All Roll Calls
Yes: 426 • No: 110
Sponsored By: Destiny LeVere Bolling (Democratic)
Became Law
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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9 provisions identified: 9 benefits, 0 costs, 0 mixed.
Medicaid pays for targeted case management for people with severe traumatic brain injury. This service helps plan and coordinate needed care for eligible members.
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.
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.
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.
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.
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.
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.
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.
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.
Destiny LeVere Bolling
Democratic • House
There are no cosponsors for this bill.
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
Acts of Assembly Chapter text (CHAP0391)
Approved by Governor-Chapter 391 (effective 7/1/2026)
Fiscal Impact Statement from Department of Planning and Budget (HB425)
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 (HB425ER)
Enrolled
Signed by President
Fiscal Impact Statement from Department of Planning and Budget (HB425)
Conference report agreed to by House (86-Y 9-N 0-A)
Conference report agreed to by Senate (38-Y 0-N 0-A)
Conference Report released
House Conferees: LeVere Bolling, Herring, Wachsmann
Conferees appointed by House
House acceded to request
Senate insisted on substitute Block Vote (40-Y 0-N 0-A)
Conferees appointed by Senate
Senate Conferees: Favola, Aird, Suetterlein
Senate requested conference committee
Senate substitute rejected by House (0-Y 99-N 0-A)
Passed Senate with substitute Block Vote (40-Y 0-N 0-A)
Finance and Appropriations Substitute agreed to
Fiscal Impact Statement from Department of Planning and Budget (HB425)
Engrossed by Senate - committee substitute
Chaptered
4/8/2026
Enrolled
3/30/2026
Conference Report
3/13/2026
Substitute
3/13/2026
Substitute
3/9/2026
Substitute
2/3/2026
Substitute
1/29/2026
Introduced
1/12/2026
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SB731 — Private companies providing public transportation services; employee protections.
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SB620 — Va. ABC Authority; permitting of retail tobacco product retailers, etc.
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SB666 — Residential land development and construction; fee transparency, local housing development.
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