CHARLESTON â The power of county health departments is up for debate in West Virginia. The West Virginia House of Delegatesâ Health and Human Resources Committee hit the ground running Thursday with a full agenda of legislation. Among bills passed out of the committee was House Bill 2015, which will require county commissions and other board of health-appointing entities to approve all rules made by county boards of health. This means, for example, the Cabell-Huntington Health Department Board of Health would need to get approval from both the Cabell County Commission and the Huntington City Council before any rules or ordinances are enacted. This could lead to different health policy in the city versus the county if one entity approved the rule and the other did not. For boards that serve multiple counties, like the Mid-Ohio Valley Health Department, which serves six counties, each county could have different policies.