Prohibiting certain medical exams on anesthetized patients

West Virginia's SB 509 prohibits medical providers from performing pelvic, prostate, rectal, or breast exams on patients who are anesthetized or unconscious, except under four specific circumstances: (1) prior written consent from the patient or their representative, (2) if the exam is part of an ordered surgical procedure with consent, (3) during a medical emergency requiring immediate diagnosis/treatment, or (4) per a court order for evidence collection. The law directly affects healthcare facilities and medical practitioners in West Virginia by establishing clear boundaries for such examinations. Violations are classified as second-degree sexual assault, with penalties including license suspension for at least five years and fines of $1,000-$10,000 deposited into a rape services foundation. The bill takes effect upon passage.