- Controversy25Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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