HB 4089 West Virginia House of Delegates · 2026 Regular Session

Preservation of hair during chemotherapy. Also known as the “Jessica Huffman Bill”

HB 4089, known as "Jessica Huffman's Law," requires health insurers in West Virginia to cover scalp cooling systems for patients undergoing cancer chemotherapy starting January 1, 2027. The bill mandates that any insurance policy covering chemotherapy must include coverage for these devices - described as tools to prevent hair loss during treatment - as defined by Medicare and Medicaid. This applies to policies issued or renewed after 2026, with coverage subject to standard deductibles and coinsurance like other medical benefits. The law directly affects cancer patients seeking hair preservation and insurers offering chemotherapy coverage.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House of Delegates Passage
Feb 2026
Senate Passage
Mar 2026
Signed into Law
Jun 2026
Introduced Jan 14, 2026 Signed Jun 29, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Version Enrolled Version · 3 edits · Apr 2, 2026
MINOR
The bill transitioned from an Engrossed version to the final Enrolled version, adding official certification signatures from legislative clerks and the Governor. The text of the law itself, which mandates insurance coverage for scalp cooling systems to prevent hair loss during chemotherapy, remains substantively unchanged.
TECHNICAL

Added formal certification blocks for the Clerks of the House and Senate, the Speaker of the House, the President of the Senate, and the Governor, confirming the bill's final passage and enrollment.

TIMELINE

Updated the legislative status header from 'ENGROSSED' to 'ENROLLED' and changed the effective date notice to specify the bill takes effect 90 days from passage (June 8, 2026).

REQUIREMENT

Changed the preamble title from 'A BILL' to 'AN ACT', which is the standard format for a bill that has been fully enacted into law.

Floor votes · Senate Mar 10, 2026 · House of Delegates Feb 11, 2026

How they voted

321
Passed
Total votes 33
Mar 10, 2026
D Democratic2
2 Yea
100% Yea
R Republican31
30 Yea 1 Nay
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
38
Key actions
5
Committee
10
Mar 10, 2026
Upper · Passed
Passed Senate (Roll No. 393)
upper
Mar 4, 2026
Upper · Passed
Reported do pass
upper
Feb 26, 2026
Committee
To Finance
upper
Feb 26, 2026
Upper · Passed
Reported do pass, but first to Finance
upper
Feb 12, 2026
Committee
To Health and Human Resources
upper
Feb 12, 2026
Committee
To Health and Human Resources then Finance
upper
Feb 12, 2026
Introduced
Introduced in Senate
upper
Feb 11, 2026
Lower · Passed
Passed House (Roll No. 73)
lower
Feb 6, 2026
Lower · Passed
Do pass
lower
Feb 4, 2026
Committee
To House Finance
lower
Jan 29, 2026
Committee
To House Banking and Insurance
lower
Jan 14, 2026
Committee
To House Finance
lower
Jan 14, 2026
Introduced
Introduced in House
lower
Jan 14, 2026
Committee
To Finance
lower
1 primary · 7 co-sponsors

Sponsors