---
type: "Bill"
title: "Relating to insurance coverage for diabetics"
description: "Relating to insurance coverage for diabetics"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2020"
identifier: "HB 4543"
citation: "West Virginia HB 4543 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Hill"]
version_count: 7
action_count: 49
vote_count: 4
first_action: "2020-01-24"
last_action: "2020-04-15"
source: "openstates"
source_identifier: "ocd-bill/a41290c5-a11b-4170-ae94-44c23c1e4d27"
source_url: "http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=4543&year=2020&sessiontype=RS&btype=bill"
source_hash: "79b30af8a51867911893a7e609d4cb7c58d1a206ace5403e003568d6154751c3"
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 4543 (2020) — Relating to insurance coverage for diabetics

## 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=HB4543%20SUB.htm&yr=2020&sesstype=RS&i=4543)
2. **Enrolled Committee Substitute** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4543%20SUB%20ENR.htm&yr=2020&sesstype=RS&i=4543)
3. **HB4543 S AM _1 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2020/RS/com_amends/HB4543 S AM _1 adopted.htm)
4. **HB4543 S FIN AM _1 3-4 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2020/RS/com_amends/HB4543 S FIN AM _1 3-4 adopted.htm)
5. **HB4543 SHOTT AM _1 3-7 REVISED adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2020/RS/com_amends/HB4543 SHOTT AM _1 3-7 REVISED adopted.htm)
6. **HB4543 SHOTT AMT 3-7 adopted.htm** (committee substitute) — [source](http://www.legis.state.wv.us/legisdocs/chamber/2020/RS/com_amends/HB4543 SHOTT AMT 3-7 adopted.htm)
7. **Originating in Committee** (committee substitute) — [source](http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=HB4543%20ORG.htm&yr=2020&sesstype=RS&i=4543)

## Votes

- PASSAGE-SENATE AMENDED HB — **96–4** (pass) · lower
- Passage — **33–1** (pass) · upper
- EFFECT FROM PASSAGE — **97–3** (pass) · lower
- PASSAGE — **94–4** (pass) · lower

## Sponsors

- Hill — primary (person)
- Angelucci — cosponsor (person)
- Atkinson — cosponsor (person)
- Bates — cosponsor (person)
- Fleischauer — cosponsor (person)
- Jennings — cosponsor (person)
- Nelson — cosponsor (person)
- Pack — cosponsor (person)
- Rohrbach — cosponsor (person)
- Summers — cosponsor (person)
- Thompson, C. — cosponsor (person)

## Timeline

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

- **2020-01-24** Originating in House Health and Human Resources
- **2020-01-24** Do pass, but first to Banking and Insurance
- **2020-01-24** To House Banking and Insurance `referral-committee`
- **2020-02-04** Do pass, but first to Judiciary
- **2020-02-04** To House Judiciary `referral-committee`
- **2020-02-14** By substitute, do pass
- **2020-02-17** On 1st reading, Special Calendar
- **2020-02-17** Read 1st time `reading-1`
- **2020-02-18** On 2nd reading, Special Calendar
- **2020-02-18** Read 2nd time `reading-2`
- **2020-02-19** On 3rd reading, Special Calendar
- **2020-02-19** Read 3rd time `reading-3`
- **2020-02-19** Passed House (Roll No. 237) `passage`
- **2020-02-19** Communicated to Senate
- **2020-02-20** Introduced in Senate `introduction`
- **2020-02-20** To Banking and Insurance then Finance `referral-committee`
- **2020-02-20** To Banking and Insurance `referral-committee`
- **2020-03-02** Without recommendation, but first to Health and Human Resources then Finance
- **2020-03-02** Immediate consideration
- **2020-03-02** Read 1st time `reading-1`
- **2020-03-02** On 2nd reading to Health and Human Resources
- **2020-03-03** Reported do pass, with amendment, but first to Finance `committee-passage`
- **2020-03-03** On 2nd reading to Finance
- **2020-03-04** Reported do pass, with amendments `committee-passage`
- **2020-03-05** On 2nd reading
- **2020-03-05** Read 2nd time `reading-2`
- **2020-03-05** Committee Amendment Reported
- **2020-03-05** Amendments to committee amendment adopted (Voice vote)
- **2020-03-05** Committee amendment as amended adopted (Voice vote)
- **2020-03-06** On 3rd reading
- **2020-03-06** Read 3rd time `reading-3`
- **2020-03-06** Passed Senate (Roll No. 506) `passage`
- **2020-03-06** Senate requests House to concur
- **2020-03-07** House received Senate message
- **2020-03-07** House concurred in Senate amend with amend, passed bill (Roll No. 777)
- **2020-03-07** Effective from passage (Roll No. 778)
- **2020-03-07** Communicated to Senate
- **2020-03-07** House Message received
- **2020-03-07** Senate concurred in House amendments and passed bill (Roll No. 635)
- **2020-03-07** Effective from passage (Roll No. 635)
- **2020-03-07** Communicated to House
- **2020-03-07** Completed legislative action
- **2020-03-07** To Governor 3/19/20 - Senate Journal `executive-receipt`
- **2020-03-07** To Governor 3/19/20 - House Journal `executive-receipt`
- **2020-03-19** To Governor 3/19/20 `executive-receipt`
- **2020-03-07** Approved by Governor 3/25/20 - Senate Journal
- **2020-03-07** Approved by Governor 3/25/20 - House Journal
- **2020-03-25** Approved by Governor 3/25/20 `executive-signature`
- **2020-04-15** Chapter 202, Acts, Regular Session, 2020

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a41290c5-a11b-4170-ae94-44c23c1e4d27`. Confidence: reported (aggregated from official West Virginia legislature records).