West Virginia · 2026 Regular Session
The purpose of this bill is to expand the definition of episode of care and the definition of prior authorization; to revise the requirements for the gold card process to include a hospital, or a department within a hospital; to extend the timeframe for which the gold care is effective; to allow the Office of the Insurance Commissioner to respond within 24 hours if a gold card provider believes he or she has been improperly denied; to implement a standard gold card process; to increase fines; and to establish a new effective date.
To Health and Human Resources (2026-02-06)