Healthcare in West Virginia
Healthcare policy is complicated. These resources make it understandable.
If you are trying to make sense of West Virginia’s latest healthcare debates, you are not alone. PBM regulation, PEIA’s recurring funding crises, and Certificate of Need laws all affect what care costs, where it is available, and who has choices.
We have pulled our most useful resources into one place and written them for real people, not specialists. Read online and enter your email to get future releases.
When Regulation Replaces Markets: Lessons from West Virginia’s PBM Experiment
West Virginia changed how pharmacy benefit managers (PBMs) can operate in the state’s public health plan—and the effects are already measurable. This brief translates the findings into plain English: what the policy changed, what the data show, and what it means for prescription costs, independent pharmacies, and patient access.
Policy Brief: Free Market Reforms for PEIA
PEIA is the health plan that supports more than 200,000 West Virginians, and its recurring funding crises have become a predictable budget problem. This policy brief lays out practical, market-based options designed to stabilize coverage, slow cost growth, and reduce taxpayer exposure so the system isn’t reliant on regular bailouts to stay afloat.
Public Comment: Ensuring Lawful Governance and Implementing the President’s “Department of Government Efficiency” Deregulatory Initiative
This public comment explains—step by step—why repealing Certificate of Need (CON) laws is consistent with the federal deregulatory framework outlined in Executive Order 14219. If you want the legal and policy rationale in a concise, formal format, this is the document to read.
Convicting CON: DeCONstruction
CON laws decide when providers are “allowed” to expand services—often limiting competition and slowing new care options, especially outside metro areas. This updated report compiles the latest evidence and explains the real-world consequences for access, costs, and vulnerable communities, with a clear case for repeal and reform.
