---
type: "Bill"
title: "Relating to extending managed care."
description: "Relating to extending managed care."
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2024"
identifier: "HB 4594"
citation: "West Virginia HB 4594 (2024)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["Summers"]
version_count: 4
action_count: 43
vote_count: 4
first_action: "2024-01-10"
last_action: "2024-04-22"
source: "openstates"
source_identifier: "ocd-bill/acdb7138-2934-4be7-b18d-77d94af81ccc"
source_url: "https://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=4594&year=2024&sessiontype=RS&btype=bill"
source_hash: "4b6f22a8ceb1d42e4e7a7ff96dcccca15a7d3d94f2e4a12bbe4c14c416bce804"
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 4594 (2024) — Relating to extending managed care.

## Version chain

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

1. **Enrolled Version** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb4594%20enr.htm&yr=2024&sesstype=RS&i=4594)
2. **Introduced Version** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb4594%20intr.htm&yr=2024&sesstype=RS&i=4594)
3. **hb4594 s h_hr am _ 1-29 adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2024/RS/com_amends/hb4594%20s%20h_hr%20am%20_%201-29%20adopted.htm)
4. **hb4594 s h_hr amt _ 1-29 adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2024/RS/com_amends/hb4594%20s%20h_hr%20amt%20_%201-29%20adopted.htm)

## Votes

- PASSAGE — **96–0** (pass) · lower
- Passage — **34–0** (pass) · upper
- EFFECT FROM PASSAGE — **100–0** (pass) · lower
- PASSAGE-SENATE AMENDED HB — **99–0** (pass) · lower

## Sponsors

- Summers — primary (person)
- Fehrenbacher — cosponsor (person)
- Hite — cosponsor (person)
- Rohrbach — cosponsor (person)
- Tully — cosponsor (person)

## Timeline

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

- **2024-01-10** Filed for introduction `filing`
- **2024-01-10** To Health and Human Resources `referral-committee`
- **2024-01-10** Introduced in House `introduction`
- **2024-01-10** To House Health and Human Resources `referral-committee`
- **2024-01-17** Do pass
- **2024-01-18** On 1st reading, Special Calendar
- **2024-01-18** Read 1st time `reading-1`
- **2024-01-19** On 2nd reading, Special Calendar
- **2024-01-19** Postponed on 2nd reading, Special Calendar, until 1/22/2024
- **2024-01-22** On 2nd reading, Special Calendar
- **2024-01-22** Read 2nd time `reading-2`
- **2024-01-23** On 3rd reading, Special Calendar
- **2024-01-23** Read 3rd time `reading-3`
- **2024-01-23** Passed House (Roll No. 21) `passage`
- **2024-01-23** Communicated to Senate
- **2024-01-24** Introduced in Senate `introduction`
- **2024-01-24** To Health and Human Resources `referral-committee`
- **2024-01-24** To Health and Human Resources `referral-committee`
- **2024-01-31** Reported do pass, with amendment and title amendment `committee-passage`
- **2024-02-01** On 1st reading
- **2024-02-01** Read 1st time `reading-1`
- **2024-02-02** On 2nd reading
- **2024-02-02** Read 2nd time `reading-2`
- **2024-02-02** Committee amendment adopted (Voice vote)
- **2024-02-05** On 3rd reading
- **2024-02-05** Read 3rd time `reading-3`
- **2024-02-05** Passed Senate with amended title (Roll No. 95) `passage`
- **2024-02-05** Effective from passage (Roll No. 95)
- **2024-02-05** Senate requests House to concur
- **2024-02-13** House received Senate message
- **2024-02-13** Immediate consideration
- **2024-02-13** House concurred in Senate amendment and passed bill (Roll No. 155)
- **2024-02-13** Effective from passage (Roll No. 156)
- **2024-02-13** Communicated to Senate
- **2024-02-13** Completed legislative action
- **2024-02-14** House Message received
- **2024-02-23** To Governor 2/23/2024 - Senate Journal `executive-receipt`
- **2024-02-23** To Governor 2/23/2024 `executive-receipt`
- **2024-02-23** To Governor 2/23/2024 - House Journal `executive-receipt`
- **2024-03-01** Approved by Governor 2/29/2024 - Senate Journal `executive-signature`
- **2024-03-01** Approved by Governor 2/29/2024 `executive-signature`
- **2024-03-01** Approved by Governor 2/29/2024 - House Journal `executive-signature`
- **2024-04-22** Chapter 166, Acts, Regular Session, 2024 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/acdb7138-2934-4be7-b18d-77d94af81ccc`. Confidence: reported (aggregated from official West Virginia legislature records).