Bill > SB30

This bill requires the Public Employees Insurance Agency (PEIA), Medicaid, and various health insurers to provide comprehensive medical coverage for children up to 19 years old with congenital cleft lip and cleft palate anomalies. The coverage includes a range of medical services such as oral and facial surgery, reconstructive procedures to improve and maintain vital functions, prosthetic treatments like speech and feeding appliances, orthodontic and prosthodontic management, and otolaryngology treatment. Importantly, the bill specifically excludes purely cosmetic surgeries aimed at improving appearance and allows insurers to apply standard cost-sharing limitations similar to other surgical benefits. The coverage will become effective for policies and agreements beginning on or after July 1, 2025, and applies to all health insurance policies delivered, executed, issued, amended, or renewed in the state after that date. By mandating this coverage, the bill aims to ensure that children with cleft lip and palate can access necessary medical treatments to support their health, function, and quality of life.

Health and Social Services

http://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=30&year=2025&sessiontype=RS&btype=bill