All Roll Calls
Yes: 264 • No: 0
Sponsored By: Mark C. Downey (Democratic)
Signed by Governor
Department of Medical Assistance Services; state plan for medical assistance; provider-to-provider consultation; telemedicine. Specifies that the Medicaid provision for provider-to-provider consultation includes payment for consultations provided through telemedicine services. This bill incorporates HB 87.
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16 provisions identified: 13 benefits, 1 costs, 2 mixed.
If you are over 21 and on Medicaid, Medicaid pays for liver, heart, and lung transplants when strict medical rules are met, including prior authorization. The transplant cannot be investigational, must be likely to prolong life and restore function, and current therapy must have failed. You cannot be in an irreversible terminal state. Medicaid also covers high-dose chemotherapy and bone marrow transplants for adults with lymphoma, breast cancer, myeloma, or leukemia when your doctor confirms your performance status is adequate. If coverage is denied, you can use the Department's expedited appeals process.
Medicaid pays for a custom ocular prosthesis when medically needed. If you live in a nursing facility, Medicaid pays for the initial purchase or replacement of a complex manual or power wheelchair and accessories. You pay no deductibles, copays, or coinsurance. Your clinician must sign and return the certificate of medical necessity and supporting documents to the DME supplier within 60 days after the equipment is first furnished.
Medicaid pays for rapid whole genome sequencing for children age three or younger in an ICU. Labs must return preliminary positive results within 7 days and final results within 15 days. Medicaid covers testing and treatment for PANS and PANDAS when clinical definitions are met, including antimicrobials, medications, behavioral therapy, immunomodulating drugs, plasma exchange, and IVIG. People who meet program criteria for severe traumatic brain injury get targeted case management to coordinate care and services.
If you were screened through the CDC program and need treatment for breast or cervical cancer, Medicaid pays if you are under 65, lack creditable coverage, and are not otherwise eligible. Medicaid covers one Pap smear each year. It covers low-dose screening mammograms: one at ages 35–39, every two years at 40–49, and every year at 50 and over. After a radical or modified radical mastectomy, at least 48 hours in the hospital are covered; after a total or partial with lymph node removal, at least 24 hours, unless you and your doctor choose a shorter stay. Medicaid pays for prostheses after mastectomy and for breast reconstruction after medically necessary removal. Breast reductions are covered with prior authorization. These procedures are not treated as cosmetic.
Medicaid covers pregnancy care for recent lawful residents during their first five years in the U.S., if they meet pregnancy eligibility rules. Pregnant enrollees get comprehensive dental care with at least four visits, and more if a dentist or OB recommends. Medicaid covers up to 10 doula visits (up to 4 before birth and up to 6 in the 12 months after). It pays for remote ultrasounds and at-home fetal non-stress tests when secure, FDA-approved tech is used and billed for home monitoring. Postpartum inpatient care and doctor-recommended home visits are covered based on leading perinatal guidelines. Family planning services are covered for 24 months after delivery if you still meet pregnant-woman financial rules. Medicaid does not pay for abortion services or referrals. You can get up to a 12-month supply of self-administered hormonal birth control at one time unless a medical reason prevents it.
The state uses one form to apply for FAMIS Plus and the FAMIS Plan for medically indigent children. Medicaid pays for newborn hearing screening with FDA‑approved tools and for follow‑up exams a physician, physician assistant, nurse practitioner, or audiologist recommends. Follow‑up testing must be done by a licensed audiologist. Children from birth through age three who are certified as eligible for Part C early‑intervention services can be exempt from mandatory Medicaid managed‑care enrollment. The agency sets and follows the procedures for this exception.
The Director can make tailored contracts for Medicaid recipients with special needs, including people with AIDS and ventilator‑dependent patients. These contracts are exempt from the Virginia Public Procurement Act, except the subdivision A 1 exception in § 2.2‑4345, and must follow federal rules. The Board issues rules for these patients.
When federal law allows, the state establishes a long‑term care partnership program through a Medicaid plan amendment. If you buy a qualified private long‑term care policy under this program, some of your assets can be protected for Medicaid eligibility, as federal rules allow. Asset treatment and estate recovery follow federal guidance.
Medicaid pays for medical care for people under 21 placed by licensed private child-placing agencies or through state or local subsidized adoptions, as federal law allows. For Medicaid-eligible youth under 21, medically necessary inpatient acute care days beyond 21 days per admission are covered. Schools can bill Medicaid for health services they provide to Medicaid-enrolled students, with or without an IEP, including telemedicine. Providers do not have to use proprietary technology to get paid.
