Plain English Breakdown
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SB884 • 2026
Requiring coverage of treatment for certain pediatric autoimmune neuropsychiatric disorders in certain circumstances
Requiring coverage of treatment for certain pediatric autoimmune neuropsychiatric disorders in certain circumstances
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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2026-02-09
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To Health and Human Resources
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2026-02-09
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Introduced in Senate
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2026-02-09
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To Health and Human Resources then Finance
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2026-02-09
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Filed for introduction
Official Summary Text
Requiring coverage of treatment for certain pediatric autoimmune neuropsychiatric disorders in certain circumstances
Current Bill Text
Read the full stored bill text
SB 884 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 Senate Bill 884 History | Email Key: Green = existing Code. Red = new code to be enacted FISCAL NOTE wEST virginia legislature 2026 regular session Introduced Senate Bill 884 By Senator Rucker [Introduced February 9, 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, as amended, by adding seven new sections, designated §5-16-7h, §9-5-34, §33-15-4y, §33-16-3ii, §33-24-7z, §33-25-8w, and §33-25A-8z, relating to requiring coverage for certain conditions; requiring coverage treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections; requiring coverage for treatment of pediatric acute onset neuropsychiatric syndrome; requiring a prior authorization to be obtained; and requiring that a physician demonstrate that all other treatments have been exhausted. Be it enacted by the Legislature of West Virginia: CHAPTER 5. GENERAL POWERS AND AUTHORITY OF THE GOVERNOR, SECRETARY OF STATE, AND ATTORNEY GENERAL; BOARD OF PUBLIC WORKS; MISCELLANEOUS AGENCIES, COMMISSIONS, OFFICES, PROGRAMS, ETC. ARTICLE 16. WEST VIRGINIA PUBLIC EMPLOYEES INSURANCE ACT. §5-16-7h. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome and other autoimmune encephalopathies. Notwithstanding any other provision of this code, a plan issued or renewed under this article after January 1, 2027, the coverage for intravenous immunoglobulin therapy for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome and other autoimmune encephalopathies shall only be covered if the insured's physician obtains prior authorization by showing that all other treatments have been exhausted. CHAPTER 9. HUMAN SERVICES. ARTICLE 5. MISCELLANEOUS PROVISIONS. §9-5-34. Medicaid Program; coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome neuropsychiatric syndrome and other autoimmune encephalopathies. Notwithstanding any other provision of this code, a plan issued or renewed under this article after January 1, 2027, the coverage for intravenous immunoglobulin therapy for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome and other autoimmune encephalopathies shall only be covered if the insured's physician obtains prior authorization by showing that all other treatments have been exhausted. CHAPTER 33. INSURANCE. ARTICLE 15. ACCIDENT AND SICKNESS INSURANCE. §33-15-4y. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome neuropsychiatric syndrome and other autoimmune encephalopathies. Notwithstanding any other provision of this code, a plan issued or renewed under this article after January 1, 2027, the coverage for intravenous immunoglobulin therapy for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome and other autoimmune encephalopathies shall only be covered if the insured's physician obtains prior authorization by showing that all other treatments have been exhausted. ARTICLE 16. GROUP ACCIDENT AND SICKNESS INSURANCE. §33-16-3ii. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome neuropsychiatric syndrome and other autoimmune encephalopathies. Notwithstanding any other provision of this code, a plan issued or renewed under this article after January 1, 2027, the coverage for intravenous immunoglobulin therapy for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome and other autoimmune encephalopathies shall only be covered if the insured’s physician obtains prior authorization by showing that all other treatments have been exhausted. ARTICLE 24. HOSPITAL SERVICE CORPORATIONS, MEDICAL SERVICE CORPORATIONS, DENTAL SERVICE CORPORATIONS, AND HEALTH SERVICE CORPORATIONS. §33-24-7z. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome neuropsychiatric syndrome and other autoimmune encephalopathies. Notwithstanding any other provision of this code, a plan issued or renewed under this article after January 1, 2027, the coverage for intravenous immunoglobulin therapy for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome and other autoimmune encephalopathies shall only be covered if the insured's physician obtains prior authorization by showing that all other treatments have been exhausted. ARTICLE 25. HEALTH CARE CORPORATIONS. §33-25-8w. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome neuropsychiatric syndrome and other autoimmune encephalopathies. Notwithstanding any other provision of this code, a plan issued or renewed under this article after January 1, 2027, the coverage for intravenous immunoglobulin therapy for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome and other autoimmune encephalopathies shall only be covered if the insured's physician obtains prior authorization by showing that all other treatments have been exhausted. ARTICLE 25A. HEALTH MAINTENANCE ORGANIZATION ACT. §33-25A-8z. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome neuropsychiatric syndrome and other autoimmune encephalopathies. Notwithstanding any other provision of this code, a plan issued or renewed under this article after January 1, 2027, the coverage for intravenous immunoglobulin therapy for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome and other autoimmune encephalopathies shall only be covered if the insured's physician obtains prior authorization by showing that all other treatments have been exhausted. NOTE: The purpose of this bill is to require PEIA, Medicaid, and other health insurance providers to cover for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome if certain conditions are met. 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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