# Virginia HB425: Pregnant and postpartum patients; reimbursement for remote monitoring services. Virginia HB425, Pregnant and postpartum patients; reimbursement for remote monitoring services., is a 2026 Regular Session House bill sponsored by Destiny LeVere Bolling (Democratic); status signed, last action 2026-04-08 (Acts of Assembly Chapter text (CHAP0391)); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-HB425-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia HB425 - State: Virginia - Session: 2026 Regular Session - Title: Pregnant and postpartum patients; reimbursement for remote monitoring services. - Status: signed - Chamber: House - Introduced: 2026-01-12 - Last action: 2026-04-08, Acts of Assembly Chapter text (CHAP0391) - Sponsor: Destiny LeVere Bolling (Democratic) - Cosponsors: 0 - Touches household money: yes - Roll calls: 15 (426 yes, 110 no in all) - Economic provisions PRIA read: 9 ## 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. ## Bill overview: provisions PRIA read - Medicaid case management for severe brain injury: benefit, high. 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: benefit, high. 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… - More Medicaid help for sick children: benefit, high. 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 antibio… - No-cost wheelchairs for nursing home residents: benefit, high. 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 rep… - Stronger Medicaid coverage after mastectomy: benefit, high. 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… - Broader access to Medicaid telehealth services: benefit, medium. 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… - Easier birth control and screening on Medicaid: benefit, medium. 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. Medic… - Remote monitoring for high-risk Medicaid patients: benefit, medium. 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 p… - Stricter rules for Medicaid providers with felonies: benefit, low. 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 and cosponsors - Sponsor: Destiny LeVere Bolling (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-13 | House | Conference report agreed to by House | pass | 86 | 9 | | | 2026-03-13 | Senate | Conference report agreed to by Senate | pass | 38 | 0 | | | 2026-03-12 | Senate | Senate insisted on substitute Block Vote | pass | 40 | 0 | | | 2026-03-11 | House | Senate substitute rejected by House | fail | 0 | 99 | | | 2026-03-10 | Senate | Passed Senate with substitute Block Vote | pass | 40 | 0 | | | 2026-03-10 | Senate | Finance and Appropriations Substitute agreed to | pass | 0 | 0 | | | 2026-03-09 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 40 | 0 | | | 2026-03-09 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-03-06 | Senate | Reported from Finance and Appropriations with substitute | pass | 14 | 0 | | | 2026-02-26 | Senate | Reported from Education and Health and rereferred to Finance and Appropriations | pass | 15 | 0 | | | 2026-02-17 | House | Read third time and passed House | pass | 95 | 1 | | | 2026-02-11 | House | Subcommittee recommends reporting | pass | 7 | 0 | | | 2026-02-11 | House | Reported from Appropriations | pass | 22 | 0 | | | 2026-02-03 | House | Reported from Health and Human Services with substitute and referred to Appropriations | pass | 21 | 1 | | | 2026-01-29 | House | Subcommittee recommends reporting with substitute and referring to Appropriations | pass | 8 | 0 | | ## Actions (51) - 2026-04-08: Acts of Assembly Chapter text (CHAP0391) (Governor) - 2026-04-08: Approved by Governor-Chapter 391 (effective 7/1/2026) (Governor) - 2026-03-31: Fiscal Impact Statement from Department of Planning and Budget (HB425) (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 (HB425ER) (House) - 2026-03-30: Enrolled (House) - 2026-03-30: Signed by President (Senate) - 2026-03-16: Fiscal Impact Statement from Department of Planning and Budget (HB425) (House) - 2026-03-13: Conference report agreed to by House (86-Y 9-N 0-A) (House) - 2026-03-13: Conference report agreed to by Senate (38-Y 0-N 0-A) (Senate) - 2026-03-13: Conference Report released - 2026-03-12: House Conferees: LeVere Bolling, Herring, Wachsmann (House) - 2026-03-12: Conferees appointed by House (House) - 2026-03-12: House acceded to request (House) - 2026-03-12: Senate insisted on substitute Block Vote (40-Y 0-N 0-A) (Senate) - 2026-03-12: Conferees