Relating to a tax on managed care organizations

Updated specific dates in the text from 2026 to 2027 to reflect the correct legislative session year.

Inserted a temporary provision stating that the tax provisions effective before the 2026 amendments will remain in full force until July 1, 2027.

The date for transitioning from the tiered member-month tax method to the gross premium assessment method was changed from July 1, 2026, to July 1, 2027.

New definitions were added for 'taxable health plan' and 'tax year' to clarify the scope of the tax and the fiscal period it covers.

The definition of 'Non-Medicaid enrollee' was updated to explicitly exclude Public Employees Retirement Agency members and Medicare Advantage members.

A new definition for 'Non-Medicaid member months' was added to specify that it excludes persons enrolled in plans issued by the West Virginia Employees Insurance Agency or the Federal Employees Health Benefits Act.

A new definition for 'Gross Premiums' was added to define the total amount of premiums and payments received by the HMO for tax calculation purposes.

New provisions were added regarding the effective date of the tax, requiring federal approval from the Centers for Medicare and Medicaid Services before collection can begin, and establishing conditions under which the tax would be automatically voided.