2026 Regular Session
Link to Bill History on Legacy Website (Click Here)Summary: Relating to the WV Cares background check variance process
PDF: hb4599 intr.pdf
DOCX: HB4599 INTR.docx
WEST VIRGINIA LEGISLATURE
2026 REGULAR SESSION
Introduced
House Bill 4599
By Delegates Burkhammer and Worrell
[Introduced January 20, 2026; referred to the Committee on Health and Human Resources then the Judiciary]
A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §16B-15-10, relating to modifying the West Virginia Clearance for Access: Registry and Employment Screening Act ("WV Cares") background check variance process; providing for portability requirements; providing for durational validity; establishing a review timeline; creating supervision relief; refining disqualifying offenses; providing for a single fitness record; providing for due process and confidentiality; and providing for a timeline.
Be it enacted by the Legislature of West Virginia:
ARTICLE 15. WEST VIRGINIA CLEARANCE FOR ACCESS: REGISTRY AND EMPLOYMENT SCREENING ACT.
§16B-15-10. Miscellaneous provisions concerning CARES.
(a) Portability requirements –
(1) For purposes of this article, a granted variance shall follow an individual, not the employer.
(2) Any licensed provider may rely on the active variance in the registry.
(b) Durational validity. –
(1) Variances issued pursuant to this article shall remain valid through the normal five-year recheck cycle.
(2) A new variance review shall only be required if:
(A) The Record of Arrest and Prosecution (RAP) Back feature reports a new disqualifying event; or
(B) A material misrepresentation is discovered.
(c) Review timeline – The Office of Inspector General shall complete variance reviews within 30 days of submission, unless exceptional cause is documented.
(d) Supervision relief. –
(1) Employees with an active variance pending renewal may continue working without mandatory continuous supervision, unless the Record of Arrest and Prosecution (RAP) Back feature identifies new charges.
(2) Providers shall retain discretion to use individualized safety plans.
(e) Refined disqualifying offenses – The Department of Human Services shall revise the list of disqualifying offenses to ensure only those directly related to abuse, violence, fraud, or safety-sensitive risks remain disqualifying.
(f) Single fitness record. –
(1) Under the provisions of this article, the Secretary issues a standardized Fitness Variance Determination viewable in the WV CARES registry.
(2) The Office of Health Facility Licensure and Certification (OHFLAC), the West Virginia Bureau for Medical Services (BMS), and the West Virginia Administrative Services Organization (ASO) shall accept the provisions of subsection (1) of this section as sufficient proof of eligibility.
(g) Due process and confidentiality. –
(1) All appeal rights remain intact.
(2) An employer shall only see the determination status/conditions, and not the underlying offense details.
(h) Rules and timelines – The West Virginia Office of Inspector General (WV CARES), OHFLAC, BMS, and the ASO shall update their respective rules, Memorandum of Understandings (MOUs), and Information Technology (IT) systems within 180 days to reflect portability, expedited timelines, and narrowed disqualifiers.
(i) The provisions of this section shall become effective from passage.
NOTE: The purpose of this bill is to modify the West Virginia Clearance for Access: Registry and Employment Screening Act ("WV Cares") background check variance process.
Strike-throughs indicate language that would be stricken from a heading or the present law and underscoring indicates new language that would be added.