SB 151 West Virginia Senate · 2026 Regular Session

Exempting life insurance cash value from Medicaid eligibility calculations

SB 151 exempts the first $25,000 of cash value in a life insurance policy from Medicaid eligibility calculations in West Virginia. This directly affects individuals applying for Medicaid who hold life insurance policies with accumulated cash value. The bill changes how Medicaid assesses assets by excluding this specific amount, rather than counting it toward the applicant's total resources. This policy adjustment aims to prevent applicants from losing Medicaid eligibility due to modest life insurance savings.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 14, 2026 Last action Feb 26, 2026
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What changed between versions

Introduced Version Committee Substitute · 4 edits
MODERATE
The bill was significantly rewritten from a procedural amendment to an existing Medicaid section into a standalone new section. The primary change is the shift in legal authority: the original version exempted life insurance cash value from the 'Assignment of Rights' (subrogation) rules, whereas the new version creates a specific eligibility rule that exempts the first $25,000 of life insurance cash value from Medicaid eligibility calculations entirely. This change clarifies that the exemption applies to determining if a person qualifies for Medicaid, rather than just protecting the money from being claimed back after the fact.
Scope change
The bill's scope expanded from a procedural amendment to an existing subrogation statute to a substantive new eligibility provision within a different Article of the Code, changing the legal mechanism from protecting assets from recovery to defining asset eligibility.
SCOPE

Added a new standalone section (§9-3-7) regarding Medicaid eligibility calculations, replacing the amendment to the existing subrogation section (§9-5-11).

ELIGIBILITY

Changed the legal effect of the $25,000 exemption from protecting life insurance cash value from subrogation claims to exempting it from Medicaid eligibility calculations.

REQUIREMENT

Removed detailed procedural requirements regarding notice of claims, civil actions, and settlement allocations that were part of the original subrogation statute.

DEFINITION

Replaced the comprehensive definitions and assignment of rights framework with a simple, direct statement of the exemption rule.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
10
Key actions
0
Committee
5
Feb 26, 2026
Committee
On 2nd reading, rereferred to Health and Human Resources
upper
Jan 22, 2026
Committee
To Health and Human Resources
upper
Jan 22, 2026
Committee
Committee substitute reported, but first to Health and Human Resources
upper
Jan 14, 2026
Committee
To Banking and Insurance
upper
Jan 14, 2026
Introduced
Introduced in Senate
upper
Jan 14, 2026
Committee
To Banking and Insurance then Health and Human Resources
upper
1 primary · 5 co-sponsors

Sponsors