WV SB204

Requires all opioid treatment programs that dispense methadone to transition to an integrated care model by July 1, 2026, which mandates onsite delivery of primary care, behavioral health, counseling, and addiction treatment services

Prohibits telehealth or referral-based care for these services; all care must be provided in-person by licensed health care professionals at the opioid treatment program facility during regular operating hours

Programs failing to meet the deadline must cease operations by October 1, 2026, though they may receive up to 12 months of administrative transition time to help patients transfer care (no new patients allowed during this period)

Imposes civil penalties up to $2,500 per day on owners, operators, or individuals who operate opioid treatment programs in violation of these requirements

Exempts clinical trials approved under specific code sections from the integrated care model requirement