---
type: "Bill"
title: "Requiring health insurance providers provide coverage for certain Lyme disease treatment"
description: "Requiring health insurance providers provide coverage for certain Lyme disease treatment"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2018"
identifier: "SB 242"
citation: "West Virginia SB 242 (2018)"
classification: ["bill"]
subjects: ["Insurance"]
status: "enacted"
primary_sponsors: ["Trump"]
version_count: 3
action_count: 38
vote_count: 2
first_action: "2018-01-11"
last_action: "2018-04-23"
source: "openstates"
source_identifier: "ocd-bill/d02a32c5-57fe-4869-8ddc-5ab90cbb5ea0"
source_url: "http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=242&year=2018&sessiontype=RS&btype=bill"
source_hash: "9e35c8e8ddcbab92bcf5f2cc56099a249539140206c99d14f0e11892eebd78d6"
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 242 (2018) — Requiring health insurance providers provide coverage for certain Lyme disease treatment

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Engrossed Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=SB242%20ENG.htm&yr=2018&sesstype=RS&i=242)
2. **Enrolled Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=SB242%20ENR.htm&yr=2018&sesstype=RS&i=242)
3. **Introduced Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=SB242%20INTR.htm&yr=2018&sesstype=RS&i=242)

## Votes

- Passage — **29–1** (pass) · legislature
- PASSAGE — **93–5** (pass) · legislature

## Sponsors

- Trump — primary (person)
- Blair — cosponsor (person)
- Maroney — cosponsor (person)
- Rucker — 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 `referral-committee`
- **2018-01-12** Introduced in Senate `introduction`
- **2018-01-11** To Health and Human Resources `referral-committee`
- **2018-01-26** Reported do pass `committee-passage`
- **2018-01-29** On 1st reading
- **2018-01-29** Read 1st time `reading-1`
- **2018-01-30** On 2nd reading
- **2018-01-30** Read 2nd time `reading-2`
- **2018-01-30** Takubo Floor amendments adopted (Voice vote)
- **2018-01-30** Maroney Floor amendments adopted (Voice vote)
- **2018-01-31** On 3rd reading
- **2018-01-31** Read 3rd time `reading-3`
- **2018-01-31** Passed Senate with amended title (Roll No. 38) `passage`
- **2018-01-31** Ordered to House
- **2018-02-01** Introduced in House `introduction`
- **2018-02-01** To Health and Human Resources then Judiciary `referral-committee`
- **2018-02-01** To House Health and Human Resources `referral-committee`
- **2018-03-02** Do pass, but first to Judiciary
- **2018-03-02** To House Judiciary `referral-committee`
- **2018-03-05** Do pass
- **2018-03-06** On 1st reading, Special Calendar
- **2018-03-06** Read 1st time `reading-1`
- **2018-03-07** On 2nd reading, Special Calendar
- **2018-03-07** Read 2nd time `reading-2`
- **2018-03-08** On 3rd reading, Special Calendar
- **2018-03-08** Read 3rd time `reading-3`
- **2018-03-08** Passed House (Roll No. 398) `passage`
- **2018-03-08** Communicated to Senate
- **2018-03-08** Completed legislative action
- **2018-03-09** House Message received
- **2018-03-10** To Governor 3/19/18 - House Journal `executive-receipt`
- **2018-03-19** To Governor 3/19/18 `executive-receipt`
- **2018-03-10** To Governor 3/19/18 - Senate Journal `executive-receipt`
- **2018-03-10** Approved by Governor 3/20/18 - House Journal
- **2018-03-20** Approved by Governor 3/20/18 `executive-signature`
- **2018-03-10** Approved by Governor 3/20/18 - Senate Journal
- **2018-04-23** Chapter 124, 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/d02a32c5-57fe-4869-8ddc-5ab90cbb5ea0`. Confidence: reported (aggregated from official West Virginia legislature records).