VirginiaHB4702026 Regular SessionHouse

Medicaid waivers; consumer-directed services, employer of record.

Sponsored By: Laura Jane Cohen (Democratic)

In Committee

Summary

Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record. Directs the Department of Medical Assistance Services (DMAS) to modify the program rules for consumer-directed services available through certain Medicaid waivers to allow an individual receiving services to serve as the employer of record (EOR) for his own service delivery and designate another individual to perform all or a portion of the duties of the EOR on the individual's behalf when the individual receiving services is unable to perform such duties or direct his own care. The bill specifies that when an individual (i) has not yet reached the age of majority, (ii) is ineligible to use his existing employer identification number (EIN) to facilitate the taxation of benefits, or (iii) is otherwise determined to be ineligible by DMAS by administrative rule, the EIN shall be assigned to the individual receiving services and shall not be transferred to another individual. Under the bill, DMAS has the authority to limit such amendments to specify that an individual receiving services may make such designation no more than twice per calendar year.

Finance and Appropriations

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Laura Jane Cohen

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 174 • No: 7

Senate vote 3/4/2026

Continued to 2027 in Finance and Appropriations

Yes: 12 • No: 3

Senate vote 2/26/2026

Reported from Education and Health and rereferred to Finance and Appropriations

Yes: 13 • No: 0

House vote 2/13/2026

Read third time and passed House

Yes: 93 • No: 3

House vote 2/9/2026

Reported from Appropriations

Yes: 20 • No: 0

House vote 2/6/2026

Subcommittee recommends reporting

Yes: 7 • No: 0 • Other: 1

House vote 2/3/2026

Reported from Health and Human Services and referred to Appropriations

Yes: 21 • No: 1

House vote 1/29/2026

Subcommittee recommends reporting and referring to Appropriations

Yes: 8 • No: 0 • Other: 1

Actions Timeline

  1. Continued to 2027 in Finance and Appropriations (12-Y 3-N)

    3/4/2026Senate
  2. Reported from Education and Health and rereferred to Finance and Appropriations (13-Y 0-N)

    2/26/2026Senate
  3. Referred to Committee on Education and Health

    2/16/2026Senate
  4. Constitutional reading dispensed (on 1st reading)

    2/16/2026Senate
  5. Read third time and passed House (93-Y 3-N 0-A)

    2/13/2026House
  6. Read second time and engrossed

    2/12/2026House
  7. Read first time

    2/11/2026House
  8. Fiscal Impact Statement from Department of Planning and Budget (HB470)

    2/10/2026House
  9. Reported from Appropriations (20-Y 0-N)

    2/9/2026House
  10. Subcommittee recommends reporting (7-Y 0-N)

    2/6/2026House
  11. Reported from Health and Human Services and referred to Appropriations (21-Y 1-N)

    2/3/2026House
  12. Assigned HAPP sub: Health & Human Resources

    2/3/2026House
  13. Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)

    1/29/2026House
  14. Assigned sub: Social Services

    1/21/2026House
  15. Fiscal Impact Statement from Department of Planning and Budget (HB470)

    1/15/2026House
  16. Referred to Committee on Health and Human Services

    1/12/2026House
  17. Prefiled and ordered printed; Offered 01-14-2026 26104032D

    1/12/2026House

Bill Text

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