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West Virginia Bill HB 4344 requires ICU C-peptide testing for unconscious or low blood sugar patients and establishes a $10,000 penalty for non-compliance

Original title: Unconscious patients in the ICU

Last action · January 21, 2026: To House Legal ServicesSponsor: Bill Roop

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

West Virginia House Bill 4344 requires hospital intensive care units to administer C-peptide insulin tests to unconscious patients or those with blood glucose levels of 49 mg/dl or less, as well as post-mortem tests for patients who die after exhibiting symptoms like seizures or extended unconsciousness. The measure imposes a $10,000 fine per violation levied by the Office of Health Facility Licensure and Certification and creates a grant program and to help hospitals cover testing and training costs.

Why it matters

Hospitals face a $10,000 penalty for failing to perform mandated s on qualifying ICU patients, while gaining access to grant funding through a newly established state treasury fund to offset the costs of testing and staff training.

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

hospital intensive care units

Hospitals must administer mandatory C-peptide tests for qualifying ICU patients, face a $10,000 fine for non-compliance, and are eligible to apply for grant funding to cover testing and training costs.

Directly affected

intensive care patients

Directly affected

healthcare staff

Staff may receive training on the signs and symptoms of hypoglycemia and the purpose of C-peptide tests funded through the grant program.

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

Which patients must receive a C-peptide test under this bill?
Hospital ICU patients who are unconscious or have with a blood glucose level of 49 mg/dl or less must receive the test, as well as patients who die in the ICU after exhibiting symptoms like extended unconsciousness, seizures, or disorientation.
What is the penalty if a hospital fails to administer the required test?
The Office of Health Facility Licensure and Certification may fine the hospital $10,000 for each violation.
How can hospitals get help paying for the required tests and staff training?
Hospitals can apply to the Michael Brandon Cochran Grant Program, administered by the Department of Health Facilities, which provides grants on a first-come, first-served basis using money from a special state treasury fund.

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 House committee.

Procedural history

5 actions
  1. Jan 21, 2026HouseCommittee
    To House Legal Services
  2. Jan 15, 2026HouseCommittee
    To House Judiciary
  3. Jan 15, 2026HouseIntroduced
    Introduced in House
  4. Jan 15, 2026HouseCommittee
    To Judiciary then Finance
  5. Jan 15, 2026HouseIntroduced
    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 shift98% confidence

Mandatory Diagnostic Testing in ICUs

The bill introduces mandatory diagnostic C-peptide testing for specific unconscious or hypoglycemic ICU patients, backed by a statutory enforcement fine.

Connected Entities

Bill Roop, State Treasurer, Office of Health Facility Licensure and Certification and 3 more
PersonBill Roop“Delegate who introduced House Bill 4344”Map →
PersonState Treasurer“Official capable of making investments for the fund”Map →
OrganizationOffice of Health Facility Licensure and Certification“State office responsible for levying fines against hospitals for testing violati”Map →
OrganizationDepartment of Health Facilities“Department administering the Michael Brandon Cochran Grant Program and special r”Map →
locationState Treasury“Repository where the Michael Brandon Cochran Fund is created”Map →
OrganizationWest Virginia Investment Management Board“Board managing investments for the fund”Map →

Sources

Open source document

www.wvlegislature.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 60)
  • Controversy25
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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