2026 Regular Session

SB 231

Relating to value-based payment requirements

Law

Jurisdiction

West Virginia

Session

2026 Regular Session

Official source

Chamber

Senate

Session

2026 Regular Session

Jurisdiction

West Virginia

Bill overview

This bill aims to restructure West Virginia’s addiction care system by shifting from a traditional fee-for-service model to a value-based payment system. It establishes definitions for key terms like ‘continuum of care’ and ‘value-based payment,’ and outlines specific measures to track recovery outcomes, such as housing stability, sobriety, and criminal justice involvement. The bill directs the Bureau for Medical Services to develop outcome-based performance measures and implement a value-based payment model, with the goal of improving long-term recovery results for individuals with substance use disorders.

Key provisions

Establishes a ‘continuum of care’ for addiction treatment, including prevention, treatment, recovery support, and housing.
Defines ‘value-based payment’ as a model that rewards providers for achieving specific outcomes.
Requires the Bureau for Medical Services to develop outcome-based performance measures for different levels of care.
Sets timelines for establishing standard billing codes, collecting data, and implementing the value-based payment model.
Identifies specific metrics for measuring recovery success, including housing stability, sobriety, and reduced criminal justice involvement.
Mandates reporting of substance use disorder utilization trends and costs to the Legislative Oversight Commission.
Authorizes the Bureau for Medical Services to seek CMS authority for payment and coverage changes.
Allows for penalties for providers who fail to meet established outcome measures.

Who is affected

Positions across the state

No public positions recorded for this legislation.

Arguments in favor

Reasons to support this legislation.

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Arguments opposed

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Legislative history

2026-01-14Senate

Filed for introduction

2026-01-14Senate

To Health and Human Resources then Finance

2026-01-14Senate

Introduced in Senate

2026-01-14Senate

To Health and Human Resources

Passage without roll call

The official record shows passage by unanimous consent or voice vote where no roll call was taken. No member-level tally is available for these steps, and the district map does not apply.

3/12/2026HouseVoice vote
Committee amendment adopted (Voice vote)
No roll-call vote on record for this action.

Vote map

House districts

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Nay

Yea

Floor votes and chamber actions

Recorded roll calls list how each member voted. Unanimous consent or voice vote appears in the official action history without a roll call; no member-level tally is available for those steps.

Passage without roll call

3/12/2026HouseVoice vote
Committee amendment adopted (Voice vote)
No roll-call vote on record for this action.

Recorded roll calls

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SB 231

Bill overview

Key provisions

Who is affected

Sponsors

Primary sponsor

Cosponsors

Positions across the state

Arguments in favor

Arguments opposed

Passage without roll call

Vote map

Floor votes and chamber actions

Passage without roll call

Recorded roll calls

Bill text

Notable changes

Fiscal impact

Positions across the state

Passage without roll call

Vote map

Floor votes and chamber actions

Passage without roll call

Recorded roll calls