# Virginia HB1284: State plan for medical assistance; provider-to-provider consultation. Virginia HB1284, State plan for medical assistance; provider-to-provider consultation., is a 2026 Regular Session House bill sponsored by Mark C. Downey (Democratic); status signed, last action 2026-04-13 (Acts of Assembly Chapter text (CHAP0767)); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-HB1284-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia HB1284 - State: Virginia - Session: 2026 Regular Session - Title: State plan for medical assistance; provider-to-provider consultation. - Status: signed - Chamber: House - Introduced: 2026-01-14 - Last action: 2026-04-13, Acts of Assembly Chapter text (CHAP0767) - Sponsor: Mark C. Downey (Democratic) - Cosponsors: 0 - Touches household money: yes - Roll calls: 10 (264 yes, 0 no in all) - Economic provisions PRIA read: 16 ## Summary 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. ## Bill overview: provisions PRIA read - Medicaid covers transplants and high-dose cancer care: benefit, high. 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… - More coverage for medical devices and equipment: benefit, high. 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 t… - New specialized care for children and brain injuries: benefit, high. 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 antimicro… - Women's cancer screening and treatment coverage: benefit, high. 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… - Easier Medicaid access and care for kids: benefit, medium. 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… - Faster contracts for special-needs care: benefit, medium. 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.… - Long-term care partnership for seniors: benefit, medium. 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… - More Medicaid support for kids and students: benefit, medium. 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. S… - Quick Medicaid updates to match federal law: benefit, medium. 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 Govern… - Telehealth and remote monitoring coverage grows: benefit, medium. 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 wit… - Eligibility protections for assets and spouses: benefit, low. 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 contig… - Felon providers removed from Medicaid: benefit, low. 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. - Prostate and colon cancer screening covered: benefit, low. 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, colono… - Adult children help pay parents' care: cost, medium. 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. - More Medicaid help before and after birth: mixed, high. 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 (… - Stronger Medicaid provider rules and payments: mixed, low. 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 fis… ## Sponsors and cosponsors - Sponsor: Mark C. Downey (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-10 | Senate | Passed Senate Block Vote | pass | 40 | 0 | | | 2026-03-09 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-03-09 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 40 | 0 | | | 2026-03-06 | Senate | Reported from Finance and Appropriations | pass | 14 | 0 | | | 2026-02-26 | Senate | Reported from Education and Health and rereferred to Finance and Appropriations | pass | 15 | 0 | | | 2026-02-13 | House | Read third time and passed House Block Vote | pass | 96 | 0 | | | 2026-02-09 | House | Reported from Appropriations | pass | 22 | 0 | | | 2026-02-06 | House | Subcommittee recommends reporting | pass | 7 | 0 | | | 2026-02-03 | House | Reported from Health and Human Services with substitute and referred to Appropriations | pass | 22 | 0 | | | 2026-01-29 | House | Subcommittee recommends reporting with substitute and referring to Appropriations | pass | 8 | 0 | | ## Actions (37) - 2026-04-13: Acts of Assembly Chapter text (CHAP0767) (Governor) - 2026-04-13: Approved by Governor-Chapter 767 (effective 7/1/2026) (Governor) - 2026-03-31: Fiscal Impact Statement from Department of Planning and Budget (HB1284) (House) - 2026-03-31: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor) - 2026-03-31: Enrolled Bill communicated to Governor on March 31, 2026 (House) - 2026-03-31: Signed by Speaker (House) - 2026-03-30: Bill text as passed House and Senate (HB1284ER) (House) - 2026-03-30: Enrolled (House) - 2026-03-30: Signed by President (Senate) - 2026-03-10: Passed Senate Block Vote (40-Y 0-N 0-A) (Senate) - 2026-03-10: Read third time (Senate) - 2026-03-09: Passed by for the day Block Vote (Voice