The bill amends the West Virginia Code to enhance penalties for offenses related to controlled substances, particularly focusing on fentanyl and other drugs. It introduces a new section, 60A-4-419, which outlines the requirements for enhanced sentencing in fentanyl cases, increases penalties for certain drug offenses, and modifies weight classifications for sentencing. The legislation also makes specific offenses ineligible for suspension, probation, or alternative sentencing, and establishes a new offense for drug delivery resulting in death, especially when the delivery involves compensation. Additionally, it creates definitions and penalties for failing to render aid in drug-related incidents and introduces a conspiracy offense related to drug kingpins, clarifying prosecution procedures for these cases.

The bill further stipulates that individuals convicted of certain drug offenses, particularly those who do not seek medical assistance during an overdose, will face mandatory imprisonment of two to ten years, with a minimum of two years before parole eligibility. It also imposes a felony charge with a prison sentence of ten to forty years for drug kingpins, with no eligibility for probation or sentence suspension. The legislation outlines criteria for "qualifying offenses" and mandates enhanced sentencing for individuals with prior felony convictions, including a five-year addition for subsequent offenses. Overall, the bill aims to strengthen penalties for repeat offenders and serious drug-related crimes, thereby enhancing public safety and accountability within the criminal justice system.