---
type: "Bill"
title: "West Virginia health care workforce sustainability study"
description: "West Virginia health care workforce sustainability study"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2020"
identifier: "HB 4434"
citation: "West Virginia HB 4434 (2020)"
classification: ["bill"]
subjects: ["Finance and Administration"]
status: "enacted"
primary_sponsors: ["Summers"]
version_count: 8
action_count: 44
vote_count: 3
first_action: "2020-01-20"
last_action: "2020-04-15"
source: "openstates"
source_identifier: "ocd-bill/2c8ac3a1-60d9-4961-aced-6553785d7b3c"
source_url: "http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=4434&year=2020&sessiontype=RS&btype=bill"
source_hash: "b460e26d86893a47e92be52b76d76a05be5040c4ac3c14420c98fddd086d61ac"
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 4434 (2020) — West Virginia health care workforce sustainability study

## 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=HB4434%20SUB.htm&yr=2020&sesstype=RS&i=4434)
2. **Engrossed Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4434%20SUB%20ENG.htm&yr=2020&sesstype=RS&i=4434)
3. **Enrolled Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4434%20SUB%20ENR.htm&yr=2020&sesstype=RS&i=4434)
4. **HB4434 HFA HILL 2-3 _1 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2020/RS/floor_amends/HB4434 HFA HILL 2-3 _1 adopted.htm)
5. **HB4434 HFA HILL 2-4 _1 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2020/RS/floor_amends/HB4434 HFA HILL 2-4 _1 adopted.htm)
6. **HB4434 S H_HR AM _1 2-25 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2020/RS/com_amends/HB4434 S H_HR AM _1 2-25 adopted.htm)
7. **Introduced Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4434%20INTR.htm&yr=2020&sesstype=RS&i=4434)
8. **Second Engrossment Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4434%20SUB%20ENG2.htm&yr=2020&sesstype=RS&i=4434)

## Votes

- PASSAGE-SENATE AMENDED HB — **90–0** (pass) · lower
- Passage — **34–0** (pass) · upper
- PASSAGE — **100–0** (pass) · lower

## Sponsors

- Summers — primary (person)
- Angelucci — cosponsor (person)
- Barrett — cosponsor (person)
- Cowles — cosponsor (person)
- Diserio — cosponsor (person)
- Foster — cosponsor (person)
- Hill — cosponsor (person)
- Pack — cosponsor (person)
- Rowan — cosponsor (person)
- Swartzmiller — cosponsor (person)
- Worrell — cosponsor (person)

## Timeline

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

- **2020-01-20** Filed for introduction `filing`
- **2020-01-20** To Health and Human Resources then Finance `referral-committee`
- **2020-01-20** Introduced in House `introduction`
- **2020-01-20** To House Health and Human Resources `referral-committee`
- **2020-01-29** By substitute, do pass
- **2020-01-29** 2nd reference dispensed
- **2020-01-30** On 1st reading, Special Calendar
- **2020-01-30** Read 1st time `reading-1`
- **2020-01-31** On 2nd reading, Special Calendar
- **2020-01-31** Postponed on 2nd reading, Special Calendar, until 2/3/20
- **2020-02-03** On 2nd reading, Special Calendar
- **2020-02-03** Read 2nd time `reading-2`
- **2020-02-03** Amendment adopted (Voice vote)
- **2020-02-04** On 3rd reading, Special Calendar
- **2020-02-04** Amendment reported by the Clerk
- **2020-02-04** Amendment adopted (Voice vote)
- **2020-02-04** Read 3rd time `reading-3`
- **2020-02-04** Passed House (Roll No. 89) `passage`
- **2020-02-04** Communicated to Senate
- **2020-02-05** Introduced in Senate `introduction`
- **2020-02-05** To Health and Human Resources `referral-committee`
- **2020-02-05** To Health and Human Resources `referral-committee`
- **2020-02-28** Reported do pass, with amendments `committee-passage`
- **2020-02-29** On 1st reading
- **2020-02-29** Read 1st time `reading-1`
- **2020-03-02** On 2nd reading
- **2020-03-02** Read 2nd time `reading-2`
- **2020-03-02** Committee amendments adopted (Voice vote)
- **2020-03-03** On 3rd reading
- **2020-03-03** Read 3rd time `reading-3`
- **2020-03-03** Passed Senate (Roll No. 397) `passage`
- **2020-03-03** Senate requests House to concur
- **2020-03-03** House received Senate message
- **2020-03-03** House concurred in Senate amendment and passed bill (Roll No. 472)
- **2020-03-03** Communicated to Senate
- **2020-03-03** Completed legislative action
- **2020-03-04** House Message received
- **2020-03-07** To Governor 3/19/20 - Senate Journal `executive-receipt`
- **2020-03-07** To Governor 3/19/20 - House Journal `executive-receipt`
- **2020-03-19** To Governor 3/19/20 `executive-receipt`
- **2020-03-07** Approved by Governor 3/25/20 - Senate Journal
- **2020-03-07** Approved by Governor 3/25/20 - House Journal
- **2020-03-25** Approved by Governor 3/25/20 `executive-signature`
- **2020-04-15** Chapter 281, Acts, Regular Session, 2020

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2c8ac3a1-60d9-4961-aced-6553785d7b3c`. Confidence: reported (aggregated from official West Virginia legislature records).