West Virginia 2026 Regular Session

West Virginia House Bill HB 4223

Introduced
1/14/26  

Caption

Relating to authorizing the Department of Health to promulgate a legislative rule relating to the exemption of Certificate of Need.

Summary

HB 4223 is a rule-authorizing bill that would allow the West Virginia Department of Health to promulgate a legislative rule concerning exemptions from the Certificate of Need (CON) process. Because the bill text itself was not available in the provided materials, the available caption indicates that the measure is focused on administrative rulemaking rather than directly rewriting substantive health-care law. In practical terms, the bill appears intended to let the Department of Health update or implement rules that define when certain projects, facilities, or services may be exempt from CON review. Certificate of Need laws generally regulate the establishment or expansion of certain health-care facilities and services by requiring state approval before projects can proceed. A rule on exemptions can affect which providers must seek approval, which projects may move forward without review, and how the Department applies existing CON requirements. The bill therefore has potential implications for hospitals, clinics, ambulatory services, long-term care providers, and other health-care entities subject to state health planning oversight.

Impact

The bill’s immediate legal effect is to authorize the Department of Health to adopt a legislative rule on CON exemptions, which would shape how existing certificate-of-need statutes are administered. It does not, based on the available caption, appear to repeal or amend the underlying CON framework directly; instead, it would empower the agency to clarify or refine exemption categories through rulemaking. The practical impact would fall on health-care providers and applicants seeking to determine whether a proposed project is subject to CON review or qualifies for an exemption.

Sentiment

No committee transcript or vote record was provided, so there is no direct evidence of debate, support, or opposition in the available materials. Based on the bill’s narrow, administrative nature, the measure appears to be a technical or procedural rule-authorizing bill rather than a high-profile policy change. In the absence of recorded discussion, the overall sentiment cannot be reliably characterized beyond noting that the bill was introduced and referred to the House Health and Human Resources Committee.

Contention

The likely point of contention, if any, would be how broadly the Department of Health may define exemptions from Certificate of Need requirements. Health-care providers seeking more flexibility may favor broader exemptions, while existing providers, regulators, or stakeholders concerned about market entry and oversight may prefer narrower exemptions to preserve planning controls. Because no transcript or vote history was provided, specific positions by legislators or stakeholder groups are not documented in the supplied materials.

Companion Bills

WV SB 274

Similar To Department of Health rule relating to exemption of certificate of need

Previously Filed As

WV SB325

Authorizing Department of Health to promulgate legislative rules

WV HB2242

Relating to authorizing the Department of Health to promulgate a legislative rule relating to vital statistics

WV HB2267

Authorizing Department of Revenue to Promulgate Legislative Rules

WV HB2250

Authorizing the Department of Health to promulgate a legislative rule relating to critical access hospitals

WV HB2239

Relating to authorizing the Department of Health to promulgate a legislative rule relating to public water systems

WV HB2222

Relating to authorizing certain agencies of the Department of Administration to promulgate legislative rules.

WV HB2331

Relating to authorizing certain agencies of the Department of Commerce to promulgate legislative rules

WV HB2252

Relating to authorizing the Department of Human Services to promulgate a legislative rule relating to the Recovery Residence Certification and Accreditation Program

WV HB2244

Relating to authorizing the Department of Health to promulgate a legislative rule relating to the Primary Care Support Program

WV SB358

Authorizing Department of Transportation to promulgate legislative rules

Similar Bills

No similar bills found.