In the state of West Virginia
whomever is elected the President of the State Senate
is the de facto Lieutenant Governor
The office of does not exist in the state's constitution. Legislation in 2000 bestowed the title on the Senate President. In 2011, then acting Gov. Earl Ray Tomblin (R) submitted a constitutional amendment to the legislature that would have created a new elected state executive position of lieutenant governor. It did not make it to the ballot in 2012.
According to state statutes, the next person in line for office is the Speaker of the House of Delegates.
West Virginia state government organizational chart