---
type: "Bill"
title: "Relating generally to PANS and PANDAS."
description: "Relating generally to PANS and PANDAS."
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2026"
identifier: "HB 5004"
citation: "West Virginia HB 5004 (2026)"
classification: ["bill"]
subjects: ["Health", "Insurance"]
status: "enacted"
primary_sponsors: ["Masters"]
version_count: 4
action_count: 34
vote_count: 2
first_action: "2026-01-30"
last_action: "2026-06-29"
source: "openstates"
source_identifier: "ocd-bill/e2cd5cf4-2b69-4f2d-88bf-189454b482d0"
source_url: "https://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=5004&year=2026&sessiontype=RS&btype=bill"
source_hash: "6c8c7167e1eb7c0198c3474e588f59ffbc46533552b9be219061f8a5115598c1"
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 5004 (2026) — Relating generally to PANS and PANDAS.

## 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=hb5004%20sub1.htm&yr=2026&sesstype=RS&i=5004)
2. **Engrossed Committee Substitute** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb5004%20sub1%20eng.htm&yr=2026&sesstype=RS&i=5004)
3. **Enrolled Committee Substitute** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb5004%20sub1%20enr.htm&yr=2026&sesstype=RS&i=5004)
4. **Introduced Version** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=hb5004%20intr.htm&yr=2026&sesstype=RS&i=5004)

## Votes

- Passage — **34–0** (pass) · upper
- PASSAGE — **92–0** (pass) · lower

## Sponsors

- Masters — primary (person)
- Hornbuckle — cosponsor (person)
- Parsons — cosponsor (person)
- Pritt — cosponsor (person)
- Rohrbach — cosponsor (person)
- Watt — cosponsor (person)

## Timeline

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

- **2026-01-30** Filed for introduction `filing`
- **2026-01-30** To Health and Human Resources `referral-committee`
- **2026-01-30** Introduced in House `introduction`
- **2026-01-30** To House Health and Human Resources `referral-committee`
- **2026-02-25** Markup Discussion
- **2026-02-27** By substitute, do pass
- **2026-03-02** On 1st reading, Special Calendar
- **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. 294) `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. 498) `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`
- **2026-03-30** Approved by Governor 3/27/2026 `executive-signature`
- **2026-03-14** Approved by Governor 3/27/2026 - House Journal `executive-signature`
- **2026-03-14** Approved by Governor 3/27/2026 - Senate Journal `executive-signature`
- **2026-06-29** Chapter 186, 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/e2cd5cf4-2b69-4f2d-88bf-189454b482d0`. Confidence: reported (aggregated from official West Virginia legislature records).