Prioritizing medical services for Medicaid beneficiaries in WV be delivered within state

Senate Bill 130 requires West Virginia's Bureau for Medical Services to create policies prioritizing in-state medical care for Medicaid beneficiaries, including hospital services. This applies to all Medicaid recipients covered under fee-for-service and managed care plans, with exceptions for cases where necessary services aren't available or reasonably accessible within West Virginia. The Bureau must implement these policies by July 1, 2026, and submit progress reports to the legislature by December 2025 and a final effectiveness report by July 2026. The bill directly affects Medicaid beneficiaries and the state's healthcare delivery system by shifting focus toward in-state service provision.