VirginiaHB4252026 Regular SessionHouseWALLET

Pregnant and postpartum patients; reimbursement for remote monitoring services.

Sponsored By: Destiny LeVere Bolling (Democratic)

Became Law

Summary

Department of Medical Assistance Services; remote monitoring services through pregnancy and postpartum for high-risk pregnant patients; reimbursement. Expands provision for payment of medical assistance for remote patient monitoring services provided via telemedicine to include high-risk pregnant persons through 12 months postpartum. The bill directs the Department of Medical Assistance Services to assess expanding similar provision of payment for patients with advanced maternal age and submit a report of its findings to the General Assembly no later than November 1, 2026.

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Bill Overview

Analyzed Economic Effects

9 provisions identified: 9 benefits, 0 costs, 0 mixed.

Medicaid case management for severe brain injury

Medicaid pays for targeted case management for people with severe traumatic brain injury. This service helps plan and coordinate needed care for eligible members.

More Medicaid care during and after childbirth

Medicaid pays for comprehensive dental care in pregnancy and covers at least four prenatal dental visits, with more if a provider recommends them. It pays for postpartum home visits and inpatient postpartum care that follow current perinatal or ACOG standards. It covers postpartum doula care: up to four visits during pregnancy and up to six in the 12 months after birth, with more if medically needed. It also pays for family planning services for 24 months after delivery if you still meet the pregnant‑woman financial rules. This family planning coverage does not pay for abortions or money used to perform, assist, encourage, or directly refer for abortions.

More Medicaid help for sick children

Medicaid must include medically necessary assessment and treatment for Medicaid‑eligible youth up to age 21 with special needs, including victims of child abuse and neglect, using specialists or providers with similar expertise. It covers diagnosis and treatment for PANDAS and PANS, such as antibiotics, behavioral therapy, immunomodulators, plasma exchange, and IVIG when medically needed. It also pays for rapid whole genome sequencing for children age 3 or younger in an ICU, with preliminary positive results in 7 days and final results in 15 days.

No-cost wheelchairs for nursing home residents

Medicaid pays for the first purchase or replacement of complex manual and power wheelchair bases and related accessories for nursing facility residents when medically necessary. The resident does not pay any deductible, coinsurance, copayment, or other patient costs for that initial purchase or replacement. The equipment must meet program rules and be for the resident’s exclusive use.

Stronger Medicaid coverage after mastectomy

Medicaid must pay for breast reconstruction after a medically needed breast removal. It also covers prostheses. Medically necessary breast reductions are covered when you get prior authorization. After a radical or modified radical mastectomy, at least 48 hours in the hospital are covered. After a total or partial mastectomy with lymph node removal, at least 24 hours are covered, unless you and your doctor agree to a shorter stay.

Broader access to Medicaid telehealth services

Medicaid can pay for medical services given by school divisions to Medicaid‑eligible students, including by telemedicine, when federal rules and CMS allow it. Providers cannot be forced to use proprietary technology to get paid. EMS agencies get an originating‑site fee when they help a member have a live telehealth visit. Telemedicine‑only providers and provider groups can enroll in Medicaid without having a physical office in the state if they meet federal rules.

Easier birth control and screening on Medicaid

If you have a prescription for an FDA‑approved, self‑administered hormonal contraceptive, you can get up to a 12‑month supply at once unless a clinician finds a medical reason not to. Medicaid cannot limit the supply below 12 months. Your provider does not have to prescribe a 12‑month supply. Medicaid also pays for one Pap smear each year.

Remote monitoring for high-risk Medicaid patients

Medicaid pays for remote patient monitoring by telemedicine for key groups: high‑risk pregnant people through 12 months after birth, medically complex infants and children, transplant patients, people up to 3 months after surgery, and patients with two or more related hospital or ER visits in the past year when monitoring can help avoid readmission. It also pays for remote ultrasounds and at‑home fetal non‑stress tests when providers use HIPAA‑compliant, FDA‑approved technology and proper billing codes. For fetal non‑stress tests under CPT 59025, an at‑home place‑of‑service modifier and approved devices used on‑label are required.

Stricter rules for Medicaid providers with felonies

The Medicaid director can refuse, not renew, or end contracts with providers convicted of a felony. Any contract ends upon conviction. Providers keep appeal and hearing rights under federal rules and the state Administrative Process Act.

Sponsors & Cosponsors

Sponsor

  • Destiny LeVere Bolling

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 426 • No: 110

House vote 3/13/2026

Conference report agreed to by House

Yes: 86 • No: 9

Senate vote 3/13/2026

Conference report agreed to by Senate

Yes: 38 • No: 0

Senate vote 3/12/2026

Senate insisted on substitute Block Vote

Yes: 40 • No: 0

House vote 3/11/2026

Senate substitute rejected by House

Yes: 0 • No: 99

Senate vote 3/10/2026

Finance and Appropriations Substitute agreed to

Yes: 0 • No: 0

Senate vote 3/10/2026

Passed Senate with substitute Block Vote

Yes: 40 • No: 0

Senate vote 3/9/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 40 • No: 0

Senate vote 3/9/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote 3/6/2026

Reported from Finance and Appropriations with substitute

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 2/17/2026

Read third time and passed House

Yes: 95 • No: 1

House vote 2/11/2026

Reported from Appropriations

Yes: 22 • No: 0

House vote 2/11/2026

Subcommittee recommends reporting

Yes: 7 • No: 0 • Other: 1

House vote 2/3/2026

Reported from Health and Human Services with substitute and referred to Appropriations

Yes: 21 • No: 1

House vote 1/29/2026

Subcommittee recommends reporting with substitute and referring to Appropriations

Yes: 8 • No: 0 • Other: 1

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0391)

    4/8/2026Governor
  2. Approved by Governor-Chapter 391 (effective 7/1/2026)

    4/8/2026Governor
  3. Fiscal Impact Statement from Department of Planning and Budget (HB425)

    3/31/2026House
  4. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/31/2026Governor
  5. Enrolled Bill communicated to Governor on March 31, 2026

    3/31/2026House
  6. Signed by Speaker

    3/31/2026House
  7. Bill text as passed House and Senate (HB425ER)

    3/30/2026House
  8. Enrolled

    3/30/2026House
  9. Signed by President

    3/30/2026Senate
  10. Fiscal Impact Statement from Department of Planning and Budget (HB425)

    3/16/2026House
  11. Conference report agreed to by House (86-Y 9-N 0-A)

    3/13/2026House
  12. Conference report agreed to by Senate (38-Y 0-N 0-A)

    3/13/2026Senate
  13. Conference Report released

    3/13/2026
  14. House Conferees: LeVere Bolling, Herring, Wachsmann

    3/12/2026House
  15. Conferees appointed by House

    3/12/2026House
  16. House acceded to request

    3/12/2026House
  17. Senate insisted on substitute Block Vote (40-Y 0-N 0-A)

    3/12/2026Senate
  18. Conferees appointed by Senate

    3/12/2026Senate
  19. Senate Conferees: Favola, Aird, Suetterlein

    3/12/2026Senate
  20. Senate requested conference committee

    3/12/2026Senate
  21. Senate substitute rejected by House (0-Y 99-N 0-A)

    3/11/2026House
  22. Passed Senate with substitute Block Vote (40-Y 0-N 0-A)

    3/10/2026Senate
  23. Finance and Appropriations Substitute agreed to

    3/10/2026Senate
  24. Fiscal Impact Statement from Department of Planning and Budget (HB425)

    3/10/2026House
  25. Engrossed by Senate - committee substitute

    3/10/2026Senate

Bill Text

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