VirginiaSB1142026 Regular SessionSenate

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

Sponsored By: Tara A. Durant (Republican)

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

  • Tara A. Durant

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 24 • No: 4

Senate vote 2/3/2026

Continued to 2027 in Finance and Appropriations

Yes: 10 • No: 4

Senate vote 1/22/2026

Reported from Education and Health and rereferred to Finance and Appropriations

Yes: 14 • No: 0

Actions Timeline

  1. Continued to 2027 in Finance and Appropriations (10-Y 4-N)

    2/3/2026Senate
  2. Reported from Education and Health and rereferred to Finance and Appropriations (14-Y 0-N)

    1/22/2026Senate
  3. Assigned Education sub: Health

    1/20/2026Senate
  4. Fiscal Impact Statement from Department of Planning and Budget (SB114)

    1/15/2026Senate
  5. Referred to Committee on Education and Health

    1/5/2026Senate
  6. Prefiled and ordered printed; Offered 01-14-2026 26101164D

    1/5/2026Senate

Bill Text

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