This bill aims to amend the Code of West Virginia by introducing new sections that mandate health benefit plans to cover oral health medical procedures necessary due to the side effects of cancer treatments. Specifically, it requires that any policy, plan, or contract issued or renewed on or after January 1, 2027, must include coverage for procedures related to surgery, chemotherapy, biotherapy, pharmacology, immunotherapy, or radiation. The coverage will encompass a wide range of services, including evaluations, examinations, patient education, laboratory assessments, medications, treatments, restoration, rehabilitation, medical devices, and prostheses that are essential for restoring functions associated with eating, breathing, voice, speech, and swallowing.

Additionally, the bill stipulates that one year after the implementation of these changes, both the Public Employees Insurance Agency and the Bureau of Medical Services must report to the Joint Committee on Government and Finance regarding the costs associated with this new coverage requirement. This legislative effort underscores the importance of addressing the oral health needs of cancer patients and ensuring that they receive comprehensive care as part of their treatment journey.

Statutes affected:
Introduced Version: 5-16-8b, 9-5-34, 33-15-24, 33-16-20, 33-24-15, 33-25-23, 33-25A-37