West Virginia could become the 35th state with a seat-belt law that makes it a primary offense when ignored.
The legislation passed the House of Delegates by a 55-44 vote, following a debate about its passage.
Opponents said individuals should be able to allowed to make their own decision about using them, but supporters cited statistics which show that belts save lives and prevent critical injuries.
"The hospitals and nursing homes are full of people who did not wear their seat belts," said Delegate Denise Campbell, D-Randolph, a registered nurse.
"I stand in support of individual freedom, the freedom to make maybe not so wise decisions, but it is a freedom," said Delegate Jim Butler, R-Mason.
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