Legislation: batch E — CA TN VA VT WA WI WV WY

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---
type: "Bill"
title: "To increase the managed care tax if the managed care organization receives a rate increase"
description: "To increase the managed care tax if the managed care organization receives a rate increase"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2022"
identifier: "HB 4393"
citation: "West Virginia HB 4393 (2022)"
classification: ["bill"]
subjects: ["Taxation"]
status: "enacted"
primary_sponsors: ["Rohrbach"]
version_count: 3
action_count: 37
vote_count: 1
first_action: "2022-01-25"
last_action: "2022-04-19"
source: "openstates"
source_identifier: "ocd-bill/7c49f972-fed2-4504-bc3b-07aa8016776e"
source_url: "http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=4393&year=2022&sessiontype=RS&btype=bill"
source_hash: "692fdc936fd40f052115d35e8c4dca6eaf0d306696b0732c098262dc5b095e6c"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-wv"]
---
# West Virginia HB 4393 (2022) — To increase the managed care tax if the managed care organization receives a rate increase
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4393%20SUB.htm&yr=2022&sesstype=RS&i=4393)
2. **Enrolled Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4393%20SUB%20ENR.htm&yr=2022&sesstype=RS&i=4393)
3. **Introduced Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4393%20INTR.htm&yr=2022&sesstype=RS&i=4393)
## Votes
- Passage — **33–0** (pass) · upper
## Sponsors
- Rohrbach — primary (person)
- Bates — cosponsor (person)
- Criss — cosponsor (person)
- Miller — cosponsor (person)
- Reed — cosponsor (person)
- Worrell — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2022-01-25** Filed for introduction `filing`
- **2022-01-25** To Health and Human Resources then Finance `referral-committee`
- **2022-01-25** Introduced in House `introduction`
- **2022-01-25** To House Health and Human Resources `referral-committee`
- **2022-02-10** Do pass, but first to Finance
- **2022-02-10** To House Finance `referral-committee`
- **2022-02-24** By substitute, do pass
- **2022-02-25** On 1st reading, Special Calendar
- **2022-02-25** Read 1st time `reading-1`
- **2022-02-28** On 2nd reading, Special Calendar
- **2022-02-28** Read 2nd time `reading-2`
- **2022-03-01** On 3rd reading, Special Calendar
- **2022-03-01** Read 3rd time `reading-3`
- **2022-03-01** Passed House (Roll No. 285) `passage`
- **2022-03-01** Communicated to Senate
- **2022-03-02** Introduced in Senate `introduction`
- **2022-03-02** To Health and Human Resources then Finance `referral-committee`
- **2022-03-02** To Health and Human Resources `referral-committee`
- **2022-03-08** Reported do pass, but first to Finance `committee-passage`
- **2022-03-08** Immediate consideration
- **2022-03-08** Read 1st time `reading-1`
- **2022-03-08** Referred to Finance on 2nd reading `referral-committee`
- **2022-03-10** Reported do pass `committee-passage`
- **2022-03-11** On 2nd reading
- **2022-03-11** Read 2nd time `reading-2`
- **2022-03-12** On 3rd reading with right to amend
- **2022-03-12** Read 3rd time `reading-3`
- **2022-03-12** Passed Senate (Roll No. 509) `passage`
- **2022-03-12** Communicated to House
- **2022-03-12** Completed legislative action
- **2022-03-12** To Governor 3/25/2022 - Senate Journal `executive-receipt`
- **2022-03-12** To Governor 3/25/22 - House Journal `executive-receipt`
- **2022-03-25** To Governor 3/25/22 `executive-receipt`
- **2022-03-12** Approved by Governor 3/30/2022 - Senate Journal
- **2022-03-12** Approved by Governor 3/30/22 - House Journal
- **2022-03-30** Approved by Governor 3/30/22 `executive-signature`
- **2022-04-19** Chapter 275, Acts, Regular Session, 2022
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7c49f972-fed2-4504-bc3b-07aa8016776e`. Confidence: reported (aggregated from official West Virginia legislature records).