West Virginia
West Virginia patients left in limbo over changing insurance coverage of obesity meds
CHARLESTON, W.Va. — Lory Osborn says the Wegovy she was prescribed 15 months ago did more than help her lose 75 pounds — over a quarter of her body weight. The administrative assistant at West Virginia University said she feels healthier at 62 than she has since graduating high school.
But lately, she’s been having panic attacks because she fears running out of medication. Citing a gross cost of $1.4 million a month, West Virginia abruptly announced in March it would indefinitely pause a pilot program covering weight loss drugs for 1,000 public employees, leaving patients like her scrambling. West Virginia’s Public Employee Insurance Agency (PEIA) will continue covering the popular and expensive GLP-1 drugs to treat Type 2 diabetes.
Other state and private insurers have adopted similar stances for the drugs, which can cost patients more than $1,000 monthly out-of-pocket. In 2024, Blue Cross Blue Shield of Michigan, the state’s largest nonprofit insurer, and North Carolina’s state employee public insurance agency stopped covering the drugs for weight loss, saying the cost increased premiums for all customers.
The dilemma comes amid a similar debate at the federal level. President Joe Biden unveiled a plan in November to cover the drugs for millions of weight loss patients on Medicaid and Medicare, though the measure could face opposition from President-elect Donald Trump’s administration. Robert F. Kennedy Jr., Trump’s nominee for Health and Human Services Secretary, has criticized Ozempic — a GLP-1 used to treat diabetes.
Proponents say long-term savings could outweigh the cost — especially in West Virginia, which has the nation’s highest rates of obesity and diabetes. Obesity increases their risk for conditions such as heart disease, cancer and high blood pressure. About half of West Virginians rely on Medicare or Medicaid for insurance.
Osborn said it makes no sense for West Virginia to invest the money in the pilot only for patients to come off it and lose their progress. Osborn usually takes her injections once weekly, but said she started waiting 10 or 12 days to make her final three-month supply last.
“It is so cruel,” said Osborn, who took her last PEIA-covered dose of Wegovy weeks ago. “We are suffering mentally just from the thought of going back.”
West Virginia’s residents are among the poorest in the U.S. and the state is home to rural food deserts where it can be hard to find any grocery stores, never mind finding one with a variety of nutritional food options.
Outgoing West Virginia Gov. Jim Justice — who has lost between 30 and 50 pounds while taking Ozempic — said after Biden’s announcement that he would “be a proponent of trying to do everything we can to be able to expand these drugs to everybody.”
“There’s a real argument that at the end of the day, we end up saving that money,” said Justice, who was elected to the U.S. Senate in November. About 25% of Americans have a health insurance plan that covers these weight loss drugs, according to the AXIACI Obesity Coverage Nexus, a database produced by the Leverage consulting firm.
The vast majority of coverage of the drugs is provided by government health plans, largely state Medicaid plans, according to Leverage. All state Medicaid programs cover the drugs for Type 2 diabetes, but only 14 provide some form of coverage to treat obesity. Medicare plans cover the drugs for weight loss if they are prescribed to a person at risk for stroke or heart disease.
Dr. Laura Davisson, medical weight management director at West Virginia University, said losing coverage for medications is a “nightmare” for patients. This year, Davisson’s office saw over 1,000 GLP-1 patients — many of whom have made extra appointments or joined support groups with her staff to discuss options when they learned of the coverage changes.
“We’re the state with the number one rate of obesity, and I’ve just lost all access to my most powerful tool for treating obesity medically with almost every one of my payers,” she said. “How does that make sense?”
The length of time she sees patients take the drugs varies, but some may have to take it indefinitely to suppress food cravings. She said the state employee pilot program took a responsible approach by requiring that patients be prescribed the medications through obesity specialists, giving them counseling on diet, exercise and side effect management.
“They already invested millions of dollars in these people,” she said. “It’s financially wasteful to throw it away, have these people regain their weight, get their health problems back, and we don’t actually get to see the full potential of this pilot project.”
Dr. Bisher Mustafa of the Marshall Health Obesity Clinic in Huntington said there’s a certain irony to waiting “until people have diabetes to start the medication.”
“The idea is to try to prevent diabetes from happening from the beginning,” he said.
PEIA Director Brian Cunningham said GLP-1s, which the state began offering for weight loss in 2019, cost the program around $53 million last fiscal year — about 20% of what PEIA spends on drugs.
