Plain English Breakdown
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HB5266 • 2026
Requiring West Virginia Medicaid managed care organizations to contract with any otherwise qualified provider
Requiring West Virginia Medicaid managed care organizations to contract with any otherwise qualified provider
Passed Legislature
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
Bill History
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2026-02-05
H
To House Health and Human Resources
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2026-02-05
H
Introduced in House
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2026-02-05
H
To Health and Human Resources then Finance
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2026-02-05
H
Filed for introduction
Official Summary Text
Requiring West Virginia Medicaid managed care organizations to contract with any otherwise qualified provider
Current Bill Text
Read the full stored bill text
HB 5266 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 5266 History | Email Key: Green = existing Code. Red = new code to be enacted WEST VIRGINIA LEGISLATURE 2026 REGULAR SESSION Introduced House Bill 5266 By Delegate Pushkin [Introduced February 05, 2026; referred to the Committee on Health and Human Resources then Finance] A BILL to amend the Code of West Virginia, 1931, as amended, by adding a new section, designated §9-5-34, relating to the West Virginia Medicaid program; and requiring West Virginia Medicaid managed care organizations to contract with any otherwise qualified provider. Be it enacted by the Legislature of West Virginia: ARTICLE 5. MISCELLANEOUS PROVISIONS. §9-5-34. Contracts with Managed Care Organizations or Related Entities. All West Virginia Medicaid managed care organizations shall contract with any willing hospital, doctor, behavioral health provider, or other provider to provide services in a Medicaid region if the provider is willing to accept the payments and terms offered comparable providers. Any provider that meets all applicable Medicaid enrollment, professional and business licensing requirements set by law and regulation, has a Medicaid provider number, and meets all managed care organizations’ credentialing requirements for similar providers, and is not otherwise disqualified from participating in Medicare or Medicaid, shall be designated as an approved provider. NOTE: The purpose of this bill is to require West Virginia Medicaid managed care organizations to allow in their network any willing provider which is otherwise qualified and credentialed, at the same reimbursement rate and other terms the same as comparable providers. 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: