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HB4226 • 2026
Relating to authorizing the Office of Inspector General to promulgate a legislative rule relating to assisted living residences.
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
The plain English breakdown is still being put together. The official documents below are already here.
To House Health and Human Resources
Introduced in House
To Health and Human Resources
Filed for introduction
Relating to authorizing the Office of Inspector General to promulgate a legislative rule relating to assisted living residences.
HB 4226 Text skip navigation SENATE PRESIDENT SENATORS COMMITTEES VIDEO/AUDIO DISTRICT MAPS SENATE CLERK SENATE RULES HOUSE SPEAKER DELEGATES COMMITTEES VIDEO/AUDIO DISTRICT MAPS HOUSE CLERK HOUSE RULES HOUSE STAFF JOINT INTERIM COMMITTEES LEGISLATIVE ADMINISTRATOR LEGISLATIVE SERVICES DIVISION PUBLIC INFORMATION LEGISLATIVE AUTOMATED SYSTEMS DIVISION LEGISLATIVE AUDITOR'S OFFICE PERFORMANCE EVALUATION & RESEARCH DIVISION POST AUDIT DIVISION BUDGET DIVISION REGULATORY AND FISCAL AFFAIRS DIVISION CLAIMS COMMISSION CRIME VICTIMS RULE-MAKING REVIEW SPECIAL INVESTIGATIONS JUDICIAL COMP. COMMISSION JOINT RULES STAFF INFO BILL STATUS BILL STATUS BILL TRACKING STATE LAW WEST VIRGINIA CODE ACTS OF THE LEGISLATURE CODE OF 1931 WV CONSTITUTION US CONSTITUTION REPORTS AGENCY REPORTS AGENCY GRANT AWARDS PERFORMANCE EVALUATIONS POST AUDITS EDUCATIONAL CITIZEN’S GUIDE INTERNSHIP PROGRAM PAGE PROGRAM PUBLICATIONS PHOTO GALLERY CAPITOL HISTORY HOW A BILL BECOMES LAW CONTACT SENATE ROSTER HOUSE ROSTER PUBLIC INFO. NEWS RELEASES HELPFUL LINKS Introduced Version House Bill 4226 History | Email Key: Green = existing Code. Red = new code to be enacted WEST VIRGINIA LEGISLATURE 2026 REGULAR SESSION Introduced House Bill 4226 By Delegate D. Smith [Introduced January 14, 2026; referred to the Committee on Health and Human Resources] A BILL to amend and reenact §64-5B-1 of the Code of West Virginia, 1931, as amended, relating to authorizing the Office of Inspector General to promulgate a legislative rule relating to assisted living residences. Be it enacted by the Legislature of West Virginia: ARTICLE 5B. Authorization for OFFICE OF INSPECTOR GENERAL to promulgate legislative rules. §64-5B-1. Office of Inspector General. The legislative rule filed in the State Register on May 28, 2025, authorized under the authority of §16B-5-5 of this code, relating to the Office of Inspector General (assisted living residences, 71 CSR 21 ), is authorized with the following amendments: On page 4, by striking subsection 2.23.1. in its entirety; and inserting in lieu thereof a new subsection 2.23.1. to read as follows: " A serious injury resulting from a fall, accident, or other event;" And, On page 6, by inserting a new subsection 2.37., to read as follows: " 2.37. Serious injury. -- means to cause an injury requiring medical attention beyond routine first aid, including fractures, lacerations requiring closure, burns, or any condition resulting in limited mobility or functional restriction. " And, On page 18, subdivision 4.6.1. by striking out the word, "volunteer" and inserting the words, "uncompensated direct access personnel as defined in §16B-15-1 et seq ." And, On page 18, subparagraph 4.6.1.b. by striking out the word, "volunteer" and inserting the words, "uncompensated direct access personnel as defined in §16B-15-1 et seq ." And, On page 23, subsection 5.2.11., by striking out the initial word "The" and inserting in lieu thereof: " Except as may be provided in subsection 5.3.10. of this rule, the "; And, On page 24, by inserting a new subsection to read as follows: " 5.3.10. A resident may have and utilize videoconferencing equipment and technology in their private room if all of the following conditions exist: 5.3.10.a. The resident makes the facility aware of the equipment and videoconferencing technology; 5.3.10.b. The facility allows or authorizes the videoconferencing technology, software and equipment; 5.3.10.c. The resident is made aware and adheres to the facility policies regarding use of videoconferencing, including required notice or signage to those entering the room of a resident that is utilizing videoconferencing, how to handle breaches of privacy in live videoconferencing and recorded and stored media, and times in which privacy of the resident or others may dictate non-usage; 5.3.10.d. There is a notice posted to those entering facility that videoconferencing equipment and technology may be in use in residents’ apartment or room; 5.3.10.e. Similar to the acceptance and use of a telephone, the resident must actively allow or accept incoming videoconferencing or initiate outgoing videoconferencing for each use. A resident shall not have or be authorized to use uninterrupted video feed on a full-time basis or hidden cameras. NOTE: The purpose of this bill is to authorize the Office of Inspector General to promulgate a legislative rule relating to assisted living residences. Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added. Bill Status | Bill Tracking | Legacy WV Code | Bulletin Board | District Maps | Senate Roster | House Roster | Live | Blog | Jobs | Links | Home This Web site is maintained by the West Virginia Legislature's Office of Reference & Information. | Terms of Use | Webmaster | © 2026 West Virginia Legislature ** Print On Demand Name: Email: Phone: