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

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/wv/2026/sb-645.md

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+---
+type: "Bill"
+title: "Prohibiting surprise billing of ground emergency medical services by nonparticipating providers"
+description: "Prohibiting surprise billing of ground emergency medical services by nonparticipating providers"
+jurisdiction: "us/states/wv"
+legislature: "West Virginia Legislature"
+session: "2026"
+identifier: "SB 645"
+citation: "West Virginia SB 645 (2026)"
+classification: ["bill"]
+subjects: ["Insurance"]
+status: "enacted"
+primary_sponsors: ["Deeds"]
+version_count: 7
+action_count: 53
+vote_count: 5
+first_action: "2026-01-28"
+last_action: "2026-06-25"
+source: "openstates"
+source_identifier: "ocd-bill/648f01bc-20f0-4ab0-ac21-4b0008ea568f"
+source_url: "https://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=645&year=2026&sessiontype=RS&btype=bill"
+source_hash: "541843c7c13b5a9aec166b2aff67557aff4e1e2c1473d91455ddeb3f59d4d1d0"
+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 SB 645 (2026) — Prohibiting surprise billing of ground emergency medical services by nonparticipating providers
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Enrolled Version** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=sb645%20enr.htm&yr=2026&sesstype=RS&i=645)
+2. **Introduced Version** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=sb645%20intr.htm&yr=2026&sesstype=RS&i=645)
+3. **Motion for previous question adopted (Roll No. 433)** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/2026/RS/votes/house/00433.pdf)
+4. **sb645 h hhr am _1 adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2026/RS/com_amends/sb645%20h%20hhr%20am%20_1%20adopted.htm)
+5. **sb645 hfa statler 3-12 _2 adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2026/RS/floor_amends/sb645%20hfa%20statler%203-12%20_2%20adopted.htm)
+6. **sb645 hfa statler am 3-11 _3 adopted adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2026/RS/floor_amends/sb645%20hfa%20statler%20am%203-11%20_3%20adopted%20adopted.htm)
+7. **sb645 hfat worrell 3-12 _1 adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2026/RS/floor_amends/sb645%20hfat%20worrell%203-12%20_1%20adopted.htm)
+
+## Votes
+
+- RECONSIDER H HHR AM #1 — **49–46** (pass) · lower
+- PASSAGE — **94–1** (pass) · lower
+- PREVIOUS QUESTION — **56–39** (pass) · lower
+- TABLE RECONSIDER H HHR AM #1 — **38–57** (fail) · lower
+- Passage — **32–0** (pass) · upper
+
+## Sponsors
+
+- Deeds — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2026-01-28** Filed for introduction `filing`
+- **2026-01-28** To Health and Human Resources `referral-committee`
+- **2026-01-28** Introduced in Senate `introduction`
+- **2026-01-28** To Health and Human Resources `referral-committee`
+- **2026-02-06** Reported do pass `committee-passage`
+- **2026-02-09** On 1st reading
+- **2026-02-09** Read 1st time `reading-1`
+- **2026-02-10** On 2nd reading
+- **2026-02-10** Read 2nd time `reading-2`
+- **2026-02-11** On 3rd reading
+- **2026-02-11** Read 3rd time `reading-3`
+- **2026-02-11** Passed Senate (Roll No. 67) `passage`
+- **2026-02-11** Ordered to House
+- **2026-02-12** House received Senate message
+- **2026-02-12** Introduced in House `introduction`
+- **2026-02-12** To Health and Human Resources `referral-committee`
+- **2026-02-12** To House Health and Human Resources `referral-committee`
+- **2026-02-25** Markup Discussion
+- **2026-03-10** With amendment, do pass `committee-passage`
+- **2026-03-10** Immediate consideration
+- **2026-03-10** Read 1st time `reading-1`
+- **2026-03-11** On 2nd reading, Special Calendar
+- **2026-03-11** Read 2nd time `reading-2`
+- **2026-03-11** Amendment reported by the Clerk
+- **2026-03-11** Committee amendment rejected (Voice vote)
+- **2026-03-12** On 3rd reading, Special Calendar
+- **2026-03-12** Reported by the Clerk
+- **2026-03-12** Motion to reconsider
+- **2026-03-12** Motion to table motion to reconsider amendment rejected (Roll No. 432)
+- **2026-03-12** Motion for previous question adopted (Roll No. 433)
+- **2026-03-12** Motion to reconsider amendment (Roll No. 434)
+- **2026-03-12** Amendment reported by the Clerk
+- **2026-03-12** Amendment adopted (Voice vote)
+- **2026-03-12** Amendment adopted (Voice vote)
+- **2026-03-12** Amended on 3rd reading
+- **2026-03-12** Amendment reported by the Clerk
+- **2026-03-12** Amendment adopted (Voice vote)
+- **2026-03-12** Amendment reported by the Clerk
+- **2026-03-12** Amendment rejected (Voice vote) `amendment-failure`
+- **2026-03-12** Read 3rd time `reading-3`
+- **2026-03-12** Passed House (Roll No. 435) `passage`
+- **2026-03-12** Title amendment adopted (Voice vote)
+- **2026-03-12** Communicated to Senate
+- **2026-03-13** House Message received
+- **2026-03-13** Senate concurred in House amendments and passed bill (Roll No. 601)
+- **2026-03-13** Communicated to House
+- **2026-03-13** Completed legislative action
+- **2026-03-18** To Governor 3/18/2026 `executive-receipt`
+- **2026-03-14** To Governor 3/18/2026 - Senate Journal `executive-receipt`
+- **2026-04-01** Approved by Governor 4/1/2026 `executive-signature`
+- **2026-03-14** Approved by Governor 4/1/2026 - Senate Journal `executive-signature`
+- **2026-03-14** Approved by Governor 4/1/2026 - House Journal `executive-signature`
+- **2026-06-25** Chapter 57, Acts, Regular Session, 2026 `became-law`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/648f01bc-20f0-4ab0-ac21-4b0008ea568f`. Confidence: reported (aggregated from official West Virginia legislature records).
+