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HB4724 • 2026

Relating to placing a cap on insurance copays

Relating to placing a cap on insurance copays

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Pritt, Chiarelli , Bridges
Last action
2026-01-22
Official status
H To House Finance 01/22/26
Effective date
Not listed

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

  1. 2026-01-22 H

    To House Finance

  2. 2026-01-22 H

    Introduced in House

  3. 2026-01-22 H

    To Finance

  4. 2026-01-22 H

    Filed for introduction

Official Summary Text

Relating to placing a cap on insurance copays

Current Bill Text

Read the full stored bill text
HB 4724 Text

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Introduced Version

House Bill 4724 History

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WEST VIRGINIA LEGISLATURE
2026
REGULAR SESSION
Introduced
House Bill 4724
By Delegates Pritt, Chiarelli, and Bridges
[Introduced January 22, 2026; referred to the Committee on Finance]
A BILL to amend and reenact §33-15-23 of the Code of West Virginia, 1931, as amended, relating to insurance copayments for certain services; and capping copays at $500 a year for insureds who are terminally ill until death.
Be it enacted by the Legislature of West Virginia:

ARTICLE 15. ACCIDENT AND SICKNESS INSURANCE.

§33-15-23. Copayments for certain services;
cap on copays for terminally ill insureds.

(a) A policy, provision, contract, plan, or agreement subject to this article may not impose a copayment, coinsurance, or office visit deductible amount charged to the insured for services rendered for each date of service by a licensed occupational therapist, licensed occupational therapist assistant, licensed speech-language pathologist, licensed speech-language pathologist assistant, licensed physical therapist, or a licensed physical therapist assistant that is greater than the copayment, coinsurance, or office visit deductible amount charged to the insured for the services of a primary care physician or an osteopathic physician.
(b) The policy, provision, contract, plan, or agreement shall clearly state the availability of occupational therapy, speech-language therapy, and physical therapy coverage and all related limitations, conditions, and exclusions.
(c) Notwithstanding any other provision of law to the contrary, a policy, provision, contract, plan, or agreement subject to this article, or any other article in this code specifically relating to sickness insurance, may not impose a copayment, coinsurance, or office visit deductible amount charged to the insured who has been diagnosed with a "terminal illness" for services rendered for each date of service by a licensed occupational therapist, licensed occupational therapist assistant, licensed speech-language pathologist, licensed speech-language pathologist assistant, licensed physical therapist, or a licensed physical therapist assistant that is greater than the copayment, coinsurance, or office visit deductible amount charged to the insured for the services of a primary care physician or an osteopathic physician or that exceeds $500 for an entire year of such services. For the purposes of this subdivision, "terminal illness" means an illness, disease or condition which cannot be cured and will likely lead to the insured's death. The limitation on the amount of copay shall continue annually and cease at the time of death of the insured.

NOTE: The purpose of this bill is to cap insurance copayments for certain services at $500 a year for insureds who are terminally ill until death.
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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