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Read. Follow. Verify.West Virginia Bill Prohibits Health Insurers from Restricting Patient Access to Clinician-Administered Medications
Last action · February 12, 2026: To House Health and Human ResourcesSponsor: Matthew Rohrbach
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What This Bill Proposed
West Virginia House Bill 5482 prohibits health insurance issuers and s from restricting coverage, denying payment, or forcing patients to use specific pharmacies for clinician-administered prescription drugs. The measure bars insurers from penalizing providers who obtain drugs outside the insurer's preferred network and subjects violators to penalties under the state's consumer protection laws.
Patients gain the legal right to receive clinician-administered medications from their preferred provider or pharmacy without facing increased fees, steering incentives, or forced delivery of specialty medications to their homes for transport.
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 insurance issuers
Health insurance issuers are prohibited from restricting coverage networks, denying payments, charging extra fees, or steering patients regarding clinician-administered drugs.
pharmacy benefit managers
Pharmacy benefit managers are barred from refusing payments or engaging in prohibited practices regarding clinician-administered medications.
participating providers
Participating providers are guaranteed authorization, approval, and payment for providing covered clinician-administered drugs regardless of where the drugs are sourced.
covered individuals
Covered individuals retain the right to choose their provider or pharmacy for clinician-administered medications without facing increased cost-sharing or mandatory home delivery.
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
Can health insurers still require patients to use home infusion pharmacies or external infusion sites?
What happens if a health insurance contract contains provisions that violate this new article?
Can insurers deny coverage for a clinician-administered drug based on medical necessity?
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- Feb 12, 2026HouseCommitteeTo House Health and Human Resources
- Feb 12, 2026HouseIntroducedIntroduced in House
- Feb 12, 2026HouseCommitteeTo Health and Human Resources
- Feb 12, 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
Connected Entities
Sources
www.wvlegislature.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 75)
- Controversy60Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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