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Key:
Green
= existing Code.
Red
= new code to be enacted
WEST VIRGINIA LEGISLATURE
2026
REGULAR SESSION
FISCAL NOTE
Introduced
House Bill 4075
By Delegate Crouse, White, and Howell
[Introduced January 14, 2026; referred to the Committee on Finance then the Judiciary]
A BILL to amend the Code of West Virginia, 1931, as amended, by adding five new sections, designated §33-15-4y, §33-16-3ii, §33-24-7z, §33-25-8w and §33-25A-8z, relating to health coverage; and requiring insurers providing sickness or health care to provide coverage for biodentical hormones.
Be it enacted by the Legislature of West Virginia:
ARTICLE 15. ACCIDENT AND SICKNESS INSURANCE.
§33-15-4y. Biodentical hormones to be covered by all health insurance policies.
Any insurer who, on or after January 1, 2026, delivers or issues a policy of group accident and sickness insurance in this state under the provisions of this article shall make available as benefits to all subscribers and members coverage on an expense-incurred basis and individual and group service or indemnity type contracts issued by a nonprofit corporation shall provide coverage for biodentical hormones when determined to be medically necessary and ordered by a licensed physician after making a thorough evaluation of the patient's symptoms, diagnostic test results, or response to treatment.
ARTICLE 16. GROUP ACCIDENT AND SICKNESS INSURANCE.
§33-16-3ii. Biodentical hormones to be covered by all health insurance policies.
Any insurer who, on or after January 1, 2026, delivers or issues a policy of group accident and sickness insurance in this state under the provisions of this article shall make available as benefits to all subscribers and members coverage on an expense-incurred basis and individual and group service or indemnity type contracts issued by a nonprofit corporation shall provide coverage for biodentical hormones when determined to be medically necessary and ordered by a licensed physician after making a thorough evaluation of the patient's symptoms, diagnostic test results, or response to treatment.
ARTICLE 24. HOSPITAL SERVICE CORPORATIONS, MEDICAL SERVICE CORPORATIONS, DENTAL SERVICE CORPORATIONS AND HEALTH SERVICE CORPORATIONS.
§33-24-7z. Biodentical hormones to be covered by all health insurance policies.
A policy, provision, contract, plan, or agreement subject to this article, on or after January 1, 2026, shall provide coverage for biodentical hormones when determined to be medically necessary and ordered by a licensed physician after making a thorough evaluation of the patient's symptoms, diagnostic test results, or response to treatment.
ARTICLE 25. HEALTH CARE CORPORATIONS.
§33-25-8w. Biodentical hormones to be covered by all health insurance policies.
Any health care corporation that, on or after January 1, 2026, delivers or issues a policy of sickness or health insurance in this state under the provisions of this article shall provide coverage for biodentical hormones when determined to be medically necessary and ordered by a licensed physician after making a thorough evaluation of the patient's symptoms, diagnostic test results, or response to treatment.
ARTICLE 25A. HEALTH MAINTENANCE ORGANIZATION ACT.
§33-25A-8z. Biodentical hormones to be covered by all health insurance policies.
A health maintenance organization issuing coverage in this state pursuant to the provisions of this article shall provide coverage for biodentical hormones when determined to be medically necessary and ordered by a licensed physician after making a thorough evaluation of the patient's symptoms, diagnostic test results, or response to treatment
.
NOTE: The purpose of this bill is to require insurance coverage for biodentical hormones.
Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.
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