WV HB5071

Requires all health benefit plans issued or renewed on or after January 1, 2026, to cover oral health medical procedures necessary as a side effect of cancer treatments including surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation.

Coverage must include evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prostheses needed to restore functions related to eating, breathing, voice, speech, and swallowing following cancer diagnosis.

Applies to multiple types of health coverage including the West Virginia Public Employees Insurance Agency, Medicaid (Bureau of Medical Services), accident and sickness insurance, group insurance, hospital/medical service corporations, health care corporations, and HMOs.

Mandates the Public Employees Insurance Agency and Bureau of Medical Services to report the cost of implementing these coverage requirements to the Joint Committee on Government and Finance one year after implementation.