SB 649 West Virginia Senate · 2026 Regular Session

Requiring coverage of home blood pressure monitoring devices for certain Medicaid recipients

SB 649 requires West Virginia Medicaid to cover home blood pressure monitoring devices for specific enrollees: pregnant individuals or those within 12 months postpartum who have been diagnosed with uncontrolled hypertension. The bill mandates that covered devices must be validated by the U.S. Blood Pressure Validated Listing and includes coverage for an extra blood pressure cuff. Medicaid providers must also receive reimbursement for related services, such as patient training, interpreting readings, and delivering co-interventions. This policy directly affects Medicaid recipients with hypertension during pregnancy or postpartum, expanding access to essential monitoring tools.
Bill status vetoed 4 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
Senate Passage
Mar 2026
House of Delegates Passage
Mar 2026
Vetoed
Apr 2026
Introduced Jan 28, 2026 Vetoed Apr 1, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Committee Substitute Enrolled Committee Substitute · 3 edits
MINOR
The bill was finalized and enrolled for passage, changing its status from a committee draft to an official legislative act. The text was reformatted to remove internal markup and add standard enrollment signatures and dates. The core policy regarding Medicaid coverage for blood pressure devices remains unchanged, though the effective date is now set for 90 days after passage in June 2026.
Scope change
The bill's scope and applicability remain unchanged; only the document status and formatting were altered.
TIMELINE

The report date was removed and replaced with a new effective date of 90 days from passage (June 10, 2026).

TECHNICAL

Internal draft markers and committee notes were removed, and standard enrollment certification signatures were added.

The bill title was changed from 'A BILL' to 'AN ACT' to reflect its final enrolled status.

Floor votes · Senate Mar 4, 2026 · House of Delegates Mar 12, 2026

How they voted

293
Passed · 1 other
Total votes 33
Mar 4, 2026
D Democratic2
2 Yea
100% Yea
R Republican31
27 Yea 3 Nay 1
87% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
35
Key actions
4
Committee
8
Apr 1, 2026
Vetoed
Vetoed by Governor 4/1/2026
upper
Mar 14, 2026
Vetoed
Vetoed by Governor 4/1/2026 - House Journal
lower
Mar 14, 2026
Vetoed
Vetoed by Governor 4/1/2026 - Senate Journal
upper
Mar 12, 2026
Lower · Passed
Passed House (Roll No. 436)
lower
Mar 10, 2026
Lower · Passed
Do pass
lower
Mar 5, 2026
Committee
To House Finance
lower
Mar 5, 2026
Committee
To Finance
lower
Mar 5, 2026
Introduced
Introduced in House
lower
Mar 4, 2026
Upper · Passed
Passed Senate (Roll No. 335)
upper
Mar 2, 2026
Upper · Passed
Reported do pass
upper
Feb 11, 2026
Committee
To Finance
upper
Feb 11, 2026
Committee
Committee substitute reported, but first to Finance
upper
Jan 28, 2026
Committee
To Health and Human Resources
upper
Jan 28, 2026
Introduced
Introduced in Senate
upper
Jan 28, 2026
Committee
To Health and Human Resources then Finance
upper
1 primary · 3 co-sponsors

Sponsors