The cost of the GLP-1s was cited as a reason for 14% premium hikes for state employees, as well as a 16% increase for county employees and a 12% bump in costs for retirees. Increases will go into effect in July, according to the insurance agency, which covers 150,000 government workers, 56,000 retirees and their dependents.
That’s frustrated some PEIA members who feel they are unfairly shouldering the cost burden for a medication they don’t use. Ashley Peggs, a Kanawha County teacher who doesn’t use GLP-1 drugs, said her heart sank when she saw how much the plan was spending on the medicines during a public hearing about the proposed premium increases.
She said the agency had just denied coverage for a spinal procedure for a condition threatening her ability to walk.
“So somebody else being skinny is more important than the fact that I literally may not be able to continue teaching until I retire without a wheelchair?” said Peggs, 35, at the public hearing.
Some taking the drugs for diabetes — like the vast majority of state employees on GLP-1s — expressed frustration that they haven’t even been able to access Ozempic consistently because of shortages.
“What’s going to be cheaper: pay for that medication or for me to lose a leg to gangrene like my grandmother did?” said Michael Kimball, 42, who takes the drug for diabetes. “Year after year, the burden is put on the back of the working man and we’re getting a little tired of it.”
Osborn described Wegovy as a breakthrough recommended by her provider after she’d tried for years to lose weight any way she could. She’s also been able to halve the amount of rheumatoid arthritis medication she takes and she’s seen back pain and her sciatica almost eradicated.
She said dropping coverage for obesity patients feels like “weight-based discrimination” because other chronic diseases qualify. Osborn said she’ll try purchasing versions of the medications that aren’t approved by the FDA through compounding pharmacies. Doing so will increase her cost to around $300 per month. PEIA had provided her with a three-month supply for $50.
“I think that they need to realize that obesity is a disease — it’s not a willpower, gutting-it-out choice,” she said. “It is a disease that you suffer from just like any other disease that you cannot prevent.”
West Virginia
West Virginia Agencies Shielding Details on $1.44B DOE Coal Bail-out Loan from Public – CleanTechnica
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West Virginians Are On the Hook to Pay DOE for Short-Sighted Projects with Big Health Impacts
CHARLESTON, W.Va. — Following two postponements, the West Virginia Department of Commerce has informed Sierra Club’s West Virginia Chapter that there are “no non-exempt records” responsive to the Club’s Freedom of Information Act (FOIA) request pertaining to the U.S. Department of Energy (DOE) plans to loan local utilities $1.44 billion to fund refurbishment projects at six unnamed West Virginia coal-fired power plants.
The DOE and Governor Patrick Morrisey first announced the $1.44 billion in coal refurbishment projects as part of a larger $4.2 billion suite of fossil-fuel expansions in November 2025. The projects are intended to extend the lives of the six coal plants up to 20 years. However, regardless of how long the coal plants manage to continue operating, payments on the low-interest DOE loans will be passed on to West Virginians’ electric bills for decades.
According to the West Virginia Department of Commerce, “certain public records within the scope” of the Sierra Club’s FOIA request are, “exempt from disclosure.” In the January FOIA filing, Sierra Club requested a detailed list of the six plants set to receive loans, as well as information on the cost and the specific upgrades proposed at each plant.
In addition to funding the projects, West Virginians will also shoulder the public health impacts. According to a Sierra Club study, West Virginia’s in-state coal plants currently account for hundreds of expensive hospital visits and 20 West Virginian deaths annually. West Virginia’s coal plants also account for 335 out-of-state deaths annually.
“West Virginians are being kept in the dark,” said Bill Price, Sierra Club West Virginia Chapter Chair. “Our local state agencies, tasked with serving the public interest, are expecting the public to repay billions of dollars in loans — blindfolded. No honest lender operates this way. No reasonable borrower would accept it. So why ask us to go along with the Governor’s deal without any details? In this time of increasing energy costs and high bills, people need to know where their money is going. We will continue to seek the answers and transparency West Virginians deserve.”
“West Virginia’s Freedom of Information Act states quite clearly, ‘The people, in delegating authority, do not give their public servants the right to decide what is good for the people to know and what is not good for them to know. The people insist on remaining informed so that they may retain control over the instruments of government they have created.’ Before the State loads down West Virginia citizens with over a billion dollars in loans, they should at least tell us what this is for, what we have to pay back, and who profits from these loans,” added Jim Kotcon, Conservation Chair for Sierra Club West Virginia.
