The Legislative Oversight Committee on Health and Human Resources Accountability met this morning.

The committee first heard from the Commissioner of the Bureau of Behavioral Health about certified community behavioral health clinics. There are 495 CCBHCs in 46 states. West Virginia has six CCBHCs in several locations: Parkersburg, Morgantown, Summersville, Beckley, Princeton, and Huntington. Last year, 23,084 individuals were interviewed at these clinics. With these clinics, there has been a 37 percent decrease in ER visits for mental health and a 72 percent decrease in time spent in hospitals for mental health. Patients in the clinics have seen an increase in employment and education, as well as a reduction in substance use.

The Secretary of Human Services provided information about changes made to payments and the PATH system. He stated the changes were made due to a lack of oversight. The PATH system is contracted with Optum for its ninth year. Technology is a major issue with changing the system, as part of it is modern technology, but several programs remain on the mainframe. An effective integration has not been identified.

The Secretary of Health Facilities provided an update on the state-operated hospitals, including Welch, Bateman, and Sharpe.

The Select Committee on Veterans’ Affairs met this evening and heard a presentation on Veteran benefits in West Virginia. Approximately 30% of all veterans receive some form of disability compensation monthly, which is when the VA provides a tax-free benefit designed to compensate veterans with injuries that are service-connected, and that number rises to 40% for post-9/11 GWOT veterans.  Veterans are assigned a rating that determines the amount of money they will receive monthly. Veterans’ ratings at a 10% receive roughly $170, and 100% ratings receive roughly $4,000 a month. Over 9,000 veterans in West Virginia have 100% ratings, bringing in over $400 million a year in the state. Honorable discharge is not needed to receive the disability benefit. It has implications for access to healthcare and education for veterans and their families, who rate at 100%. The entirety of tuition at WVU would be covered for veterans rated at 100%. Benefits can be applied for on paper or online; legal assistance is not required.

The presenter stated that the main shortfalls for WV veterans are:

• Access to paperwork
• Access to reliable internet
• Access to medical records
• Inability to reach someone on the phone
• Access to knowledge and a lack of education from the VA on navigating their system
• Compensation and Pension examinations are hours away, scheduled on short notice.
• Erroneous materials coming out of VA

The presenter also states that unlawful companies are charging veterans thousands of dollars illegally for “consulting” services and advisory services on claims. The presenter displayed letters that the VA OGC sent outlining illegal practices. Presently, Texas, North Carolina, Maine, New Jersey, and various other states are pursuing lawsuits against companies.

The presenter states that the legislature could help by passing a bill that creates a cause of action for consumer protection against those not in compliance with federal law.

Previous bills, known as the Plus Act and the GUARD Act, were introduced in prior sessions but not passed. The presenter states that all anyone needs to do is comply with the existing law.

The Joint Standing Committee on Education met this afternoon to hear updates from West Virginia educational organizations.

To start the meeting, Monica Beane, head of educational partnerships for ETS, and Lisa Colon-Durham, director of educational partnerships for ETS, spoke about the nonprofit and provided information on new routes for educators to take the PRAXIS exam. These routes include programs such as Free After Three, Praxis Bridge, and Praxis Steps.

The ETS’ Free After Three program allows candidates to retake the Praxis exam free of charge after their third failed attempt. Colon-Durham said this reflects the program’s commitment to future educators who demonstrate resilience and to alleviating financial barriers for aspiring educators. Praxis Bridge offers candidates who scored within one point of the standard error of measurement an alternative to the exam. Candidates who are eligible for Praxis Bridge can instead opt for a professional module that covers the content, provides study materials, and assesses their understanding.

Praxis Bridge was officially deployed in February of 2025 for elementary education, but West Virginia piloted the program in November of 2024. Following elementary education, Praxis Bridge launched in multiple subjects over the course of 2025.

In addition to these programs, ETS will be introducing Praxis Steps with the new Elementary Education Fundamentals Test in the spring of this year. Praxis Steps allows for educators to have flexibility, targeted retakes, and provides more ways for educators to succeed.

The next presentation was given by the June Harless Center at Marshall University, featuring Tarabeth Heineman, executive director; Maggie Luma, chief of staff; and Kelly D. Bradley, dean of the College of Education and Professional Development.

Luma presented a sample of programs that the June Harless Center provides to the state. The Harless Center received this year $100,000 to support early childhood language. The Harless Center has also taken over the Dolly Parton Imagination Library in West Virginia.

