The Make West Virginia Healthy Act of 2026: A Comprehensive Look at Legislative Change
By Autumn Shelton, RealWV
Introduction to the Act
CHARLESTON, W.Va. – The journey toward a healthier West Virginia has taken a significant step forward with the introduction of the Make West Virginia Healthy Act of 2026. Having successfully passed both the House and Senate, the Act is now awaiting the governor’s signature, signaling a pivotal moment for the state’s public health landscape.
Legislative Background
House Bill 4982, known as the Make West Virginia Healthy Act of 2026, made its way through the legislative chambers, passing the House on February 9 and the Senate on February 19. This legislative initiative aims to foster a culture of wellness among West Virginians by promoting better physical activity, nutrition, and general health practices, all in an effort to combat the alarming rates of chronic diseases that plague residents.
The Perspectives of Lawmakers
Sponsor of the bill, Del. Evan Worrell, R-Cabell, who chairs the House Health and Human Services Committee, emphasized that this legislation is not about imposing federal mandates but rather about establishing a framework for collaboration and accountability. “We’re talking about our neighbors, our workforce, and definitely our Medicaid budget,” Worrell stated. He highlighted the pressing need for proactive health measures, calling West Virginia’s chronic disease rates a “reality that impacts our prosperity.”
“Food is Medicine” Initiative
Among the innovative features of this Act is the introduction of a “Food is Medicine” program. This initiative posits that health outcomes can be significantly improved by integrating nutrition into healthcare. Under the program, the state’s Department of Human Services would encourage Medicaid managed care organizations to provide nutritional services, which could include tailored meals and partnerships with local farmers. This ties into the federal Rural Health Transformation Program, which has earmarked approximately $199.5 million for the state in fiscal year 2026, with expectations for additional funding over the subsequent years.
Continuation of Healthy Lifestyles Initiatives
The Act also ensures the continuation of the relatively low-profile Office of Healthy Lifestyles. This office will be responsible for establishing a Healthy Lifestyle Coalition by July 1, 2026. This coalition aims to bring together multiple stakeholders—including government departments and local communities—to develop and implement initiatives that boost physical fitness and nutrition in public schools.
Educational Reforms and Community Focus
In line with its health objectives, the Act outlines plans for physical fitness and nutrition initiatives aimed at public school students. Worrell clarifies that the focus will be on encouraging fitness rather than penalizing students, ensuring that those with special educational needs are adequately supported. The data collected through these initiatives will remain anonymous but will serve to refine and enhance the programs based on what proves most effective.
Concerns from the Opposition
While much enthusiasm surrounds the legislative progress, not all voices are supportive. Del. Mike Pushkin, D-Kanawha, raised concerns over the funding allocations, questioning whether the federal dollars would sufficiently address the gaps left by Medicaid cuts. Similarly, Del. Kayla Young, D-Kanawha, expressed apprehension about the reintroduction of the Presidential Fitness Test, which has faced criticism for its historical ineffectiveness. “We should focus on social determinants of health,” Young remarked, indicating a need for a more comprehensive approach that doesn’t stigmatize children for their fitness levels.
The Feed to Achieve Act
In conjunction with the Healthy Act, a pivotal component is the Feed to Achieve Act, which aims to bolster nutritional programs within schools. The legislation enables the establishment of funds or non-profit foundations to enhance participation in meal programs like the School Breakfast Program and the National School Lunch Program. Through these initiatives, the goal is to ensure that children receive nutritious food not just during school hours, but also over the summer when school is closed.
Concerns About Spending Authorization
Despite the promising outlook, significant challenges lie ahead, especially regarding the timely authorization of the proposed federal spending. The West Virginia Department of Health has already expressed serious concerns about the delays potentially jeopardizing health improvements in rural areas. Secretary Dr. Arvin Singh emphasized that timely execution is critical for securing funding intended to enhance telehealth, recruit healthcare workers, and modernize technology in rural regions.
The Path Forward
As the Make West Virginia Healthy Act of 2026 awaits the governor’s signature, the future of healthcare in the state hangs in the balance. With multiple stakeholders involved, the successful implementation of this Act could serve as a model for other states grappling with similar health challenges. However, the path forward is fraught with obstacles that must be navigated judiciously to unlock the full potential of transformative health initiatives in West Virginia.
This is a moment for collaboration, innovation, and commitment to the well-being of every West Virginian, ensuring that future generations inherit a healthier, more vibrant state.
The Make West Virginia Healthy Act represents more than just a legislative measure; it is a cultural shift towards a healthier lifestyle in a state that faces significant health challenges. By focusing on preventative measures, nutrition, and community engagement, this initiative could radically alter the landscape of health and wellness in West Virginia.