appointed by Senate (Senate) - 2026-03-12: Senate Conferees: Favola, Aird, Suetterlein (Senate) - 2026-03-12: Senate requested conference committee (Senate) - 2026-03-11: Senate substitute rejected by House (0-Y 99-N 0-A) (House) - 2026-03-10: Passed Senate with substitute Block Vote (40-Y 0-N 0-A) (Senate) - 2026-03-10: Finance and Appropriations Substitute agreed to (Senate) - 2026-03-10: Fiscal Impact Statement from Department of Planning and Budget (HB425) (House) - 2026-03-10: Engrossed by Senate - committee substitute (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: Committee substitute printed 26109227D-S1 (Senate) - 2026-03-09: Rules suspended (Senate) - 2026-03-06: Reported from Finance and Appropriations with substitute (14-Y 0-N) (Senate) - 2026-02-26: Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) (Senate) - 2026-02-18: Referred to Committee on Education and Health (Senate) - 2026-02-18: Constitutional reading dispensed (on 1st reading) (Senate) - 2026-02-17: Read third time and passed House (95-Y 1-N 0-A) (House) - 2026-02-16: Engrossed by House - committee substitute (House) - 2026-02-16: committee substitute agreed to (House) - 2026-02-16: Read second time (House) - 2026-02-16: Fiscal Impact Statement from Department of Planning and Budget (HB425) (House) - 2026-02-13: Read first time (House) - 2026-02-11: Subcommittee recommends reporting (7-Y 0-N) (House) - 2026-02-11: Reported from Appropriations (22-Y 0-N) (House) - 2026-02-03: Committee substitute printed 26106651D-H1 (House) - 2026-02-03: Reported from Health and Human Services with substitute and referred to Appropriations (21-Y 1-N) (House) - 2026-02-03: Assigned HAPP sub: Health & Human Resources (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) - 2026-01-25: Fiscal Impact Statement from Department of Planning and Budget (HB425) (House) - 2026-01-16: Assigned sub: Social Services (House) - 2026-01-12: Referred to Committee on Health and Human Services (House) - 2026-01-12: Prefiled and ordered printed; Offered 01-14-2026 26102427D (House) ## Bill text - Chaptered, 2026-04-08: [HTML](https://lis.blob.core.windows.net/files/1217599.HTML), [PDF](https://lis.blob.core.windows.net/files/1217598.PDF) - Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1213719.HTML), [PDF](https://lis.blob.core.windows.net/files/1213718.PDF) - Conference Report, 2026-03-13: [HTML](https://lis.blob.core.windows.net/files/1210128.HTML) - Substitute, 2026-03-13: [HTML](https://lis.blob.core.windows.net/files/1210125.HTML), [PDF](https://lis.blob.core.windows.net/files/1210124.PDF) - Substitute, 2026-03-09: [HTML](https://lis.blob.core.windows.net/files/1199641.HTML), [PDF](https://lis.blob.core.windows.net/files/1199640.PDF) - Substitute, 2026-02-03: [HTML](https://lis.blob.core.windows.net/files/1114766.HTML), [PDF](https://lis.blob.core.windows.net/files/1114765.PDF) - Substitute, 2026-01-29: [HTML](https://lis.blob.core.windows.net/files/1103238.HTML), [HTML](https://lis.blob.core.windows.net/files/1103427.HTML), [PDF](https://lis.blob.core.windows.net/files/1103237.PDF), [PDF](https://lis.blob.core.windows.net/files/1103426.PDF) - Introduced, 2026-01-12: [HTML](https://lis.blob.core.windows.net/files/1084404.HTML), [PDF](https://lis.blob.core.windows.net/files/1084403.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/1217599.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1217598.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1213719.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1213718.PDF) - [Conference Report (HTML)](https://lis.blob.core.windows.net/files/1210128.HTML) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1210125.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1210124.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1199641.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1199640.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1114766.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1114765.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1103238.HTML) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1103427.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1103237.PDF) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1103426.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1084404.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1084403.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-HB425-2026 (as of 2026-10-12).