The proposed bill introduces the Oral Health and Cancer Rights Act, which mandates that all health benefit plans in West Virginia provide coverage for medically necessary dental procedures resulting from cancer treatments. This includes a wide range of services such as evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prosthetics that are essential for patients undergoing surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation. The bill specifies that these services must be billed using a designated billing modifier, "West Virginia Code 33-64-1," to signify eligibility for coverage.

Additionally, the bill establishes that the Oral Health and Cancer Rights Act will take effect on July 1, 2026, and will apply to all health insurance contracts that are not exempt from the Affordable Care Act. It aims to ensure comprehensive coverage for oral health procedures related to cancer treatment, thereby enhancing the quality of care for cancer patients in West Virginia.

Statutes affected:
Introduced Version: 33-64-1