The Board can update the Medicaid state plan to match changes in the Social Security Act, other federal laws or rules, court orders, or HHS guidance so federal funding continues. It can make these changes without full rulemaking, but must notify the Registrar of Regulations or certify to the Governor that the change is required.
Medicaid pays for medically necessary care by telemedicine no matter where you are or if someone is with you. Remote patient monitoring is covered for listed groups, including high-risk pregnancy, medically complex kids, transplant patients, people up to three months after surgery, and patients with two or more recent hospital or ER visits when monitoring can prevent readmission. Doctors can be paid for provider-to-provider consults, including by telemedicine, on terms no more restrictive than fee-for-service. EMS agencies get an originating site fee when they help run a live telehealth visit at the patient's location, such as home, work, school, or a medical facility.
The Board seeks federal approval to set up a family assistance program. Under it, children over age 18 make reasonable contributions, set by Board rules, toward their parents’ medical assistance costs. The Board sets the amounts and how payments work.
When you set aside money for burial, Medicaid ignores up to $3,500 for you and up to $3,500 for your spouse. These amounts are reduced by life insurance face value and by other burial trusts or contracts. Your main home is not counted. For people under AFDC-dependent rules, that includes all contiguous property. For others, nearby land is ignored only if its extra-land value is $5,000 or less. If you are in an institution, Medicaid can deduct an amount from your income to help support a spouse who lives at home.
Medicaid ends any provider contract when the provider is convicted of a felony. The Director can refuse to enter, renew, or can terminate contracts with providers who are convicted or excluded under 42 C.F.R. Part 1002.
Medicaid covers one PSA test every 12 months and digital rectal exams for people age 50 and over, and for those 40 and over at high risk under American Cancer Society guidance. It also covers colorectal screening per professional guidelines, including annual stool blood tests, sigmoidoscopy, colonoscopy, or imaging. Your age and risk decide how often.
The Medicaid Board prepares and updates the state plan with the Governor's approval, works with the State Board of Health to protect quality and patient rights, starts cost-saving steps in the budget, and includes federal nursing-home penalties in state rules. Before publishing rules with local fiscal impact, the Board shares analyses with local social services boards. Agencies that take Medicaid applications must collect the applicant's best address and phone and give information on advance directives. The Department issues prescription or health benefit cards and reissues or sends corrected data when needed so prescriptions process electronically. Pharmacists under collaborative agreements and several licensed behavioral health clinicians are reimbursed for covered services. The Department uses electronic funds transfer to pay when practical. If a provider's contract is denied or ended, the provider can appeal in writing within 15 days and get a hearing; the Director may weigh harm to recipients when setting exclusion length and may reinstate providers under federal rules.
Mark C. Downey
Democratic • House
There are no cosponsors for this bill.
All Roll Calls
Yes: 264 • No: 0
Senate vote • 3/10/2026
Passed Senate Block Vote
Yes: 40 • No: 0
Senate vote • 3/9/2026
Passed by for the day Block Vote (Voice Vote)
Yes: 0 • No: 0
Senate vote • 3/9/2026
Constitutional reading dispensed Block Vote (on 2nd reading)
Yes: 40 • No: 0
Senate vote • 3/6/2026
Reported from Finance and Appropriations
Yes: 14 • No: 0
Senate vote • 2/26/2026
Reported from Education and Health and rereferred to Finance and Appropriations
Yes: 15 • No: 0
House vote • 2/13/2026
Read third time and passed House Block Vote
Yes: 96 • No: 0
House vote • 2/9/2026
Reported from Appropriations
Yes: 22 • No: 0
House vote • 2/6/2026
Subcommittee recommends reporting
Yes: 7 • No: 0
House vote • 2/3/2026
Reported from Health and Human Services with substitute and referred to Appropriations
Yes: 22 • No: 0
House vote • 1/29/2026
Subcommittee recommends reporting with substitute and referring to Appropriations
Yes: 8 • No: 0
Acts of Assembly Chapter text (CHAP0767)
Approved by Governor-Chapter 767 (effective 7/1/2026)
Fiscal Impact Statement from Department of Planning and Budget (HB1284)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 31, 2026
Signed by Speaker
Bill text as passed House and Senate (HB1284ER)
Enrolled
Signed by President
Passed Senate Block Vote (40-Y 0-N 0-A)
Read third time
Passed by for the day Block Vote (Voice Vote)
Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
Rules suspended
Reported from Finance and Appropriations (14-Y 0-N)
Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N)
Assigned Education sub: Health
Referred to Committee on Education and Health
Constitutional reading dispensed (on 1st reading)
Read third time and passed House Block Vote (96-Y 0-N 0-A)
Engrossed by House - committee substitute
committee substitute agreed to
Read second time
Read first time
Reported from Appropriations (22-Y 0-N)
Chaptered
4/13/2026
Enrolled
3/30/2026
Substitute
2/3/2026
Amendment
1/29/2026
Substitute
1/29/2026
Introduced
1/14/2026
HB5, Employment; paid sick leave, civil penalties.
