---
type: "Bill"
title: "Specifying fairness in cost sharing calculations for certain high deductible health plans"
description: "Specifying fairness in cost sharing calculations for certain high deductible health plans"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2023"
identifier: "SB 594"
citation: "West Virginia SB 594 (2023)"
classification: ["bill"]
subjects: ["Insurance"]
status: "enacted"
primary_sponsors: ["Takubo"]
version_count: 3
action_count: 36
vote_count: 1
first_action: "2023-02-09"
last_action: "2023-05-01"
source: "openstates"
source_identifier: "ocd-bill/e1f2f8f3-c657-4616-b6d8-f29aaf754514"
source_url: "http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=594&year=2023&sessiontype=RS&btype=bill"
source_hash: "09960fb5bccbc9b6c201ece70d96f759a195b27575a229511c8da9b91ba195b0"
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 594 (2023) — Specifying fairness in cost sharing calculations for certain high deductible health plans

## 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=sb594%20sub1.htm&yr=2023&sesstype=RS&i=594)
2. **Enrolled Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=sb594%20sub1%20enr.htm&yr=2023&sesstype=RS&i=594)
3. **Introduced Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=sb594%20intr.htm&yr=2023&sesstype=RS&i=594)

## Votes

- Passage — **34–0** (pass) · upper

## Sponsors

- Takubo — primary (person)
- Maroney — cosponsor (person)
- Nelson — cosponsor (person)

## Timeline

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

- **2023-02-09** Filed for introduction `filing`
- **2023-02-09** To Banking and Insurance `referral-committee`
- **2023-02-09** Introduced in Senate `introduction`
- **2023-02-09** To Banking and Insurance `referral-committee`
- **2023-02-21** Committee substitute reported
- **2023-02-21** Immediate consideration
- **2023-02-21** Read 1st time `reading-1`
- **2023-02-22** On 2nd reading
- **2023-02-22** Read 2nd time `reading-2`
- **2023-02-23** On 3rd reading
- **2023-02-23** Read 3rd time `reading-3`
- **2023-02-23** Passed Senate (Roll No. 248) `passage`
- **2023-02-23** Effective from passage (Roll No. 248)
- **2023-02-23** Ordered to House
- **2023-02-23** Introduced in House `introduction`
- **2023-02-23** Immediate consideration
- **2023-02-23** Reference dispensed
- **2023-02-23** Read 1st time `reading-1`
- **2023-02-24** On 2nd reading, Special Calendar
- **2023-02-24** Placed on House Calendar
- **2023-03-02** On 2nd reading, House Calendar
- **2023-03-02** From House Calendar, 2nd reading, placed on Special Calendar
- **2023-03-02** Read 2nd time `reading-2`
- **2023-03-03** On 3rd reading, Special Calendar
- **2023-03-03** Read 3rd time `reading-3`
- **2023-03-03** Passed House (Roll No. 448) `passage`
- **2023-03-03** Effective from passage (Roll No. 449)
- **2023-03-03** Communicated to Senate
- **2023-03-03** Completed legislative action
- **2023-03-06** House Message received
- **2023-03-08** To Governor 3/8/2023 - House Journal `executive-receipt`
- **2023-03-08** To Governor 3/8/2023 `executive-receipt`
- **2023-03-29** Approved by Governor 3/29/2023 `executive-signature`
- **2023-03-11** Approved by Governor 3/29/2023 - Senate Journal `executive-signature`
- **2023-03-11** Approved by Governor 3/29/2023 - House Journal `executive-signature`
- **2023-05-01** Chapter 194, Acts, Regular Session, 2023 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e1f2f8f3-c657-4616-b6d8-f29aaf754514`. Confidence: reported (aggregated from official West Virginia legislature records).