Legislation: batch E — CA TN VA VT WA WI WV WY

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/va/2026/hb-1284.md

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+---
+type: "Bill"
+title: "State plan for medical assistance; provider-to-provider consultation."
+description: "Department of Medical Assistance Services; state plan for medical assistance; provider-to-provider consultation; telemedicine. Specifies that the Medicaid provision for provider-to-provider consultation includes payment for consultations provided through telemedicine services. This bill incorporates HB 87."
+jurisdiction: "us/states/va"
+legislature: "Virginia General Assembly"
+session: "2026"
+identifier: "HB 1284"
+citation: "Virginia HB 1284 (2026)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Mark C. Downey"]
+version_count: 5
+action_count: 36
+vote_count: 9
+first_action: "2026-01-14"
+last_action: "2026-04-13"
+source: "openstates"
+source_identifier: "ocd-bill/f17d7bfa-434c-4074-8166-904633fe0933"
+source_url: "https://lis.virginia.gov/bill-details/20261/HB1284"
+source_hash: "c45ab69d2f1424a3811481c26c320d1ab57a1ce8e8dc7bb44622f4dbb626e8c3"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-va"]
+---
+
+# Virginia HB 1284 (2026) — State plan for medical assistance; provider-to-provider consultation.
+
+Department of Medical Assistance Services; state plan for medical assistance; provider-to-provider consultation; telemedicine. Specifies that the Medicaid provision for provider-to-provider consultation includes payment for consultations provided through telemedicine services. This bill incorporates HB 87.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1088050.PDF)
+2. **Health and Human Services Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1103193.HTML)
+3. **Health and Human Services Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1114779.PDF)
+4. **Social Services Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1103351.PDF)
+5. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1210579.PDF)
+
+## Votes
+
+- Reported from Education and Health — **15–0** (pass) · upper
+- Reported from Appropriations — **22–0** (pass) · lower
+- Constitutional reading dispensed (on 2nd reading) — **40–0** (pass) · upper
+- Passage R — **40–0** (pass) · upper
+- Subcommittee recommends reporting with substitute — **8–0** (pass) · lower
+- Reported from Health and Human Services with substitute — **22–0** (pass) · lower
+- Subcommittee recommends reporting — **7–0** (pass) · lower
+- H VOTE: — **96–0** (pass) · lower
+- Reported from Finance and Appropriations — **14–0** (pass) · upper
+
+## Sponsors
+
+- Mark C. Downey — primary (person)
+- Amy J. Laufer — cosponsor (person)
+- Virgil Thornton — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2026-01-14** Presented and ordered printed 26105500D `introduction`
+- **2026-01-14** Referred to Committee on Health and Human Services `referral-committee`
+- **2026-01-23** Assigned sub: Social Services `referral-committee`
+- **2026-01-29** House subcommittee offered
+- **2026-01-29** Subcommittee recommends reporting with substitute and referring to Appropriations (8-Y 0-N) `substitution`
+- **2026-02-02** Fiscal Impact Statement from Department of Planning and Budget (HB1284)
+- **2026-02-03** Reported from Health and Human Services with substitute and referred to Appropriations (22-Y 0-N) `committee-passage`
+- **2026-02-03** Assigned HAPP sub: Health & Human Resources `referral-committee`
+- **2026-02-03** Incorporates HB87 (Laufer)
+- **2026-02-03** Committee substitute printed 26106678D-H1 `substitution`
+- **2026-02-05** Fiscal Impact Statement from Department of Planning and Budget (HB1284)
+- **2026-02-06** Subcommittee recommends reporting (7-Y 0-N)
+- **2026-02-09** Reported from Appropriations (22-Y 0-N) `committee-passage`
+- **2026-02-11** Read first time `reading-1`
+- **2026-02-12** Read second time `reading-2`
+- **2026-02-12** committee substitute agreed to `substitution`
+- **2026-02-12** Engrossed by House - committee substitute `substitution`
+- **2026-02-13** Read third time and passed House (96-Y 0-N 0-A) `passage, reading-3`
+- **2026-02-16** Constitutional reading dispensed (on 1st reading)
+- **2026-02-16** Referred to Committee on Education and Health `referral-committee`
+- **2026-02-24** Assigned Education sub: Health `referral-committee`
+- **2026-02-26** Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) `committee-passage`
+- **2026-03-06** Reported from Finance and Appropriations (14-Y 0-N) `committee-passage`
+- **2026-03-09** Rules suspended
+- **2026-03-09** Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
+- **2026-03-09** Passed by for the day Block Vote (Voice Vote)
+- **2026-03-10** Read third time `reading-3`
+- **2026-03-10** Passed Senate (40-Y 0-N 0-A) `passage`
+- **2026-03-30** Enrolled `enrolled`
+- **2026-03-30** Bill text as passed House and Senate (HB1284ER) `passage`
+- **2026-03-30** Signed by President `passage`
+- **2026-03-31** Fiscal Impact Statement from Department of Planning and Budget (HB1284)
+- **2026-03-31** Signed by Speaker `passage`
+- **2026-03-31** Enrolled Bill communicated to Governor on March 31, 2026 `enrolled, executive-receipt`
+- **2026-03-31** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
+- **2026-04-13** Approved by Governor-Chapter 767 (effective 7/1/2026) `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f17d7bfa-434c-4074-8166-904633fe0933`. Confidence: reported (aggregated from official Virginia legislature records).
+