To create the West Virginia Timely Transplant Referral and Coordination Act
HB 5563 requires licensed healthcare providers in West Virginia to refer patients meeting organ transplant criteria to a transplant center within three calendar days of documenting that need in the medical record. It exempts referrals only when a specific medical contraindication is documented. The Department of Health must collect and report annual data on referral timelines, including average wait times, compliance rates, and rural disparities. This law directly affects hospitals, transplant centers, and patients awaiting organ transplants by standardizing referral processes. The bill does not alter federal organ allocation policies or clinical eligibility standards.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House of Delegates Passage
Mar 2026
Senate Passage
Governor
Introduced Feb 16, 2026
Last action Mar 5, 2026
Maddy AI version diff · 3 comparisons
What changed between versions
Engrossed Committee Substitute
→
hb5563 hfa burkhammer 3-3 _1 adopted.htm
·
3 edits
MINOR
The bill text was replaced with a record of a procedural amendment rather than the full legislation. A specific change was proposed to shorten the mandatory transplant referral timeline from 'thirty-day' to 'three day' after a patient meets medical criteria. The original bill text, which included requirements for data collection and reporting, was removed.
Scope change
The document no longer contains the full scope of the original bill; it now reflects a specific amendment to the referral timeline.
TIMELINE
The proposed amendment changes the required time to refer a patient for a transplant from thirty days to three days.
REQUIREMENT
The full text of the bill, including specific data collection mandates and reporting requirements, was removed and replaced with amendment notes.
PROCEDURAL
A record of a motion by Delegate Burkhammer and Worrell to amend the bill was added.
Floor votes · House of Delegates Mar 4, 2026
How they voted
86–1
Passed · 12 other
Total votes 99
Mar 4, 2026
D
Democratic9
88% Yea
R
Republican90
86% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
19
Key actions
3
Committee
5
Amendments
1
Mar 5, 2026
Committee
To Health and Human Resources
upper
Mar 5, 2026
Committee
To Health and Human Resources then Judiciary
upper
Mar 5, 2026
Introduced
Introduced in Senate
upper
Mar 4, 2026
Lower · Passed
Passed House (Roll No. 331)
lower
Mar 3, 2026
Lower · Passed
Amendment adopted (Voice vote)
lower
Mar 3, 2026
Introduced
Amendment reported by the Clerk
lower
Feb 27, 2026
Lower · Passed
By substitute, do pass
lower
Feb 16, 2026
Committee
To House Health and Human Resources
lower
Feb 16, 2026
Introduced
Introduced in House
lower
Feb 16, 2026
Committee
To Health and Human Resources
lower
1 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Josh Holstein
RRepublican
Co
Gary Howell
RRepublican
Co
Scot Heckert
RRepublican
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