WV HB2473

Increases tax rates on health maintenance organizations (HMOs) operating in West Virginia effective July 1, 2025 through June 30, 2026, with Tier I rates rising from $36.26 to $78.75 per Medicaid member month under 250,000

Establishes a tiered tax structure based on Medicaid and non-Medicaid member months, with five tiers applying different rates depending on enrollment thresholds

Beginning July 1, 2026, requires annual adjustment of tax rates to maintain the maximum aggregate amount permitted under federal Medicaid regulations (42 C.F.R. § 433.68)

Requires the Bureau for Medical Services Commissioner to certify adjusted tax rates to the Tax Commissioner before June 1 each year, who must then publish the rates by Administrative Notice before July 1

Tax remains contingent on federal Centers for Medicare and Medicaid Services approval as a permissible health care-related tax eligible for federal financial participation, and automatically terminates if that approval is withdrawn