SB 650 West Virginia Senate · 2026 Regular Session

Designating psychiatric hospital that treats exclusively civil and forensic patients

SB 650 amends West Virginia law to define a psychiatric hospital treating exclusively civil and forensic patients (with over 95% of its inpatient census being court-ordered forensic or civil involuntary commitments from state custody) as a "state-designated facility" for tax purposes. This change excludes such hospitals from the category of "eligible acute care hospitals" subject to a 0.75% tax on gross receipts, exempting them from this tax. The bill directly affects psychiatric hospitals in West Virginia meeting this specific patient mix requirement by altering their tax classification under the Medicaid funding structure.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
Senate Passage
Mar 2026
House of Delegates Passage
Mar 2026
Signed into Law
Jun 2026
Introduced Jan 28, 2026 Signed Jun 25, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Committee Substitute Enrolled Committee Substitute · 3 edits · Apr 2, 2026
MINOR
This bill was finalized and enrolled for passage, updating the authorship to include two senators and confirming its effective date as the date of passage. The text includes minor technical corrections to section references and formatting, such as removing a redundant section number and adding a hyphen to a federal regulation citation.
Scope change
The bill's substantive scope regarding tax rates, hospital eligibility, and fund usage remains unchanged from the committee substitute version.
ENFORCEMENT

Updated the bill's authorship to include Senators Queen and Takubo and changed the effective date to the date of passage.

TECHNICAL

Corrected a section reference in the list of excluded facilities from '§16-5B-14' to '§16B-3-14' and added a hyphen to 'CMS-approved methodology'.

Added standard enrolled bill certification text, signatures for legislative officers, and the Governor's signature line.

Floor votes · Senate Mar 4, 2026 · House of Delegates Mar 9, 2026

How they voted

320
Passed · 1 other
Total votes 33
Mar 4, 2026
D Democratic2
2 Yea
100% Yea
R Republican31
30 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
37
Key actions
3
Committee
7
Mar 9, 2026
Lower · Passed
Passed House (Roll No. 365)
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. 336)
upper
Feb 27, 2026
Upper · Passed
Reported do pass
upper
Feb 13, 2026
Committee
To Finance
upper
Feb 13, 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 · 2 co-sponsors

Sponsors