Employment; paid sick leave; civil penalties; civil actions. Requires one hour of paid sick leave for every 30 hours worked for all employees of private employers and state and local governments, with certain exceptions. The bill requires that employees who are employed and compensated on a fee-for-service basis accrue paid sick leave in accordance with regulations adopted by the Commissioner of Labor and Industry. The bill provides that employees transferred to a separate division or location remain entitled to previously accrued paid sick leave and that employees retain their accrued paid sick leave under any successor employer. The bill allows employers to provide a more generous paid sick leave policy than prescribed by its provisions and specifies that employees, in addition to using paid sick leave for their physical or mental illness or to care for a family member, may use paid sick leave to seek or obtain certain services or to relocate or secure an existing home due to domestic abuse, sexual assault, or stalking. The bill requires the Commissioner to promulgate regulations for the implementation and enforcement of the bill's provisions by July 1, 2027.The bill authorizes the Commissioner, in the case of a knowing violation, to subject an employer to a civil penalty not to exceed $150 for the first violation, $300 for the second violation, and $500 for each successive violation. The Commissioner or Attorney General may commence administrative proceedings or bring a civil action to enforce the bill's provisions. Additionally, the bill authorizes an aggrieved employee to bring a civil action against the employer in which he may recover double the amount of any unpaid sick leave and the amount of any actual damages suffered as the result of the employer's violation. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill is identical to SB 199.
SB199, Employment; paid sick leave, civil penalties.
Employment; paid sick leave; civil penalties; civil actions. Requires one hour of paid sick leave for every 30 hours worked for all employees of private employers and state and local governments, with certain exceptions. The bill requires that employees who are employed and compensated on a fee-for-service basis accrue paid sick leave in accordance with regulations adopted by the Commissioner of Labor and Industry. The bill provides that employees transferred to a separate division or location remain entitled to previously accrued paid sick leave and that employees retain their accrued paid sick leave under any successor employer. The bill allows employers to provide a more generous paid sick leave policy than prescribed by its provisions and specifies that employees, in addition to using paid sick leave for their physical or mental illness or to care for a family member, may use paid sick leave to seek or obtain certain services or to relocate or secure an existing home due to domestic abuse, sexual assault, or stalking. The bill requires the Commissioner to promulgate regulations for the implementation and enforcement of the bill's provisions by July 1, 2027. The bill authorizes the Commissioner, in the case of a knowing violation, to subject an employer to a civil penalty not to exceed $150 for the first violation, $300 for the second violation, and $500 for each successive violation. The Commissioner or Attorney General may commence administrative proceedings or bring a civil action to enforce the bill's provisions. Additionally, the bill authorizes an aggrieved employee to bring a civil action against the employer in which he may recover double the amount of any unpaid sick leave and the amount of any actual damages suffered as the result of the employer's violation. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill incorporates SB 372 and is identical to HB 5.
HB95, Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with rental agreement.
Virginia Residential Landlord and Tenant Act; landlord remedies; noncompliance with rental agreement; payment plan. Requires a landlord who owns more than four rental dwelling units or more than a 10 percent interest in more than four rental dwelling units, before terminating a rental agreement due to nonpayment of rent if the exact amount of rent owed is less than or equal to one month's rent plus any late charges contracted for in the rental agreement and as provided by law, to serve upon such tenant a written notice informing the tenant of the exact amount due and owed and offer the tenant a payment plan under which the tenant must pay the exact amount due and owed in equal monthly installments over a period of the lesser of six months or the time remaining under the rental agreement. The bill prohibits the landlord from charging any additional late fees during the payment plan period in connection with the unpaid rental amount for which the tenant entered into the payment plan so long as the tenant makes timely payments in accordance with the terms of the payment plan. The bill also outlines the remedies a landlord has if a tenant fails to pay the exact amount due and owed or enter into a payment plan within five days of receiving notice or if a tenant enters into a payment plan and after such plan becomes effective fails to pay rent when due or fails to make a payment under the terms of the agreed-upon payment plan. The bill has a delayed effective date of January 1, 2027.
HB1393, Electric utilities; pilot program for energy assistance and weatherization for certain individuals.
