HB 2174 West Virginia House of Delegates · 2025 Regular Session

Relating to the licensure of birthing centers

HB 2174 establishes a licensing system for birthing centers in West Virginia, requiring all facilities providing midwifery-based care for low-risk births to obtain a license from the Office of Health Facility Licensure and Certification. The bill defines key terms (like "birthing center," "administrator," and "governing body"), sets minimum safety and operational standards, and specifies required services (e.g., midwifery care, newborn care) while prohibiting certain services. It outlines application procedures, license fees, inspection protocols, and enforcement measures - including civil penalties for non-compliance - and allows for variances or waivers under specific conditions. This legislation directly affects birthing centers, their operators, and the state agency responsible for oversight, ensuring facilities meet consistent patient safety and care standards.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 12, 2025 Last action Feb 19, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Version Committee Substitute · 6 edits
MODERATE
The bill was significantly rewritten from a midwifery-focused birthing center licensing framework to a much more permissive, deregulatory approach. The original version established strict oversight by the Office of Health Facility Licensure and Certification with detailed standards, while the substitute version removes most regulatory requirements and defines birthing centers as facilities not subject to licensure at all.
Scope change
The bill's scope changed from creating a new licensing regime for birthing centers to explicitly exempting them from licensure requirements entirely
REQUIREMENT

Removed detailed definitions of administrator, governing body, and other operational requirements that were in the original version

ELIGIBILITY

Added explicit exemption stating birthing centers are not subject to licensure requirements of the Office of Health Facility Licensure and Certification

DEFINITION

Changed the definition of birthing center from a facility providing midwifery care to a general building or house organized to support birthing services

ENFORCEMENT

Removed provisions for inspections, variances, waivers, and detailed enforcement procedures that were in the original version

TIMELINE

Added a July 1, 2025 effective date for the new definition, with grandfathering for existing facilities

FISCAL

Reduced application fee from unspecified amount to exactly $10 in the substitute version

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
7
Key actions
0
Committee
4
Feb 19, 2025
Committee
To House Health and Human Resources
lower
Feb 14, 2025
Committee
To House Health Care Regulations
lower
Feb 12, 2025
Committee
To House Health and Human Resources
lower
Feb 12, 2025
Introduced
Introduced in House
lower
Feb 12, 2025
Committee
To Health and Human Resources
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Evan Worrell
Evan Worrell
RRepublican
WV
23