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SB729 • 2026

Setting forth mandatory Medicaid program requirements

Setting forth mandatory Medicaid program requirements

Passed Legislature

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

Sponsor
Rucker, Helton , Rose , Tarr
Last action
2026-02-03
Official status
S To Health and Human Resources 02/03/26
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. 2026-02-03 S

    To Health and Human Resources

  2. 2026-02-03 S

    Introduced in Senate

  3. 2026-02-03 S

    To Health and Human Resources then Finance

  4. 2026-02-03 S

    Filed for introduction

Official Summary Text

Setting forth mandatory Medicaid program requirements

Current Bill Text

Read the full stored bill text
SB 729 Text

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Introduced Version

Senate Bill 729 History

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Green
= existing Code.
Red
= new code to be enacted

WEST VIRGINIA LEGISLATURE
2026
REGULAR SESSION
Introduced
Senate Bill 729
By Senators Rucker, Helton, Rose, and Tarr
[Introduced February 3, 2026; referred
to the Committee on Health and Human Resources; and then to the Committee on Finance]
A BILL to amend the Code of West Virginia, 1931, by adding a new section, designated §9-5-34, relating to Medicaid program requirements; setting forth mandatory Medicaid program requirements; requiring the Bureau for Medical Services to seek necessary authority from the Centers for Medicare and Medicaid to implement the program requirements; and setting forth effective dates.
Be it enacted by the Legislature of West Virginia:

ARTICLE 5. MISCELLANEOUS PROVISIONS.

§9-5-34
. Medicaid program requirements.

(a) The Bureau of Medical Services shall implement the following requirements and, to the extent necessary, shall seek any necessary authority from the Centers for Medicare and Medicaid to implement these program requirements. The requirements are:
(1) On or before January 1, 2027, to implement a Medicaid work requirement for Medicaid enrollees as set forth in
the One Big Beautiful Bill Act (OBBBA) Act (P.L. No. 119-21), signed July 4, 2025
;
(2) On or before, October 1, 2026, prohibit persons living in the United States illegally from using Medicaid benefits;
(3) On or before January 1, 2027, to verify Medicaid eligibility at least twice annually;
(4) On or before January 1, 2027, to prohibit multi-state enrollment of Medicaid beneficiaries;
(5) On or before January 1, 2027, to remove deceased Medicaid enrollees from Medicaid rolls on at least a quarterly basis;
(6) On or before January 1, 2028, to reduce the Medicaid error rate at or below three percent;
(7) On or before January 1, 2028, to limit retroactive eligibility to 30 days for expansion enrollees, 60 days for traditional Medicaid enrollees, and 30 days for Children’s Health Insurance Plan enrollees;
(8) On or before October 1, 2028, to require cost sharing for expansion adults;
(b) The following taxes and payments shall be amended in accordance with the provisions and timeframes of the One Big Beautiful Bill Act (OBBBA) Act (P.L. No. 119-21), signed July 4, 2025:
(1) Managed care taxes;
(2) Provider taxes; and
(3) Directed payments;
(c) All Medicaid waivers are required to be budget neutral.

NOTE: The purpose of this bill is to set forth program requirements for Medicaid to come into federal requirements with the One Big Beautiful Bill Act.
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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