In West Virginia, 56% of eligible children are enrolled in the program. Luma said this equates to 49,000 children in West Virginia.

Since 2019, 3,672,299 books have been delivered to children in the state.

According to Heineman, the Center came not only to present their programs, but also to share the impact of funding cuts from previous years.

In 2008, the state funding for the June Harless Center was established at $300,000. In 2014, the funding amount was cut to $274,889. In 2025, the state funding for the Center was zeroed out.

Heineman said that with this most recent funding cut, the Center’s educator reach has dropped by 62% for their STEAM team.

Following the June Harless Center presentation, the Mountaineer Mathematics Master Teachers organization (M3T) presented its goals and its past and current reach. This information was presented by Joanna Burt-Kinderman.

From 2020 to 2026, the M3T Network had 42 leaders across 29 districts, and teachers participating from 37 districts. The network also included upwards of 300 teachers in local improvement teams and served over 30,000 students.

The M3T is looking towards the future with goals of increasing teacher retention, supporting teachers across district lines, promoting teacher agency, and sustaining investment in WV.

Next, the West Virginia Public Education Commission shared programs like STEAM TAC, Sparking Early Literacy, and Teachers’ Ascend. The WVPEC was represented by Donna Peduto, executive director, and Canyon Lohnas, program specialist.

STEAM TAC is a program that offers classroom visits and professional learning opportunities, enhances STEAM learning through hands-on immersions led by STEAM specialists, and, since the beginning of the program, has reached 63,000 students and 900 teachers in all 55 counties.

Lohnas said with their newest program, Teachers’ Ascend, they aim to alleviate the teacher shortage in West Virginia. During the 2024-2026 Pilot Program, 11 new teachers began working in West Virginia.

Lohnas said outside of alleviating the teacher shortage, the WVPEC is looking forward to exploring sustainable funding models, expanding to high shortage areas, and advocating for systems-level changes.

Sparking Early Literacy funds projects in school readiness; each project in phase 3 demonstrated success and has secured funding for continuation. Over the course of the program, 27 unique projects have impacted 5000 students across 24 counties and have brought a $1.3 million investment to West Virginia.

The Joint Standing Committee on the Judiciary met this morning to discuss nuclear power in West Virginia.

First, the committee heard from Nicholas Preservati, director, West Virginia Office of Energy; secretary, West Virginia Department of Commerce; and chairman, West Virginia Public Energy Authority. Preservati addressed the “50 by 50” plan introduced by Governor Patrick Morrisey. This plan focuses on baseload generation in the state, including coal, gas, and nuclear energy.

Preservati said that over the past months, a working team has been assembled for nuclear energy, including industry experts, utility workers, members of the Public Service Commission, trade associations, federal labs from the United States Department of Energy, and members of the legislature.

Furthermore, Preservati said, amidst challenges such as nuclear construction being capital-intensive, supply chain constraints, advanced reactors not yet proven at commercial scale, timeframes, and community engagement, there are positives.

“For a 500-megawatt plant, it creates 4,500 construction jobs and 600 full-time positions,” Preservati said. “To maximize economic development, West Virginia should be deliberately seeking to be easy to do business with. That’s the focus.”

Following Preservati, Charlotte Lane, chairman of the Public Service Commission, said the commission was excited about the opportunity to have nuclear energy in West Virginia.

“As I have told many of you in the past, one of our number one priorities at the Public Service Commission is to keep the lights on in West Virginia,” Lane said.

Lane said the processes are in place in West Virginia to take on a nuclear project and to continue using baseload generation.

Scott Driver, acting general counsel for the West Virginia Department of Environmental Protection, said the state currently lacks a regulatory framework for nuclear power. Driver said the primary authority for regulating nuclear materials, reactor licensing, and radiological safety is exercised by the federal government and the Nuclear Regulatory Commission.

Finally, Toney Stroud, chief legal officer and vice-president of strategic initiatives and corporate relations for Marshall University, said that for West Virginia to move forward with nuclear energy, it must consider the workforce.

Stroud said that a five-state study conducted by the E4 Carolinas found an economic impact relevant to West Virginia.

