republic-os/legislation/us/states/wv/2026/sb-645.md

---
type: "Bill"
title: "Prohibiting surprise billing of ground emergency medical services by nonparticipating providers"
description: "Prohibiting surprise billing of ground emergency medical services by nonparticipating providers"
jurisdiction: "us/states/wv"
legislature: "West Virginia Legislature"
session: "2026"
identifier: "SB 645"
citation: "West Virginia SB 645 (2026)"
classification: ["bill"]
subjects: ["Insurance"]
status: "enacted"
primary_sponsors: ["Deeds"]
version_count: 7
action_count: 53
vote_count: 5
first_action: "2026-01-28"
last_action: "2026-06-25"
source: "openstates"
source_identifier: "ocd-bill/648f01bc-20f0-4ab0-ac21-4b0008ea568f"
source_url: "https://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=645&year=2026&sessiontype=RS&btype=bill"
source_hash: "541843c7c13b5a9aec166b2aff67557aff4e1e2c1473d91455ddeb3f59d4d1d0"
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 SB 645 (2026) — Prohibiting surprise billing of ground emergency medical services by nonparticipating providers

## 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=sb645%20enr.htm&yr=2026&sesstype=RS&i=645)
2. **Introduced Version** (committee substitute) — [source](https://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=sb645%20intr.htm&yr=2026&sesstype=RS&i=645)
3. **Motion for previous question adopted (Roll No. 433)** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/2026/RS/votes/house/00433.pdf)
4. **sb645 h hhr am _1 adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2026/RS/com_amends/sb645%20h%20hhr%20am%20_1%20adopted.htm)
5. **sb645 hfa statler 3-12 _2 adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2026/RS/floor_amends/sb645%20hfa%20statler%203-12%20_2%20adopted.htm)
6. **sb645 hfa statler am 3-11 _3 adopted adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2026/RS/floor_amends/sb645%20hfa%20statler%20am%203-11%20_3%20adopted%20adopted.htm)
7. **sb645 hfat worrell 3-12 _1 adopted.htm** (committee substitute) — [source](https://www.wvlegislature.gov/legisdocs/chamber/2026/RS/floor_amends/sb645%20hfat%20worrell%203-12%20_1%20adopted.htm)

## Votes

- RECONSIDER H HHR AM #1 — **49–46** (pass) · lower
- PASSAGE — **94–1** (pass) · lower
- PREVIOUS QUESTION — **56–39** (pass) · lower
- TABLE RECONSIDER H HHR AM #1 — **38–57** (fail) · lower
- Passage — **32–0** (pass) · upper

## Sponsors

- Deeds — primary (person)

## Timeline

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

- **2026-01-28** Filed for introduction `filing`
- **2026-01-28** To Health and Human Resources `referral-committee`
- **2026-01-28** Introduced in Senate `introduction`
- **2026-01-28** To Health and Human Resources `referral-committee`
- **2026-02-06** Reported do pass `committee-passage`
- **2026-02-09** On 1st reading
- **2026-02-09** Read 1st time `reading-1`
- **2026-02-10** On 2nd reading
- **2026-02-10** Read 2nd time `reading-2`
- **2026-02-11** On 3rd reading
- **2026-02-11** Read 3rd time `reading-3`
- **2026-02-11** Passed Senate (Roll No. 67) `passage`
- **2026-02-11** Ordered to House
- **2026-02-12** House received Senate message
- **2026-02-12** Introduced in House `introduction`
- **2026-02-12** To Health and Human Resources `referral-committee`
- **2026-02-12** To House Health and Human Resources `referral-committee`
- **2026-02-25** Markup Discussion
- **2026-03-10** With amendment, do pass `committee-passage`
- **2026-03-10** Immediate consideration
- **2026-03-10** Read 1st time `reading-1`
- **2026-03-11** On 2nd reading, Special Calendar
- **2026-03-11** Read 2nd time `reading-2`
- **2026-03-11** Amendment reported by the Clerk
- **2026-03-11** Committee amendment rejected (Voice vote)
- **2026-03-12** On 3rd reading, Special Calendar
- **2026-03-12** Reported by the Clerk
- **2026-03-12** Motion to reconsider
- **2026-03-12** Motion to table motion to reconsider amendment rejected (Roll No. 432)
- **2026-03-12** Motion for previous question adopted (Roll No. 433)
- **2026-03-12** Motion to reconsider amendment (Roll No. 434)
- **2026-03-12** Amendment reported by the Clerk
- **2026-03-12** Amendment adopted (Voice vote)
- **2026-03-12** Amendment adopted (Voice vote)
- **2026-03-12** Amended on 3rd reading
- **2026-03-12** Amendment reported by the Clerk
- **2026-03-12** Amendment adopted (Voice vote)
- **2026-03-12** Amendment reported by the Clerk
- **2026-03-12** Amendment rejected (Voice vote) `amendment-failure`
- **2026-03-12** Read 3rd time `reading-3`
- **2026-03-12** Passed House (Roll No. 435) `passage`
- **2026-03-12** Title amendment adopted (Voice vote)
- **2026-03-12** Communicated to Senate
- **2026-03-13** House Message received
- **2026-03-13** Senate concurred in House amendments and passed bill (Roll No. 601)
- **2026-03-13** Communicated to House
- **2026-03-13** Completed legislative action
- **2026-03-18** To Governor 3/18/2026 `executive-receipt`
- **2026-03-14** To Governor 3/18/2026 - Senate Journal `executive-receipt`
- **2026-04-01** Approved by Governor 4/1/2026 `executive-signature`
- **2026-03-14** Approved by Governor 4/1/2026 - Senate Journal `executive-signature`
- **2026-03-14** Approved by Governor 4/1/2026 - House Journal `executive-signature`
- **2026-06-25** Chapter 57, 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/648f01bc-20f0-4ab0-ac21-4b0008ea568f`. Confidence: reported (aggregated from official West Virginia legislature records).