W. Va. Code § 29-32-5 – Awarding of the Medal of Valor.

(a) The Legislature may act on a nomination from the Honor Board established by this article by passing a concurrent resolution.
(b) Upon nomination by the First Responders Honor Board, and adoption of a concurrent resolution by the Legislature, the Governor shall bestow the Medal of Valor upon the nominee.
(c) The West Virginia Department of Arts, Culture and History shall create the design for the Medal of Valor established by this article.