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HB 5103

Relating to requiring the Office of Health Facility Licensure and Certification to inspect office-based medication-assisted treatment programs at least every 24 months

2026 Regular Session Introduced by Michael Amos and 5 co-sponsors

OHFLC must inspect every office-based MAT program at least once every 24 months to ensure licensing, safety, and quality standards.

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Bill Summary · HB 5103

Summary of HB 5103 (2026) – West Virginia

Purpose and intent

  • The bill requires the Office of Health Facility Licensure and Certification (OHFLC) to conduct inspections of office-based medication-assisted treatment (MAT) programs at least once every 24 months.
  • The primary aim is to ensure ongoing compliance with licensing, safety, and quality standards for office-based MAT providers operating in the state.

Key provisions and changes

  • Inspection cadence: Office-based MAT programs must be inspected by OHFLC at a minimum frequency of every 24 months.
  • Scope of oversight: Inspections likely cover regulatory aspects such as licensure status, adherence to medication-assisted treatment protocols, patient safety measures, record-keeping, privacy compliance, and other applicable state healthcare regulations. (Details would be defined in rulemaking or inspection guidelines accompanying the statute.)
  • Compliance expectations: Programs subject to inspection must maintain records and be prepared to demonstrate compliance with applicable licensing and treatment standards during the inspection process.
  • Enforcement and remedies: The bill would typically authorize OHFLC to enforce findings, which may include citations, corrective action plans, fines, license actions, or other penalties for noncompliance. Specific enforcement mechanisms would be outlined in the statutory language or by reference to existing enforcement provisions.
  • Interagency coordination: The measure may require coordination with other state agencies or authorities involved in substance use treatment, public health, or licensure, to ensure consistent oversight of MAT services offered in office-based settings.

Who would be affected

  • Office-based MAT providers: Clinics, physicians, or treatment facilities offering medication-assisted treatment in an office-based model would be directly subject to mandated inspections every two years.
  • Patients receiving MAT: Indirectly affected through potential improvements in ongoing program compliance, safety standards, and quality of care arising from regular inspections.
  • OHFLC: The licensing and certification office would assume an enhanced, formal inspection schedule for this subset of providers.

Procedural and timeline aspects

  • Effective timeline: The bill sets a biennial inspection cadence, establishing a predictable scheduling framework for OHFLC inspections of office-based MAT programs.
  • Rulemaking and guidance: The bill would likely necessitate updates to inspection protocols and guidance documents to align with the new inspection frequency, including criteria, reporting formats, and corrective action processes.
  • Transition considerations: If prior practices differed from a 24-month cycle, there may be transitional provisions to align existing facilities with the new schedule.

Potential impact and considerations

  • Quality and safety: Regular, mandated inspections can enhance oversight of MAT services, potentially improving patient safety, record integrity, and treatment standards.
  • Administrative burden: Providers may experience increased regulatory oversight workload and preparation requirements for inspections.
  • Resource implications: OHFLC may need additional staffing or scheduling capacity to meet the 24-month inspection cadence, depending on current resources.
  • Public health alignment: Strengthening oversight of MAT programs aligns with broader efforts to ensure safe, evidence-based treatment for substance use disorders.

Note: This summary reflects the bill’s stated provision requiring inspections at least every 24 months. If the bill contains additional details (e.g., specific inspection standards, penalties, or implementation dates) those would refine the exact scope and impact.

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

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