About the Sierra Club
The Sierra Club is America’s largest and most influential grassroots environmental organization, with millions of members and supporters. In addition to protecting every person’s right to get outdoors and access the healing power of nature, the Sierra Club works to promote clean energy, safeguard the health of our communities, protect wildlife, and preserve our remaining wild places through grassroots activism, public education, lobbying, and legal action. For more information, visit www.sierraclub.org.
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West Virginia
CDC data: West Virginia overdose deaths drop nearly 50% in latest 12-month period
CHARLESTON, W.Va. (WCHS) — New CDC data shows a sharp decline in overdose deaths across West Virginia, dropping nearly 50% over a recent 12-month period. However, the report does not identify a single cause for the decrease.
New CDC data shows a sharp decline in overdose deaths across West Virginia, dropping nearly 50% over a recent 12-month period. However, the report does not identify a single cause for the decrease. (WCHS)
Organizations across the state say progress is likely due to a combination of prevention, treatment and long-term recovery efforts.
The West Virginia First Foundation, which distributes opioid settlement funds, says it has invested heavily in those areas.
“We’ve committed nearly $40 million to over 170 projects throughout the state in those categories,” Executive Director Jonathan Board said.
Board says the collaboration among groups statewide has been key.
“It is all of us and all programs working together with a camaraderie that you rarely see in this space,” he said.
That includes recovery programs like Pollen8, which works directly with people overcoming addiction. Founder and CEO Cheryl Laws says funding has made a noticeable difference.
“There’s momentum, right? That 48% decrease with the funding that has been given is the biggest thing,” Laws said.
While progress is encouraging, Laws says continued effort is critical.
“It has to be a continuum of care. Every piece is important, from harm reduction to longer-term inpatient. I think you see more success rates with that,” she said.
Organizations say maintaining that momentum will be essential to continuing the decline in overdose deaths.
“We still need that momentum going. We just built it. We do not need to go backwards. We need to keep going forward,” Laws said.
Board agrees, emphasizing the long-term impact of the work underway.
“We understand that generations from now people will look back and ask us what we did with the time that was gifted to us. We need to make sure that we respect them,” he said.
West Virginia
West Virginia airport says TSA staffing steady despite shutdown delays nationwide
CHARLESTON, W.Va. (WCHS) — Even as a partial government shutdown continues to cause long lines and delays at major airports across the country, officials at West Virginia International Yeager Airport say operations in Charleston have remained steady so far.
Dominique Ranieri, the airport director, said TSA staffing levels at Yeager have not been hit the way larger airports have been affected.
“Here at CRW, I’m very happy to say that we are holding steady. We are not experiencing nearly the TSA staffing shortages that are hitting the major airports around the country around the country,” Ranieri said.
Airport leaders said Yeager’s smaller size has helped keep passenger volume manageable and security lines moving. They cautioned, however, that travelers could still run into problems after leaving Charleston and landing in larger cities.
Some airports have brought in Immigration and Customs Enforcement to help with crowd control, but Yeager officials said they do not think that will be needed locally.
“No, we have not heard anything about that at all. We’re in contact with them constantly, and we will, of course, support the public as well if we see any changes here at the airport,” said Paige Withrow, the airport’s communications officer.
TSA workers have not been paid since February, and airport officials said community members have stepped in with donations to help workers get by. Ranieri said the situation raises concerns about keeping TSA positions filled over the long term.
“So again, we really want this to end as quickly as possible for the folks here, but for the future security of the new fully staffed TSA throughout the country,” Ranieri said.
Airport leaders also addressed recent backlash over a partisan sign seen in the airport, saying the airport was not responsible for the message.
“TSA does have a dedicated screen that is theirs. So the airport is not affiliated with any messaging that DHS puts on that screen,” Withrow said.
Yeager officials said their concerns also include rising costs tied to international conflict. Ranieri said the recent conflict in Iran has contributed to higher jet fuel prices, forcing fare increases.
“Jet fuel, what we’re experiencing now is what they consider jet fuel shock because the prices have raised so exponentially in a short period of time,” Ranieri said.
Since the shutdown began, airports have lost more than 400 employees nationwide, according to airport officials. At Yeager, Withrow said TSA officers have continued reporting to work.
“Our officers are continuing to show up and work every day, which we appreciate in our community is also stepping up as well with donations,” Withrow said.
Airport ambassadors will continue accepting donations during the shutdown, with a drop-off area inside the airport. Airport leaders said they will provide updates if conditions change.
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