This bill amends and reenacts section 16-1-4 of the Code of West Virginia, 1931, to enhance the State Public Health System by requiring the Secretary of the Department of Health to propose legislative rules that include alpha-gal syndrome on the list of diseases mandated for reporting to the Centers for Disease Control and Prevention (CDC). The bill outlines various areas where the Secretary may propose rules, including land usage, sanitary conditions of institutions, occupational health hazards, safe drinking water standards, food and drug standards, and emergency medical service requirements.

Additionally, the bill modifies existing language regarding the Secretary's authority to review repairs or modernization of public pool facilities, changing the requirement from a mandatory review to a discretionary one, provided the costs do not exceed $25,000 and the scope of the facility remains unchanged. The bill also clarifies that the Secretary may not impose restrictions on the subdivision or development of certain land parcels, ensuring that public health regulations do not hinder the development of single-family dwelling units.