HB 4869 West Virginia House of Delegates · 2026 Regular Session

Establish narrow, clearly bounded guaranteed-issue rights for Medicare Supplement policies in West Virginia.

HB 4869 creates two guaranteed periods for West Virginia seniors to purchase Medicare Supplement (Medigap) policies without medical underwriting or pre-existing condition exclusions. It provides a 60-day window annually around each individual’s birthday for current policyholders to switch to a policy with the same or fewer benefits, and a 63-day window starting the day after Medicaid eligibility ends for those turning 65 or losing Medicaid. Insurers must offer coverage during these periods but are not required to provide new policies or alter existing benefit structures. The bill also mandates annual reports on Medigap premium trends for legislative review but does not change Medicare Advantage plans or require insurers to offer specific rates.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

House of Delegates Passage

Mar 2026

Senate Passage

Mar 2026

Signed into Law

Jun 2026

Introduced Jan 28, 2026 Signed Jun 29, 2026

Maddy AI version diff · 3 comparisons

What changed between versions

Committee Substitute → Engrossed Committee Substitute · 4 edits · Mar 13, 2026

MODERATE

The bill text was updated to reflect its progression from a Committee Substitute to an Engrossed version, incorporating the final list of sponsoring delegates and confirming its status as the current legislative text. No substantive policy changes, such as new definitions, funding amounts, or eligibility criteria, were identified in the provided text.

TECHNICAL

Added 'Engrossed Version' to the list of available bill versions and updated the sponsor list to include all current delegates.

Removed the 'Committee Substitute' label and the 'Enrolled Version' link from the version history section.

Inserted a blank line after the bill's purpose statement.

Deleted a blank line between the applicability section and the bill status links.

Floor votes · Senate Mar 13, 2026 · House of Delegates Mar 3, 2026

How they voted

33–0

Passed

Total votes 33

Mar 13, 2026

D Democratic2

2 Yea

100% Yea

R Republican31

31 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 30, 2026

Signed into law

Approved by Governor 3/27/2026

lower

Mar 14, 2026

Signed into law

Approved by Governor 3/27/2026 - Senate Journal

upper

Mar 14, 2026

Signed into law

Approved by Governor 3/27/2026 - House Journal

lower

Mar 13, 2026

Upper · Passed

Passed Senate (Roll No. 550)

upper

Mar 11, 2026

Upper · Passed

Reported do pass

upper

Mar 4, 2026

Committee

To Banking and Insurance

upper

Mar 4, 2026

Introduced

Introduced in Senate

upper

Mar 3, 2026

Lower · Passed

Passed House (Roll No. 261)

lower

Feb 26, 2026

Lower · Passed

By substitute, do pass

lower

Feb 24, 2026

Committee

To House Finance

lower

Feb 9, 2026

Committee

To House Banking and Insurance

lower

Jan 28, 2026

Committee

To House Finance

lower

Jan 28, 2026

Introduced

Introduced in House

lower

Jan 28, 2026

Committee

To Finance

lower

1 primary · 10 co-sponsors