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Bill

HB 5004

Relating generally to PANS and PANDAS.

2026 Regular Session Introduced by Sean Hornbuckle and 5 co-sponsors

West Virginia approves legislation addressing PANS and PANDAS pediatric neuropsychiatric conditions to improve recognition and treatment protocols for affected children.

Chapter 186, Acts, Regular Session, 2026
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Bill Summary · HB 5004

Legislative bill overview

HB 5004 addresses PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) in West Virginia. The bill was approved by the Governor on March 27, 2026, after passing through both chambers. The specific provisions require examination of the full legislative text, but bills on this topic typically establish medical protocols, insurance coverage requirements, or educational frameworks for recognizing and treating these conditions.

Why is this important

PANS and PANDAS are serious neuropsychiatric conditions affecting children that can cause rapid-onset obsessive-compulsive behaviors, severe anxiety, motor tics, and other psychiatric symptoms. Establishing state-level recognition and protocols can improve diagnosis rates, ensure appropriate treatment access, and reduce the burden on families navigating these conditions. West Virginia's action signals commitment to addressing a conditions that remains somewhat controversial in the broader medical community but affects affected families significantly.

Potential points of contention

  • Medical consensus gaps: PANDAS remains contentious in mainstream medicine; some experts question diagnostic criteria and treatment protocols, while affected families advocate for broader recognition
  • Insurance coverage mandates: If the bill requires specific treatments or provider types to be covered, it may increase healthcare costs for insurers and employers
  • Educational implementation: Requirements for schools to recognize and accommodate PANS/PANDAS could create resource demands and liability concerns for districts

Compiled from official sources — confirm details with the bill’s official record.

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