West Virginia 2026 Regular Session

West Virginia House Bill HB 4059

Introduced
1/14/26  

Caption

To require hospitals and or Counties to report costs associated with illegal or undocumented immigrants

Summary

HB 4059 would require hospitals and counties to report the costs they incur in connection with illegal or undocumented immigrants. Based on the caption, the bill appears aimed at collecting information on public and private expenditures associated with providing services to this population, likely for use in legislative oversight, budgeting, or policy evaluation. Because the bill text was not available in the provided materials, the precise reporting format, responsible agencies, deadlines, and enforcement provisions cannot be confirmed from the record provided. The measure would likely affect hospitals, county governments, and any state or local entities that track or pay for uncompensated care, emergency services, detention-related costs, or other expenses tied to immigration status. If enacted, it could create a new reporting obligation and potentially require changes to internal accounting or data collection practices. It may also inform future state policy on immigration-related spending and public service costs.

Impact

HB 4059 would add a reporting requirement for hospitals and counties regarding costs associated with illegal or undocumented immigrants, potentially creating new administrative duties and data-collection obligations for affected entities. Depending on the final statutory language, it could affect state oversight of local government and health-care spending, and it may influence future appropriations, enforcement, or immigration-related policy decisions. The bill’s exact legal impact on existing statutes cannot be determined from the unavailable text, but it would likely operate by amending or adding provisions in the state code governing reporting or public finance.

Sentiment

There is no committee transcript or recorded vote information in the provided materials, so the broader sentiment cannot be measured directly from debate or roll call history. The bill’s caption suggests it is framed as a transparency and cost-accounting measure, which may appeal to supporters concerned about fiscal impacts and public reporting. At the same time, the subject matter is likely to draw concern from opponents who view it as targeting undocumented immigrants or as imposing burdens on hospitals and counties.

Contention

The main point of contention is likely whether the state should require hospitals and counties to identify and report costs tied to undocumented immigrants, with supporters emphasizing fiscal transparency and opponents emphasizing administrative burden, privacy concerns, and the political sensitivity of immigration enforcement. Hospitals and county governments may object to the added reporting workload or to the difficulty of attributing costs to immigration status. Advocacy groups on immigration and civil liberties issues may also raise concerns about stigmatization or the use of reported data for enforcement rather than budgeting.

Companion Bills

No companion bills found.

Previously Filed As

WV HB2457

To require hospitals and or Counties to report costs associated with illegal or undocumented immigrants

WV HB2426

Relating to illegal immigrants

WV SB131

Modifying prohibitions on illegal immigrants entering or residing in WV

WV SB107

Relating to real property, tax, and registration requirements associated with carbon offset agreements

WV SB281

Relating to real property, tax, and registration requirements associated with carbon offset agreements

WV HB3328

Require hospitals with no ASL interpreter on staff provide technology for hearing or speech impaired patients to communicate

WV SB236

Distributing funds to volunteer fire departments in counties with excess levy or fees

WV HB2092

Require counties and municipalities to provide public notice for land or building purchases

WV SB30

Requiring medically necessary care and treatment to address congenital anomalies associated with cleft lip and cleft palate

WV SB243

Requiring counties to register automated external defibrillators with Office of Emergency Medical Services

Similar Bills

No similar bills found.