HB5122

Establishes the Insurance Medicaid Buy-In Program for West Virginia residents ineligible for Medicaid or Medicare.

The bill creates the Insurance Medicaid Buy-In Program, offering a state-administered health care coverage plan for West Virginia residents ineligible for Medicaid or Medicare. The Department of Human Services will establish this plan by January 1, 2027, ensuring it includes benefits like ambulatory patient services, emergency services, and mental health care. The plan will be available to residents with household incomes below 200 percent of the federal poverty level, with premiums and cost-sharing fees based on an affordability scale.