Electric utilities; pilot programs for energy assistance and weatherization for certain individuals. Amends annual funding commitments for the purposes of the annual pilot program for energy assistance and weatherization for low-income, elderly, and disabled individuals conducted by Dominion Energy Virginia and Appalachian Power Company. Under the bill, Appalachian Power Company is required to continue its pilot program at no less than $1 million and no greater than $1.5 million annually. Dominion Energy Virginia is required to continue its pilot program at no less than $156 million and no greater than $204 million for the time period beginning July 1, 2026, and ending July 1, 2038. The bill extends the sunset date of such pilot programs from July 1, 2028, to July 1, 2038.The bill also provides that Dominion Energy Virginia may recover costs associated with certain electrical facilities that have been approved by the State Corporation Commission as of December 1, 2033, provided that certain requirements are met and notwithstanding any limitations on such cost recovery in current law. The bill directs Dominion Energy Virginia to propose to the Commission, in any proceeding to determine rates for generation and distribution services commencing after January 1, 2027, and before July 1, 2033, that certain costs related to capacity procurement requirements and distribution infrastructure investments are allocated to the utility's customer class approved to serve customers with a contracted or measured electric demand of 25 megawatts or greater and an anticipated or measured average annual electric load factor of 75 percent or greater. The bill provides that certain customers in manufacturing, industrial, or consumer goods warehousing and distribution activities other than data storage may elect to remain on their existing rate schedule. The bill requires Dominion Energy Virginia, in connection with its first proceeding to determine rates for generation and distribution services commencing after July 1, 2026, to include in its petition to the Commission a proposal to revise its tariff for supplementary, maintenance, or standby service for customers with power plants, effective as of January 1, 2028. The bill provides that the Commission shall only approve such proposal if it determines that such tariff will not adversely affect other retail customers or the utility in a manner contrary to the public interest, and any revised tariff terms shall include protections against stranded cost risks to the utility customer base. Additionally, the bill authorizes Dominion Energy Virginia to file a petition for the securitization of certain deferred fuel costs. The bill requires the Commission, in evaluating certain petitions, to require to the greatest extent it finds in the public interest the use of wages, salaries, benefits, and other remuneration to any mechanic, laborer, or worker employed, retained, or otherwise hired to perform services in connection with a contract contemplated pursuant to such petition at the prevailing wage rate and to the greatest extent practicable, the use of a skilled workforce through registered apprenticeship programs for any authorized demand flexibility programs, utility-related procurement through utility-owned or third-party providers, and an evaluation of other potential opportunities to develop Virginia's skilled workforce by requiring minimum apprenticeship program requirements for such electric generation or energy storage facility work. This bill incorporates HB 634.
HB834, Virginia Residential Landlord and Tenant Act; fire or casualty damage, termination by landlord.
Virginia Residential Landlord and Tenant Act; fire or casualty damage; termination by landlord. Requires a landlord, prior to giving a tenant 21 days' notice of his intention to terminate the rental agreement for a dwelling unit that has been damaged or destroyed by fire or casualty, to (i) make a reasonable effort to meet with the tenant to discuss reasonable alternatives and offer the tenant a substantially similar dwelling unit, if one is available, or (ii) determine that the damage was caused by the tenant's failure to maintain the dwelling unit in accordance with relevant law. Current law allows the landlord to terminate such agreement by giving the tenant 14 days' notice of his intention to terminate on the basis of the landlord's determination that such damage requires the removal of the tenant and that the use of the premises is substantially impaired. The bill requires the landlord, upon receiving a request from the tenant after the tenant has received such notice, to reevaluate the extent of damage and habitability of such dwelling unit unless the landlord has determined that the damage was caused by the tenant's failure to maintain the dwelling unit. The bill has a delayed effective date of January 1, 2027.
HB675, Protection of employees; coercion or threat based on immigration status, civil penalty.
Protection of employees; coercion or threat based on immigration status; civil penalty. Prohibits an employer, including the Commonwealth and its agencies and political subdivisions, from using coercion or issuing a threat to an employee based on immigration status in furtherance of committing a violation of the Virginia Minimum Wage Act or provisions related to the payment of wages. An aggrieved employee is permitted to file a complaint with the Commissioner of Labor and Industry within 180 days of the alleged coercive action or threat. The bill authorizes the Commissioner to investigate such complaints and, if the allegation is substantiated, to impose a civil penalty in the following amounts: (i) up to $5,000 for the first violation, (ii) up to $9,000 for the second violation, and (iii) up to $12,000 for any subsequent violation. The bill provides that any such penalty assessed shall be paid to the Commissioner for deposit into the General Fund. The bill also authorizes the Commissioner to seek injunctive relief as may be necessary for enforcement.