West Virginia 2026 Regular Session

West Virginia Senate Bill SB 274

Introduced
1/15/26  

Caption

Department of Health rule relating to exemption of certificate of need

Summary

SB 274 is a bill relating to a Department of Health rule on exemptions from the certificate of need process. Based on the caption, the measure appears to address when certain health care facilities, services, or projects may be exempted from the state’s certificate of need requirements, which are the regulatory approvals used to control the development or expansion of health care infrastructure. Because the bill text is not available in the provided materials, the specific exemption changes cannot be identified from the record here. However, the bill would likely affect how the Department of Health applies or interprets its certificate of need rule, potentially changing which providers or projects must seek state approval before proceeding.

Impact

If enacted, SB 274 would likely modify state administrative rules or statutory provisions governing certificate of need exemptions, affecting the Department of Health, health care providers, hospitals, clinics, and other entities seeking to build, expand, or alter health care services. The practical impact would be to either broaden or narrow the set of projects that can proceed without full certificate of need review, thereby influencing health care market entry, facility expansion, and regulatory oversight in West Virginia.

Sentiment

No committee transcript or vote record was provided, so there is no direct evidence of support or opposition in the available materials. The bill’s caption suggests a technical or regulatory measure, which often draws interest from health care providers and regulators because it can affect project approval timelines and compliance burdens. On the limited record available, the bill appears to be a policy adjustment rather than a highly publicized or controversial measure.

Contention

The main likely point of contention is the scope of the exemption: stakeholders favoring less regulation may support broader exemptions to reduce delays and costs, while existing providers, regulators, or others concerned about overbuilding and market disruption may prefer tighter certificate of need controls. Without the bill text or hearing record, it is not possible to identify which specific groups took those positions, but the issue typically centers on balancing access and competition against planning and oversight.

Companion Bills

WV HB4223

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

Previously Filed As

WV HB2701

Relating to exempting a neighborhood hospital from certificate of need

WV SB331

Department of Human Services rule relating to Recovery Residence Certification and Accreditation Program

WV SB411

Office of Miners' Health, Safety, and Training rule relating to certification, recertification, and training of EMT-Miners and certification of EMT-M instructors

WV HB3412

Relating to exemptions from disclosure of certain records; and exempting the legislative branch if it adopts its own rules.

WV SB398

Real Estate Appraiser Licensing and Certification Board rule relating to renewal of licensure or certification

WV SB322

Department of Health rule relating to vital statistics

WV HB2007

Repeal Certificate of Need Process

WV SB304

Department of Administration rule relating to exemptions from management services provided by Fleet Management Division

WV SB319

Department of Health rule relating to public water systems

WV HB3308

Relating to the termination of the authority’s certificate of need program

Similar Bills

No similar bills found.