---
type: "Bill"
title: "Transferring the operations of the West Virginia Children’s Health Insurance Program to the Bureau for Medical Services"
description: "Transferring the operations of the West Virginia Children’s Health Insurance Program to the Bureau for Medical Services"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2022"
identifier: "HB 4649"
citation: "West Virginia HB 4649 (2022)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["Rohrbach"]
version_count: 3
action_count: 38
vote_count: 1
first_action: "2022-02-11"
last_action: "2022-04-19"
source: "openstates"
source_identifier: "ocd-bill/9b7311d4-13df-4303-865d-54368b99616c"
source_url: "http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=4649&year=2022&sessiontype=RS&btype=bill"
source_hash: "1775918f1f8f88bd662642a48293d1343a64b47a229d92e2fbab57afa19f5708"
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 4649 (2022) — Transferring the operations of the West Virginia Children’s Health Insurance Program to the Bureau for Medical Services

## Version chain

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

1. **Enrolled Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4649%20ENR.htm&yr=2022&sesstype=RS&i=4649)
2. **HB4649 S H_HR AM _1 3-1 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2022/RS/com_amends/HB4649 S H_HR AM _1 3-1 adopted.htm)
3. **Introduced Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4649%20INTR.htm&yr=2022&sesstype=RS&i=4649)

## Votes

- Passage — **32–0** (pass) · upper

## Sponsors

- Rohrbach — primary (person)

## Timeline

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

- **2022-02-11** Filed for introduction `filing`
- **2022-02-11** To Health and Human Resources `referral-committee`
- **2022-02-11** Introduced in House `introduction`
- **2022-02-11** To House Health and Human Resources `referral-committee`
- **2022-02-16** Do pass
- **2022-02-17** On 1st reading, Special Calendar
- **2022-02-17** Read 1st time `reading-1`
- **2022-02-18** On 2nd reading, Special Calendar
- **2022-02-18** Read 2nd time `reading-2`
- **2022-02-21** On 3rd reading, Special Calendar
- **2022-02-21** Read 3rd time `reading-3`
- **2022-02-21** Passed House (Roll No. 193) `passage`
- **2022-02-21** Communicated to Senate
- **2022-02-22** Introduced in Senate `introduction`
- **2022-02-22** To Health and Human Resources `referral-committee`
- **2022-02-22** To Health and Human Resources `referral-committee`
- **2022-03-02** Reported do pass, with amendments `committee-passage`
- **2022-03-03** On 1st reading
- **2022-03-03** Read 1st time `reading-1`
- **2022-03-04** On 2nd reading
- **2022-03-04** Read 2nd time `reading-2`
- **2022-03-04** Committee amendments adopted (Voice vote)
- **2022-03-07** On 3rd reading
- **2022-03-07** Read 3rd time `reading-3`
- **2022-03-07** Passed Senate (Roll No. 354) `passage`
- **2022-03-07** Senate requests House to concur
- **2022-03-08** House received Senate message
- **2022-03-08** House concurred in Senate amendment and passed bill (Roll No. 408)
- **2022-03-08** Communicated to Senate
- **2022-03-08** Completed legislative action
- **2022-03-09** House Message received
- **2022-03-12** To Governor 3/17/2022 - Senate Journal `executive-receipt`
- **2022-03-12** To Governor 3/17/22 - House Journal `executive-receipt`
- **2022-03-17** To Governor 3/17/22 `executive-receipt`
- **2022-03-12** Approved by Governor 3/28/22 - House Journal
- **2022-03-28** Approved by Governor 3/28/22 `executive-signature`
- **2022-03-12** Approved by Governor 3/28/22 - Senate Journal
- **2022-04-19** Chapter 161, Acts, Regular Session, 2022

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9b7311d4-13df-4303-865d-54368b99616c`. Confidence: reported (aggregated from official West Virginia legislature records).