Public Comments
- No public-health evidence supports restricting medical services based on nearby health care facilities. Health systems routinely colocate complementary services to improve continuity of care. Proximity alone is not a recognized risk factor for patient harm, diversion, or crime when facilities are properly licensed and regulated.
- Local approval requirements function as indirect barriers to care. Allowing county commissions or municipalities to approve or deny medical facilities substitutes political judgment for medical and regulatory standards. This creates inconsistent access across counties and disproportionately affects rural and low-income patients.
- The bill recreates de facto Certificate-of-Need style barriers. Even where formal CON laws have been reduced, HB 5035 imposes location and approval hurdles that restrict market entry, reduce competition, and limit patient choice—outcomes historically associated with higher costs and reduced access.
- Restrictions conflict with accepted principles of addiction treatment. Separating MAT services from other health care providers disrupts integrated care, increases transportation burdens, and is associated with higher missed-appointment and relapse risk.
- Public safety goals can be achieved through enforcement, not access denial. Existing licensure, inspection, and enforcement mechanisms already address improper practices. Limiting lawful facilities does not address misconduct; it only reduces availability of legitimate care.
- Family mapping and indirect surveillance
- Error-prone genetic matching that can implicate innocent relatives
- Future expansion of government use without renewed consent
- Permanent tracking potential that cannot be “opted out of”
- DNA was collected for health purposes
- Stored long-term without meaningful consent
- Later accessed or shared for secondary uses
- Applied to individuals before any crime could possibly exist
- Genetic data collected for non-law-enforcement purposes
- Retained and stored without strict deletion limits
- Later accessed by government actors
- Potentially used to investigate crimes that predate the individual
- Government access
- Law-enforcement searches
- Permanent inclusion in investigative databases
- Warrantless genetic surveillance
- Government creation of population-wide identity files
- Suspicionless searches using biometric data
- Ethical abuses that disproportionately affect future generations
- Require warrant-only access for all government use
- Prohibit bulk or suspicionless collection
- Ban secondary and pre-birth investigative use
- Impose strict retention and deletion limits
- Reject the normalization of genetic identity files
HB 4674 defines "abortifacient" so broadly it could ensnare common contraceptives that prevent implantation, chilling access to basic reproductive health tools. It violates women's bodily autonomy and privacy rights enshrined in our state constitution and wastes taxpayer resources on intrusive enforcement. Those funds are much better spent on maternal health, prenatal care, or family support programs our rural communities desperately need. Private civil bounties of $10,000 per case will only fuel vigilante lawsuits, not protect anyone.
West Virginia should expand health care access and support women making deeply personal decisions with their doctors—not police them with felonies and penalties. Prioritize actual public health over ideological overreach and scrap this bill.
I oppose HB 4079 which aims to ban so-called “woke words” from government communications. As a woman, I find this bill deeply misguided for several reasons.
First, implies that women’s worth depends on motherhood, which erases the many women who contribute to West Virginia’s communities in other ways. Real respect for women means seeing and valuing us all.
Second, our state ranks 45th nationally in education and struggles with some of the highest rates of chronic disease and cardiovascular illness in the nation. It is absurd to spend taxpayer money and waste legislative time on policing words when you have much more serious challenges to address. Legislators should be focused on boosting literacy, keeping schools and hospitals strong, and addressing preventable disease rather than dictating which medically accurate or inclusive terms are “acceptable.”
Finally, as a public health professional, I know that inclusive language costs nothing, helps everyone feel respected and seen, which leads to more health-seeking behaviors and better health outcomes.
Instead of wasting limited public resources on a culture-war bill, we should invest in improving education, health, and opportunity in West Virginia. Tackle real problems head-on; don't distract us with word bans.
I am a West Virginian, and I am proud of my state and our values of independence, family, and community. I oppose this bill because it does not help anyone. It expands government power into private healthcare decisions, doing so with criminal penalties and lawsuits rather than real, tangible support.
This is government overreach, plain and simple. It will not solve the problems families are actually facing in West Virginia, such as access to health care led by health professionals (not legislators), transportation, childcare, and the cost of living. It will only add fear, confusion, and risk by pushing people into silence and delaying care.
West Virginians deserve practical solutions that strengthen families, not laws that punish people and invite more government control over personal medical decisions. I urge you to reject this bill.
It's not a perfect bill because it requires notary and it doesn't include philosophical exemption. Vaccine mandates shouldn't even exist. Look to Florida for an example on how to handle these idiotic mandates.
- Article 7, Dangerous Weapons;
- Article 7A, State Mental Health Registry...;
- Article 7B, the West Virginia Second Amendment Preservation...Act; and
- Article 7C, the West Virginia Firearms Marketing Clarification Act.
