WV HB5645

Implements Medicaid work requirements by December 31, 2026, requiring applicable individuals to demonstrate at least 80 hours per month of work, job training, education, or volunteer activities, with quarterly verification and disenrollment for non-compliance

Prohibits non-citizens from receiving SNAP benefits unless they are qualified aliens lawfully admitted for permanent residence, and requires verification through the SAVE system at enrollment and each recertification

Eliminates SNAP work requirement waivers for all counties effective October 1, 2022, discontinues broad categorical eligibility, and limits certification periods to four months or less for households with zero income or able-bodied adults without dependents

Mandates monthly or quarterly data matching for Medicaid and SNAP eligibility verification using state wage records, tax data, death records, incarceration data, postal address changes, and out-of-state benefit transactions

Limits retroactive Medicaid eligibility to one month for the expansion population and two months for non-expansion populations, and requires legislative approval before the Bureau can seek any new waivers or state plan amendments that expand coverage