“It accounts for 154,962 jobs. That’s a tremendous number of jobs. That is direct, indirect, and induced. Direct jobs alone in the five-state region in nuclear energy account for 54,692 jobs,” Stroud said. “It’s just under 90,000 dollars a year is the average wage for those jobs, which is 65.5% higher than the average of other industries in that five-state region.”

According to E4 Carolinas, “The region hosts 25 of the 93 operational nuclear reactors in the U.S. and 13 of the 55 operating nuclear power plants. The 26,287 MW of generation capacity located in Virginia, North Carolina, South Carolina, Tennessee, and Georgia, makes up 37% of utility-scale net electricity generation in the region compared with 19% in the U.S. overall.”

Stroud said the nuclear industry has a significant impact, but West Virginia needs a workforce ready for nuclear.

The Joint Committee on Agriculture and Rural Development met this morning to hear an informative presentation on FARMacy WV: Prescription for Produce. FARMacy WV is a health initiative in West Virginia that prescribes local fruits and vegetables to patients with chronic diseases, typically diabetes, who meet the Federal Poverty Guidelines. FARMacy incorporates basic nutrition and culinary skills education, patient-provider relationships, health metric collection, and locally grown produce to improve patients’ overall well-being.

“This program is not a food handout; this is an intervention for healthcare improvement, the provider emphasizes that this is equal to taking their diabetes medication,” Amanda Cummins PA-C, cofounder of FARMacy WV, said.

A paper prescription of fresh produce is provided to patients weekly to reinforce the concept that healthy food is medicine. The program provides pre-arranged shopping for patients where they are required to take the fruits and vegetables based on the value of food assigned by farmers. The shopping space is set up as a farmers’ market to reinforce autonomy of choice. After collecting the produce, patients then move to an educational area to learn about, prepare, and taste the food.

Patients’ HbA1c, lipid panels, weight, and waist circumference are tracked pre- and post-program. Patient’s blood pressure is taken intermittently throughout the program as well. There are also pre- and post-surveys administered to patients, assessing changes in knowledge, attitudes, skills, and behaviors. Data received from all sites is entered into the HIPAA-compliant database for analysis, and the end-of-program reports are provided to individual sites.

FARMacy WV data show that 100% of patients strongly agreed or agreed that they benefited from the program. Biometric results indicate an 8-point reduction in total cholesterol, overall healthcare cost savings, and an HbA1C reduction of 0.4 to 0.9 in 15 weeks; 55% of participants achieved 5-10% weight loss in 15 weeks. Data also showed that patients felt more knowledgeable about health conditions at the end of the program.

The committee also heard a presentation on Food is Medicine (FIM) and the WV Grown program. The WV Grown program focuses on promoting local foods and connecting local producers with a market. WV Grown products keep state dollars in the state, with every dollar going back into the farmers’ hands that produced the product when sold.  When buying food from chain stores such as Walmart, 14.9 cents of every dollar goes back to the farmer.

“Our branding of the products ensures familiarity and inspires consumer confidence in anything that someone might grow,” Amie Minor, Deputy Commissioner of the West Virginia Department of Agriculture (WVDA), said.”

WV Grown partnered with Food is Medicine to build new partnerships and advocate for local foods in diets, and combined with other programs such as FARMacy.

Presenters stated that the WV Grown program needs legislative support to continue, advance integrating food into medicine within the state, and align agriculture, health care, and economic development within the program.

The Joint Committee on Health met this afternoon to hear a presentation on pregnancy resource centers in the state. The executive director of the Pregnancy Center Coalition stated that the WV Mothers and Babies Support Program is growing and has helped over 21,345 women in its second year. Over 200 services are provided to women and babies, including ultrasounds, diagnostics, STD testing, CPR classes, baby items, and supplies. Mini grants are used to provide technology and maternity homes.

All help provided by the organization is free of charge to the mothers. The center in Morgantown was the best center this year. The mobile care unit in Parkersburg served mothers with ultrasounds and STD testing. According to the executive director, the program has experienced incredible growth in its first two years. Several new centers are expected to open next year. The program’s budget grew to $3.3 million in its second year. For the upcoming year, the program is requesting an additional $2 million.

The Joint Committee on Finance met this morning.

The committee first heard from the Department of Revenue about the current FY26 budget. In the first six months, $2.74 billion in revenue has been collected, with the largest collections being personal income taxes and consumer sales taxes. As of December, the revenue is $1.2 million above the estimate. Personal income tax revenue is $1.07 billion, and $ 9.7 million in sales tax has been collected. December was a good month for corporate income taxes, with total income tax payments of $155.2 million. State road collections are $158.2 million, with $43.6 million from the motor fuel tax. The sales tax on motor vehicles is $26.7 million. The total road fund is $1.04 billion.

