# Virginia HB470: Medicaid waivers; consumer-directed services, employer of record.

Virginia HB470, Medicaid waivers; consumer-directed services, employer of record., is a 2027 Regular Session House bill sponsored by Laura Jane Cohen (Democratic); status passed house, last action 2026-07-21 (Continued from last session) (as of 2026-10-13).

- Canonical: https://policyrisk.com/state-bill/VA-HB470-2027
- As of: 2026-10-13
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB470
- State: Virginia
- Session: 2027 Regular Session
- Title: Medicaid waivers; consumer-directed services, employer of record.
- Status: passed house
- Chamber: House
- Introduced: 2026-01-12
- Last action: 2026-07-21, Continued from last session
- Sponsor: Laura Jane Cohen (Democratic)
- Cosponsors: 0
- Subjects: Finance and Appropriations
- Touches household money: no
- Economic provisions PRIA read: 0

## 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.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Laura Jane Cohen (Democratic), House

## Actions (18)

- 2026-07-21: Continued from last session (Senate)
- 2026-03-04: Continued to 2027 in Finance and Appropriations (12-Y 3-N) (Senate)
- 2026-02-26: Reported from Education and Health and rereferred to Finance and Appropriations (13-Y 0-N) (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 (93-Y 3-N 0-A) (House)
- 2026-02-12: Read second time and engrossed (House)
- 2026-02-11: Read first time (House)
- 2026-02-10: Fiscal Impact Statement from Department of Planning and Budget (HB470) (House)
- 2026-02-09: Reported from Appropriations (20-Y 0-N) (House)
- 2026-02-06: Subcommittee recommends reporting (7-Y 0-N) (House)
- 2026-02-03: Reported from Health and Human Services and referred to Appropriations (21-Y 1-N) (House)
- 2026-02-03: Assigned HAPP sub: Health & Human Resources (House)
- 2026-01-29: Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N) (House)
- 2026-01-21: Assigned sub: Social Services (House)
- 2026-01-15: Fiscal Impact Statement from Department of Planning and Budget (HB470) (House)
- 2026-01-12: Referred to Committee on Health and Human Services (House)
- 2026-01-12: Prefiled and ordered printed; Offered 01-14-2026 26104032D (House)

## Bill text

- Introduced, 2026-01-12: [HTML](https://lis.blob.core.windows.net/files/1228784.HTML), [PDF](https://lis.blob.core.windows.net/files/1228783.PDF)

## Related bills

- SB844: Licensed clinical psychologists; prescriptive authority, report. (in committee)
- HB1535: Individuals with developmental or intellectual disabilities; admissibility of statements. (introduced)
- HB1534: School service providers; deletion of student and family personal information. (introduced)
- SB843: Data centers; state permitting, local approval, moratorium, sunset. (in committee)
- SB842: High school student athletes; eligibility, enrollment. (in committee)
- SB840: Corrections, Director of the Department of; placement of inmates, Red Onion State Prison. (in committee)

## Sources
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1228784.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1228783.PDF)

## Related
- [SB844: Licensed clinical psychologists; prescriptive authority, report.](https://policyrisk.com/state-bill/VA-SB844-2027)
- [HB1535: Individuals with developmental or intellectual disabilities; admissibility of s…](https://policyrisk.com/state-bill/VA-HB1535-2027)
- [HB1534: School service providers; deletion of student and family personal information.](https://policyrisk.com/state-bill/VA-HB1534-2027)
- [SB843: Data centers; state permitting, local approval, moratorium, sunset.](https://policyrisk.com/state-bill/VA-SB843-2027)
- [SB842: High school student athletes; eligibility, enrollment.](https://policyrisk.com/state-bill/VA-SB842-2027)
- [SB840: Corrections, Director of the Department of; placement of inmates, Red Onion Sta…](https://policyrisk.com/state-bill/VA-SB840-2027)
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- [Virginia state hub](https://policyrisk.com/states/virginia)
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Source: PRIA, https://policyrisk.com/state-bill/VA-HB470-2027 (as of 2026-10-13).