---
type: "Bill"
title: "Relating to patient-centered treatment flexibility within the Public Employees Insurance Agency"
description: "Relating to patient-centered treatment flexibility within the Public Employees Insurance Agency"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2026"
identifier: "HB 4965"
citation: "West Virginia HB 4965 (2026)"
classification: ["bill"]
subjects: ["Insurance"]
status: "enacted"
primary_sponsors: ["Kimble"]
version_count: 4
action_count: 34
vote_count: 2
first_action: "2026-01-29"
last_action: "2026-06-29"
source: "openstates"
source_identifier: "ocd-bill/41ed7323-4b03-4ddf-a3c1-32099f4ccfa1"
source_url: "https://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=4965&year=2026&sessiontype=RS&btype=bill"
source_hash: "4398a373491ee717d6b0a2938371fac97167bc92a4275a5d3375784d7775fd7e"
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 4965 (2026) — Relating to patient-centered treatment flexibility within the Public Employees Insurance Agency

## Version chain

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

1. **Committee Substitute** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb4965%20sub1.htm&yr=2026&sesstype=RS&i=4965)
2. **Engrossed Committee Substitute** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb4965%20sub1%20eng.htm&yr=2026&sesstype=RS&i=4965)
3. **Enrolled Committee Substitute** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb4965%20sub1%20enr.htm&yr=2026&sesstype=RS&i=4965)
4. **Introduced Version** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb4965%20intr.htm&yr=2026&sesstype=RS&i=4965)

## Votes

- Passage — **33–0** (pass) · upper
- PASSAGE — **93–0** (pass) · lower

## Sponsors

- Kimble — primary (person)
- Mazzocchi — cosponsor (person)
- Vance — cosponsor (person)

## Timeline

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

- **2026-01-29** Filed for introduction `filing`
- **2026-01-29** To Health and Human Resources `referral-committee`
- **2026-01-29** Introduced in House `introduction`
- **2026-01-29** To House Health and Human Resources `referral-committee`
- **2026-02-26** Markup Discussion
- **2026-03-02** By substitute, do pass
- **2026-03-02** Immediate consideration
- **2026-03-02** Read 1st time `reading-1`
- **2026-03-03** On 2nd reading, Special Calendar
- **2026-03-03** Read 2nd time `reading-2`
- **2026-03-04** On 3rd reading, Special Calendar
- **2026-03-04** Read 3rd time `reading-3`
- **2026-03-04** Passed House (Roll No. 290) `passage`
- **2026-03-04** Communicated to Senate
- **2026-03-05** Introduced in Senate `introduction`
- **2026-03-05** To Health and Human Resources `referral-committee`
- **2026-03-05** To Health and Human Resources `referral-committee`
- **2026-03-10** Reported do pass `committee-passage`
- **2026-03-10** Immediate consideration
- **2026-03-10** Read 1st time `reading-1`
- **2026-03-11** On 2nd reading
- **2026-03-11** Read 2nd time `reading-2`
- **2026-03-12** On 3rd reading
- **2026-03-12** Read 3rd time `reading-3`
- **2026-03-12** Passed Senate (Roll No. 497) `passage`
- **2026-03-12** Communicated to House
- **2026-03-12** Completed legislative action
- **2026-03-13** House received Senate message
- **2026-03-25** To Governor 3/25/2026 `executive-receipt`
- **2026-03-14** To Governor 3/25/2026 - Senate Journal `executive-receipt`
- **2026-03-14** Approved by Governor 3/31/2026 - Senate Journal `executive-signature`
- **2026-04-01** Approved by Governor 3/31/2026 `executive-signature`
- **2026-03-14** Approved by Governor 3/31/2026 - House Journal `executive-signature`
- **2026-06-29** Chapter 195, Acts, Regular Session, 2026 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/41ed7323-4b03-4ddf-a3c1-32099f4ccfa1`. Confidence: reported (aggregated from official West Virginia legislature records).