- Firefighters are 102% more likely to develop testicular cancer than the general population.*
- Firefighters are 53% more likely to develop multiple myeloma than the general population. *
- Firefighters are 62% more likely to develop cancer of the oesophagus than the general population.**
- Firefighters are 21% more likely to develop intestinal cancer than the general population.**
- Firefighters are 26% more likely to develop breast cancer than the general population**
- Please support House bill 4715. Without going into the details of explaining the bill, my primary goal is to keep my children in West Virginia. My son is a PA. My daughter-in-law is a doctor of medicine, both practicing in West Virginia. We are seeing more opportunities opening up in other states, eliminating the administrative burdens, and want the same opportunity here in the mountain state. Amending the bill to mandate minimum number of hours of patient care before eliminating the administrative burden of signing a contract with an Md is recommended and acceptable. I see a nurse practitioner as my primary care and a physician assistant for my specialty doctors and know first hand of their abilities. I would like the ability to choose who I see for medical visits and alleviate the shortage of care providers in southern West Virginia where I live. This bill answers those needs. Many thanks to the sponsors of this much needed legislation. Respectfully
I am a firefighter in Huntington WV and a member of IAFF Local 289.
Firefighters face significantly higher cancer risks due to repeated exposure to carcinogens in smoke, building materials, and toxic runoff. Routine cancer screening programs are a proven, proactive measure that save lives through early detection. From a financial standpoint, early diagnosis also results in substantial cost savings for insurance providers and state health systems by avoiding the far greater expenses associated with late-stage cancer treatment, long-term disability, and loss of workforce productivity. Investing in comprehensive cancer screening for firefighters is not only a moral obligation to those who risk their lives to protect our communities, but a fiscally responsible strategy that reduces long-term healthcare costs while preserving experienced, healthy first responders.
I strongly support HB 4627, which provides preventive cancer screening for professional firefighters in accordance with International Association of Fire Fighters (IAFF) guidelines.
Firefighters are exposed throughout their careers to known carcinogens, and medical research consistently shows significantly higher cancer rates among firefighters than in the general population. The IAFF clearly demonstrates that early cancer detection saves lives and reduces long-term healthcare costs. Cancers identified at early stages require less invasive treatment, have higher survival rates, and avoid the substantial costs associated with advanced disease, extended disability, and long-term care.
Preventive screening is fiscally responsible. Studies show that investing in evidence-based cancer screening reduces overall healthcare spending by preventing late-stage diagnoses, lost work time, and workers’ compensation claims. Removing copays and deductibles ensures firefighters can access these screenings before symptoms appear, when treatment is most effective and least costly.
HB 4627 reflects nationally recognized best practices and appropriately treats cancer screening as an occupational health necessity for firefighters. I respectfully urge the Legislature to pass this bill.
- Cancer caused 66 percent of the career firefighter line-of-duty deaths from 2002 to 2019, according to data from the International Association of Fire Fighters (IAFF).
- Firefighters have a 9 percent higher risk of being diagnosed with cancer and a 14 percent higher risk of dying from cancer than the general U.S. population, according to research by the CDC/National Institute for Occupational Health and Safety (NIOSH).
- Firefighters are two times as likely to contract mesothelioma, two times as likely to contract testicular cancer, 1.5x as likely to contract multiple myeloma and non-Hodgkin’s lymphoma, and are at an increased and elevated risk for numerous other specific cancers. (NIOSH)
As the Chief Human Resources Officer for one of West Virginia’s six Certified Community Behavioral Health Clinics (CCBHCs), I can speak directly to the real and ongoing workforce challenges created by the current WV CARES process.
West Virginia rightly wants to encourage workforce participation while also protecting vulnerable populations. WV CARES can support both goals; however, the current timelines create significant barriers for both employers and qualified candidates. With up to 30 days for a candidate to submit a complete packet and up to 60 days for WV CARES to render a decision, the total process can take as long as 90 days. In today’s workforce environment, many candidates—and employers—simply cannot wait that long. As a result, we lose otherwise qualified staff before they ever have the opportunity to serve our communities.
Additionally, employers are often unable to absorb the financial burden of supervising provisional employees during this extended review period. Requiring two staff to perform the work of one—solely to meet supervision requirements—adds substantial cost and strain to already limited behavioral health resources. Reducing review timelines would immediately decrease supervision costs and prevent candidates from being lost due to delays outside of their control.
The portability provision included in this bill is one of its most promising and impactful components. Allowing WV CARES eligibility to be tied to the individual rather than the worksite would significantly reduce application time, administrative burden, and duplication of effort—benefiting providers, the state, and workers alike.
Equally important is the provision that would prevent long-standing employees from having to take a leave of absence or return to supervision while awaiting renewal variances related to historical charges. For many dedicated staff, this process forces them to repeatedly relive embarrassment and trauma every five years simply to continue serving in roles they have faithfully held for years. These are professionals who work tirelessly for West Virginians with the greatest needs, and this provision recognizes both their service and their dignity.
House Bill 4599 represents a meaningful opportunity to modernize WV CARES in a way that protects clients, supports the workforce, and strengthens access to behavioral health services across our state.
I can't put into words how stupid this is, but I'll try. How do we test if they have "immunity" from their exposure? Have you heard of Typhoid Mary, who was technically immune to Typhus but able to transfer it? Who is lobbying you to remove vaccine requirements? West Virginian lives are not for sale.
- Guarantee reduced waitlists or improved access statewide
- Require service provision in rural or underserved counties
- Tie increased payments to measurable outcomes or equity standards
- Address the broader social and economic conditions impacting families raising children with disabilities
- Bodily autonomy and the right to refuse medical treatment
- Due process protections
- Equal protection, by disproportionately impacting already marginalized populations