West Virginia 2026 Regular Session

West Virginia House Bill HB4717

Introduced
1/22/26  

Caption

Supplemental Appropriation for Rural Health Transformation Program

Summary

House Bill 4717 is a supplemental appropriation bill that adds a new federal-funds line item to the West Virginia Department of Health, Central Office for fiscal year 2026. The bill appropriates $199,476,099 for the Rural Health Transformation Program, using unappropriated federal moneys available in the state treasury. It is introduced as an executive request and is framed as a budget measure rather than a policy bill. The measure does not create a new program in state law or amend substantive health statutes; instead, it authorizes spending authority for a specific federal funding source within the Department of Health’s existing budget structure. The appropriation is tied to Chapter 16 of the West Virginia Code and is intended to allow the designated spending unit to expend the funds during FY 2026.

Impact

HB4717 would increase the Department of Health’s fiscal year 2026 federal appropriations by nearly $200 million for the Rural Health Transformation Program. Its practical effect is to give the department legal authority to receive and spend federal funds for rural health-related initiatives, likely supporting access, infrastructure, workforce, or service-delivery improvements in underserved areas. Because it is a supplemental appropriation, the bill affects budget authority and fund allocation rather than changing regulatory requirements or creating new statutory duties for providers or residents.

Sentiment

The available context suggests the bill is generally procedural and likely noncontroversial, as it is an executive-request appropriation and there are no recorded committee transcripts or votes indicating opposition. The bill’s sponsorship by both the Speaker and a delegate from the minority party also suggests a bipartisan budget action. With no recorded debate in the provided materials, the overall sentiment appears neutral to favorable, centered on enabling federal rural health funding to be spent in West Virginia.

Contention

No specific points of contention are documented in the provided materials. In similar appropriation bills, potential concerns could involve how the nearly $200 million will be allocated, whether the funds will be used efficiently, and how the program will affect rural hospitals, clinics, and health access. However, because there are no committee transcripts, amendments, or votes included here, there is no evidence of formal disagreement or identified opposition in the record provided.

Companion Bills

WV SB570

Similar To Supplemental Appropriation to Department of Health, fund 8802

Previously Filed As

WV SB774

Supplemental appropriation to Department of Health, WV Birth to Three Fund

WV HB3365

Supplemental Appropriation HLTH Birth to Three

WV HB3361

Supplemental Appropriation - Health, Birth to Three

WV SB1006

Making supplementary appropriation to Bureau for Medical Services, Policy and Programming, and to BOE

WV SB1001

Supplementing and amending appropriations to Department of Health and Department of Human Services

WV SB787

Supplemental appropriation to Department of Health

WV SB791

Supplemental appropriation to Bureau of Public Health, Office of Maternal, Child, and Family Health

WV HB101

Supplementing and amending appropriations to the Department of Health and Department of Human Services

WV HB3366

Supplemental Appropriation FEDA HLTH OIG

WV HB3358

Supplemental Appropriation FBGR DHHR

Similar Bills

MD SB282

Budget Bill (Fiscal Year 2027)

MD HB390

Budget Bill (Fiscal Year 2027)

MD HB0390

Budget Bill (Fiscal Year 2027)

MD HB350

Budget Bill (Fiscal Year 2026)

MD SB319

Budget Bill (Fiscal Year 2026)

PA HB1330

To provide appropriations from the General Fund for the expenses of certain agencies of the Executive Department for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025.

PA SB160

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; and to provide for the additional appropriation of Federal and State funds to the Executive and Legislative Departments for the fiscal year July 1, 2024, to June 30, 2025, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2024.

PA SB1220

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2026; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2026; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2026.