Vote) (Senate) - 2026-03-09: Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) (Senate) - 2026-03-09: Rules suspended (Senate) - 2026-03-06: Reported from Finance and Appropriations (14-Y 0-N) (Senate) - 2026-02-26: Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) (Senate) - 2026-02-24: Assigned Education sub: Health (Senate) - 2026-02-16: Referred to Committee on Education and Health (Senate) - 2026-02-16: Constitutional reading dispensed (on 1st reading) (Senate) - 2026-02-13: Read third time and passed House Block Vote (96-Y 0-N 0-A) (House) - 2026-02-12: Engrossed by House - committee substitute (House) - 2026-02-12: committee substitute agreed to (House) - 2026-02-12: Read second time (House) - 2026-02-11: Read first time (House) - 2026-02-09: Reported from Appropriations (22-Y 0-N) (House) - 2026-02-06: Subcommittee recommends reporting (7-Y 0-N) (House) - 2026-02-05: Fiscal Impact Statement from Department of Planning and Budget (HB1284) (House) - 2026-02-03: Committee substitute printed 26106678D-H1 (House) - 2026-02-03: Incorporates HB87 (Laufer) (House) - 2026-02-03: Reported from Health and Human Services with substitute and referred to Appropriations (22-Y 0-N) (House) - 2026-02-03: Assigned HAPP sub: Health & Human Resources (House) - 2026-02-02: Fiscal Impact Statement from Department of Planning and Budget (HB1284) (House) - 2026-01-29: House subcommittee offered (House) - 2026-01-29: Subcommittee recommends reporting with substitute and referring to Appropriations (8-Y 0-N) (House) - 2026-01-23: Assigned sub: Social Services (House) - 2026-01-14: Referred to Committee on Health and Human Services (House) - 2026-01-14: Presented and ordered printed 26105500D (House) ## Bill text - Chaptered, 2026-04-13: [HTML](https://lis.blob.core.windows.net/files/1222603.HTML), [PDF](https://lis.blob.core.windows.net/files/1222602.PDF) - Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1210580.HTML), [PDF](https://lis.blob.core.windows.net/files/1210579.PDF) - Substitute, 2026-02-03: [HTML](https://lis.blob.core.windows.net/files/1114780.HTML), [PDF](https://lis.blob.core.windows.net/files/1114779.PDF) - Amendment, 2026-01-29: [HTML](https://lis.blob.core.windows.net/files/1103193.HTML) - Substitute, 2026-01-29: [HTML](https://lis.blob.core.windows.net/files/1103352.HTML), [PDF](https://lis.blob.core.windows.net/files/1103351.PDF) - Introduced, 2026-01-14: [HTML](https://lis.blob.core.windows.net/files/1088051.HTML), [PDF](https://lis.blob.core.windows.net/files/1088050.PDF) ## Related bills - HB5: Employment; paid sick leave, civil penalties. (signed) - SB199: Employment; paid sick leave, civil penalties. (signed) - HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with rental agreement. (signed) - HB1393: Electric utilities; pilot program for energy assistance and weatherization for certain individuals. (signed) - HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, termination by landlord. (signed) - HB675: Protection of employees; coercion or threat based on immigration status, civil penalty. (signed) ## Sources - [Chaptered (HTML)](https://lis.blob.core.windows.net/files/1222603.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1222602.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1210580.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1210579.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1114780.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1114779.PDF) - [Amendment (HTML)](https://lis.blob.core.windows.net/files/1103193.HTML) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1103352.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1103351.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1088051.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1088050.PDF) ## Related - [HB5: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-HB5-2026) - [SB199: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-SB199-2026) - [HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with…](https://policyrisk.com/state-bill/VA-HB95-2026) - [HB1393: Electric utilities; pilot program for energy assistance and weatherization for…](https://policyrisk.com/state-bill/VA-HB1393-2026) - [HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, terminat…](https://policyrisk.com/state-bill/VA-HB834-2026) - [HB675: Protection of employees; coercion or threat based on immigration status, civil…](https://policyrisk.com/state-bill/VA-HB675-2026) - [Virginia bills](https://policyrisk.com/states/virginia/bills) - [Virginia state hub](https://policyrisk.com/states/virginia) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/VA-HB1284-2026 (as of 2026-10-12).