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West Virginia requires health insurers to cover bioidentical hormones starting January 1, 2026

Original title: Insurance must cover Bioidentical hormones as they do pharmaceutical one

Last action · January 14, 2026: To House FinanceSponsors: Kathie Hess Crouse and 2 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

West Virginia House Bill 4075 requires health insurance policies, hospital service corporations, health care corporations, and health maintenance organizations to provide coverage for on or after January 1, 2026. The coverage applies when the treatment is determined to be medically necessary and ordered by a licensed physician after a thorough patient evaluation.

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

Health Insurers and HMOs

Insurers and health maintenance organizations must provide coverage for bioidentical hormones in their policies and contracts issued on or after January 1, 2026.

Directly affected

Subscribers and Members

Plan members gain access to insurance coverage for bioidentical hormones when prescribed as medically necessary by a licensed physician.

Directly affected

Licensed Physicians

Physicians must perform a thorough evaluation of symptoms, test results, or treatment responses before ordering covered bioidentical hormone therapy.

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 conditions must be met for bioidentical hormones to be covered?
Coverage is provided when the treatment is determined to be medically necessary and ordered by a licensed physician after a thorough evaluation of the patient's symptoms, diagnostic test results, or response to treatment.
Which types of health entities are affected by this bill?
The bill affects accident and sickness insurers, group accident and sickness insurers, hospital and medical service corporations, health care corporations, and health maintenance organizations (HMOs).

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

4 actions
  1. Jan 14, 2026HouseCommittee
    To House Finance
  2. Jan 14, 2026HouseIntroduced
    Introduced in House
  3. Jan 14, 2026HouseCommittee
    To Finance then Judiciary
  4. Jan 14, 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

Connected Entities

Tresa Howell, Kathie Hess Crouse, West Virginia Legislature and 1 more
PersonTresa Howell“Delegate and co-sponsor of the bill”Map →
PersonKathie Hess Crouse“Delegate who introduced House Bill 4075”Map →
OrganizationWest Virginia Legislature“The legislative body enacting the bill”Map →
PersonLisa White“Delegate and co-sponsor of the bill”Map →

Sources

Open source document

www.wvlegislature.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 60)
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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