---
type: "Bill"
title: "Relating to the implementation of an acuity-based patient classification system"
description: "Relating to the implementation of an acuity-based patient classification system"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2023"
identifier: "HB 2436"
citation: "West Virginia HB 2436 (2023)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["Tully"]
version_count: 5
action_count: 49
vote_count: 1
first_action: "2023-01-11"
last_action: "2023-05-01"
source: "openstates"
source_identifier: "ocd-bill/82e6078a-9d8e-4340-a429-84ec6fe0a570"
source_url: "http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=2436&year=2023&sessiontype=RS&btype=bill"
source_hash: "1ce29ff578e2c3322f2ddc275e5762b5ce103d279b88f1de37be3fca4af4fc06"
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 2436 (2023) — Relating to the implementation of an acuity-based patient classification system

## 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=hb2436%20sub.htm&yr=2023&sesstype=RS&i=2436)
2. **Enrolled Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=hb2436%20sub%20enr.htm&yr=2023&sesstype=RS&i=2436)
3. **Introduced Version** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=hb2436%20intr.htm&yr=2023&sesstype=RS&i=2436)
4. **hb2436 sfa maroney _1 3-10 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2023/RS/floor_amends/hb2436 sfa maroney _1 3-10 adopted.htm)
5. **hb2436 sfat maroney _1 3-10 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2023/RS/floor_amends/hb2436 sfat maroney _1 3-10 adopted.htm)

## Votes

- Passage — **30–2** (pass) · upper

## Sponsors

- Tully — primary (person)
- Foggin — cosponsor (person)
- Forsht — cosponsor (person)
- Hardy — cosponsor (person)
- Heckert — cosponsor (person)
- Honaker — cosponsor (person)
- Jennings — cosponsor (person)
- Mallow — cosponsor (person)
- Miller — cosponsor (person)
- Summers — cosponsor (person)
- Worrell — cosponsor (person)

## Timeline

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

- **2023-01-11** Filed for introduction `filing`
- **2023-01-11** To Health and Human Resources then Judiciary `referral-committee`
- **2023-01-11** Introduced in House `introduction`
- **2023-01-11** To House Health and Human Resources `referral-committee`
- **2023-01-25** With amendment, do pass, but first to Judiciary `committee-passage`
- **2023-01-25** To House Judiciary `referral-committee`
- **2023-01-26** By substitute, do pass
- **2023-01-26** 2nd reference dispensed
- **2023-01-27** On 1st reading, Special Calendar
- **2023-01-27** Read 1st time `reading-1`
- **2023-01-30** On 2nd reading, Special Calendar
- **2023-01-30** Read 2nd time `reading-2`
- **2023-01-31** On 3rd reading, Special Calendar
- **2023-01-31** Read 3rd time `reading-3`
- **2023-01-31** Passed House (Roll No. 50) `passage`
- **2023-01-31** Communicated to Senate
- **2023-02-01** Introduced in Senate `introduction`
- **2023-02-01** To Health and Human Resources then Judiciary `referral-committee`
- **2023-02-01** To Health and Human Resources `referral-committee`
- **2023-02-28** Reported do pass with amend and title amend but first to Judiciary `committee-passage`
- **2023-02-28** To Judiciary `referral-committee`
- **2023-03-08** Reported do pass `committee-passage`
- **2023-03-08** Immediate consideration
- **2023-03-08** Read 1st time `reading-1`
- **2023-03-09** On 2nd reading
- **2023-03-09** Read 2nd time `reading-2`
- **2023-03-10** On 3rd reading with right to amend
- **2023-03-10** Rearranged on Calendar by Rules Committee
- **2023-03-10** Read 3rd time `reading-3`
- **2023-03-10** HHR committee amendment withdrawn by unanimous consent
- **2023-03-10** Maroney floor amendment reported
- **2023-03-10** Chapman amendments to committee amendment rejected (Voice vote)
- **2023-03-10** Maroney floor amendment adopted (Voice vote)
- **2023-03-10** Passed Senate (Roll No. 523) `passage`
- **2023-03-10** HHR committee title amendment withdrawn by unanimous consent (Voice vote)
- **2023-03-10** Maroney title amendment adopted
- **2023-03-10** Senate requests House to concur
- **2023-03-11** House received Senate message
- **2023-03-11** House concurred in Senate amendment and passed bill (Roll No. 744)
- **2023-03-11** Communicated to Senate
- **2023-03-11** Completed legislative action
- **2023-03-11** House Message received
- **2023-03-11** To Governor 3/27/2023 - House Journal `executive-receipt`
- **2023-03-27** To Governor 3/27/2023 `executive-receipt`
- **2023-03-11** To Governor 3/27/2023 - Senate Journal `executive-receipt`
- **2023-03-11** Approved by Governor 3/28/2023 - Senate Journal `executive-signature`
- **2023-03-11** Approved by Governor 3/28/2023 - House Journal `executive-signature`
- **2023-03-28** Approved by Governor 3/28/2023 `executive-signature`
- **2023-05-01** Chapter 261, 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/82e6078a-9d8e-4340-a429-84ec6fe0a570`. Confidence: reported (aggregated from official West Virginia legislature records).