Next, the committee heard about ideas for WV’s Medicaid Program. The West Virginia Association of Health Plans released a white paper in November 2025 evaluating the program with a focus on price, process, and policy. The issues outlined included duplicative vendor contracts and fragmented administration, outdated reimbursement methods, rising behavioral health costs, and limited data.

Five policy proposals were provided to the committee. First, transitioning long-term services and support to manage care. According to the presenter, the benefits include integrated care for dual-eligible (Medicaid and Medicare) patients, reinvesting savings into home and community support, and incentivizing quality-based provider payments. The second proposal is to establish a statewide telehealth access framework. The third proposal is to reform Medicaid pricing and payment methods, as they are currently fragmented and inconsistent. Proposal four is to reform the CCBHB reimbursement, as the current model has seen a $1.24 million-per-month increase. The fifth proposal is a commission or independent review of state pharmacy benefits.

These proposals aim to optimize services and reduce budgetary strain. Additionally, the goal is to promote transparency. According to the presenter, the modernization of Medicaid would be grounded in collaboration, evidence, and fiscal responsibility.

The final presenter from the West Virginia Health Care Association stated that managed care is not the best option for long-term care and that reliance on MCOs should be re-examined. The state has implemented a new Medicaid reimbursement payment model for long-term care, which began in October 2024. This patient-driven payment model aligns with the patient and services. This model has cut provider rates and shifted the business model. The presenter mentioned that the state has a program that uses Medicaid to allow nursing home residents to pay for home care services. It’s called Take Me Home WV.

The Joint Committee on Health met this afternoon.

First, the committee heard about hospital transparency, facility fees, and rates. U.S. health care spending is $4.9 trillion, or about $14,570 per person. The cost is due to high service prices, not high utilization. Commercial insurance has seen the largest increase in cost. Health system concentration, hospitals acquiring physician offices, is linked to increased prices.

The federal government requires price transparency for standard charges for items and services, such as gross charges, discounted rates, payer-specific rates, and de-identified minimum and maximum negotiated charges. Additionally, shoppable services should be available in plain language descriptions for health care consumers.

States have also implemented transparency measures, including enforcing federal requirements and requiring additional documentation from health care entities. States have also required transparency measures for facility fees, including patient disclosure, signage requirements, and limiting or banning facility fees for certain services. Other states have required transparency for consolidation and competition. Right-to-shop programs provide consumers with transparency.

The committee received an update on the West Virginia Center for Laboratory Sciences. Completion is expected in August 2028.

The committee heard about “Food is Medicine” in West Virginia. FARMacyWV presented on its program, which provides nutrition education and food prescriptions to help prevent, manage, and treat chronic disease. Poverty and food insecurity are linked to chronic diseases. Of the $4.9 trillion in U.S. health care costs, 90 percent is spent on chronic disease. West Virginia has a higher mortality rate than the national average, and 44 of the 55 counties have food deserts.

FARMacyWV provides $25 of fresh produce to patients in the program for 9 weeks. Additionally, they provide basic nutrition education and culinary skills. There is a patient-provider relationship with an actual prescription provided. Lab work is done to test various data on chronic diseases. FARMacy is funded through grants and has seen success through reductions in HbA1c, health care savings, lower cholesterol, weight loss, and patients feeling better overall, with a better understanding of their diseases and the food they consume.

West Virginia Food Is Medicine Coalition is working to increase visibility of the programs and highlight participant stories. The coalition has several partners, including FamilyCare health centers, WVU Medicine, WVU Extension, FARMacy, Facing Hunger Foodbank, Mountaineer Foodbank, and others.

When the coalition began, it was discovered that there were several Food Is Medicine sites throughout the state, with every county having at least one site from various organizations. Most of the produce comes from local farmers. The farmers have gained income from collaborating with Food Is Medicine.

Food Is Medicine aligns with national and state priorities. Policy changes are needed to continue Food Is Medicine programs. Two pathways are managed care contracts and managed care flexibilities. Legislative help could be used to create pilot programs in targeted regions for specific populations, or to establish a workgroup with Food Is Medicine.