The civic record
Read. Follow. Verify.West Virginia House Bill 4853 requires hospitals to establish trauma-informed care protocols and the Butterfly Protocol for miscarriage patients
Last action · January 29, 2026: Markup DiscussionSponsors: Evan Worrell and 4 others
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What This Bill Proposed
West Virginia hospitals are required to develop protocols and staff training for patients experiencing traumatic events like miscarriages, abuse, or neglect, including the creation of a specialized with a discreet visual chart symbol for miscarriage patients.
Hospitals must update their internal training, patient resource lists, and medical charting systems to incorporate staff education on trauma and a specific visual identifier for patients who have suffered a miscarriage.
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.
Hospitals
Hospitals must develop and implement new trauma-informed care protocols, staff training programs, patient resource compilations, and the Butterfly Protocol charting system.
Patients experiencing a miscarriage, abuse, or neglect
Patients receive specialized trauma-informed care, grief recovery resources, crisis hotline details, and discreet chart symbols alerting hospital staff to their experience.
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 is the Butterfly Protocol?
What resources must hospitals provide to patients under the trauma-informed care protocol?
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
5 actions- Jan 29, 2026HouseMarkup Discussion
- Jan 28, 2026HouseCommitteeTo House Health and Human Resources
- Jan 28, 2026HouseIntroducedIntroduced in House
- Jan 28, 2026HouseCommitteeTo Health and Human Resources
- Jan 28, 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
Sources
www.wvlegislature.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 55)
- Controversy10Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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