---
type: "Bill"
title: "Relating to the regulation of dialysis technicians"
description: "Relating to the regulation of dialysis technicians"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2018"
identifier: "HB 4023"
citation: "West Virginia HB 4023 (2018)"
classification: ["bill"]
subjects: ["Boards and Commissions"]
status: "enacted"
primary_sponsors: ["Summers"]
version_count: 3
action_count: 37
vote_count: 2
first_action: "2018-01-11"
last_action: "2018-04-16"
source: "openstates"
source_identifier: "ocd-bill/721ca096-b244-461d-b861-b71fa2c69260"
source_url: "http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=4023&year=2018&sessiontype=RS&btype=bill"
source_hash: "ce42aec071df957a9279bdcd7ec9ac2f1e59bf12b251552608e5f711be4ceb54"
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 4023 (2018) — Relating to the regulation of dialysis technicians

## 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=HB4023%20SUB.htm&yr=2018&sesstype=RS&i=4023)
2. **Enrolled Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4023%20SUB%20ENR.htm&yr=2018&sesstype=RS&i=4023)
3. **Introduced Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=hb4023%20intr.htm&yr=2018&sesstype=RS&i=4023)

## Votes

- PASSAGE — **94–0** (pass) · legislature
- Passage — **34–0** (pass) · legislature

## Sponsors

- Summers — primary (person)
- Butler — cosponsor (person)
- Dean — cosponsor (person)
- Ellington — cosponsor (person)
- Hollen — cosponsor (person)
- Householder — cosponsor (person)
- Rohrbach — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2018-01-11** Filed for introduction `filing`
- **2018-01-11** To Health and Human Resources then Government Organization `referral-committee`
- **2018-01-11** Introduced in House `introduction`
- **2018-01-11** To House Health and Human Resources `referral-committee`
- **2018-01-17** With amendment, do pass, but first to Government Organization `committee-passage`
- **2018-01-17** To House Government Organization `referral-committee`
- **2018-02-06** By substitute, do pass
- **2018-02-07** On 1st reading, House Calendar
- **2018-02-07** Read 1st time `reading-1`
- **2018-02-08** On 2nd reading, House Calendar
- **2018-02-08** Read 2nd time `reading-2`
- **2018-02-09** On 3rd reading, Special Calendar
- **2018-02-09** Read 3rd time `reading-3`
- **2018-02-09** Passed House (Roll No. 67) `passage`
- **2018-02-09** Communicated to Senate
- **2018-02-12** House Message received
- **2018-02-12** Introduced in Senate `introduction`
- **2018-02-12** To Health and Human Resources `referral-committee`
- **2018-02-12** To Health and Human Resources `referral-committee`
- **2018-03-02** Reported do pass `committee-passage`
- **2018-03-03** On 1st reading
- **2018-03-03** Read 1st time `reading-1`
- **2018-03-05** On 2nd reading
- **2018-03-05** Read 2nd time `reading-2`
- **2018-03-06** On 3rd reading
- **2018-03-06** Read 3rd time `reading-3`
- **2018-03-06** Passed Senate (Roll No. 357) `passage`
- **2018-03-06** Communicated to House
- **2018-03-06** Completed legislative action
- **2018-03-07** House received Senate message
- **2018-03-10** To Governor 3/16/18 - Senate Journal `executive-receipt`
- **2018-03-16** To Governor 3/16/18 `executive-receipt`
- **2018-03-10** To Governor 3/16/18 - House Journal `executive-receipt`
- **2018-03-27** Approved by Governor 3/27/18 `executive-signature`
- **2018-03-10** Approved by Governor 3/27/18 - House Journal
- **2018-03-10** Approved by Governor 3/27/18 - Senate Journal
- **2018-04-16** Chapter 181, Acts, Regular Session, 2018

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/721ca096-b244-461d-b861-b71fa2c69260`. Confidence: reported (aggregated from official West Virginia legislature records).