---
type: "Bill"
title: "Long-term care; requirements of Department of Medical Assistance Services."
description: "Provides that the Department of Medical Assistance Services shall require all individuals who administer preadmission screenings for long-term care services to receive training on and be certified in the use of the Uniform Assessment Instrument; requires the Department to develop a program for the training and certification of preadmission screeners, develop guidelines for a standardized preadmission screening process, and strengthen oversight of the preadmission screening process to ensure that problems are identified and addressed promptly. The bill requires the Department to make a number of changes to contracts for long-term care services provided by managed care organizations; directs the Department to impose additional requirements related to submission of data and information by managed care organizations; and requires the Department to implement a number of spending and utilization control measures in conjunction with managed care organizations."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2017"
identifier: "HB 2304"
citation: "Virginia HB 2304 (2017)"
classification: ["bill"]
subjects: ["Health", "Senior Citizens", "Study Commissions", "Committees and Reports"]
status: "enacted"
primary_sponsors: ["Robert D. Orrock, Sr."]
version_count: 6
action_count: 32
vote_count: 14
first_action: "2017-01-12"
last_action: "2017-03-24"
source: "openstates"
source_identifier: "ocd-bill/32d51380-54de-42a2-acac-5d21e4b64f30"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?171+sum+HB2304"
source_hash: "8c502f29e34668f06576aff5ea6adf7edf1584d83acae43334a1ed940c5cbd7e"
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 2304 (2017) — Long-term care; requirements of Department of Medical Assistance Services.

Provides that the Department of Medical Assistance Services shall require all individuals who administer preadmission screenings for long-term care services to receive training on and be certified in the use of the Uniform Assessment Instrument; requires the Department to develop a program for the training and certification of preadmission screeners, develop guidelines for a standardized preadmission screening process, and strengthen oversight of the preadmission screening process to ensure that problems are identified and addressed promptly. The bill requires the Department to make a number of changes to contracts for long-term care services provided by managed care organizations; directs the Department to impose additional requirements related to submission of data and information by managed care organizations; and requires the Department to implement a number of spending and utilization control measures in conjunction with managed care organizations.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Governor: Acts of Assembly Chapter text (CHAP0749)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+CHAP0749)
2. **House: Bill text as passed House and Senate (HB2304ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2304ER)
3. **House: Committee substitute printed 17104925D-H1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2304H1)
4. **House: Committee substitute printed 17105180D-H2** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2304H2)
5. **House: Presented and ordered printed 17103363D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2304)
6. **Senate: Committee substitute printed 17105597D-S1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2304S1)

## Votes

- Passed Senate with substitute — **40–0** (pass) · legislature
- Conference report agreed to by Senate — **40–0** (pass) · legislature
- Conference report agreed to by House — **94–1** (pass) · legislature
- Passed Senate with substitute — **40–0** (pass) · legislature
- Read third time and passed House BLOCK VOTE — **97–0** (pass) · legislature
- Reported from Appropriations with substitute — **20–0** (pass) · legislature
- Reconsideration of Senate passage agreed to by Senate — **40–0** (pass) · legislature
- Subcommittee recommends reporting with substitute — **8–0** (pass) · legislature
- Reported from Health, Welfare and Institutions with substitute — **22–0** (pass) · legislature
- Senate substitute rejected by House 17105597D-S1 — **0–100** (fail) · legislature
- Reported from Finance with substitute — **11–0** (pass) · legislature
- Reported from Education and Health — **15–0** (pass) · legislature
- Senate insisted on substitute — **39–0** (pass) · legislature
- Constitutional reading dispensed — **40–0** (pass) · legislature

## Sponsors

- Robert D. Orrock, Sr. — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2017-01-12** Presented and ordered printed 17103363D `introduction`
- **2017-01-12** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2017-02-02** Referred to Committee on Appropriations `referral-committee`
- **2017-02-02** Assigned App. sub: Health & Human Resources `referral-committee`
- **2017-02-04** Read first time `reading-1`
- **2017-02-06** Read second time `reading-2`
- **2017-02-06** Health, Welfare and Institutions Committee substitute rejected 17104925D-H1
- **2017-02-06** Appropriations Committee substitute agreed to 17105180D-H2
- **2017-02-06** Engrossed by House - committee substitute HB2304H2
- **2017-02-07** Read third time and passed House BLOCK VOTE (97-Y 0-N) `passage, reading-3`
- **2017-02-08** Constitutional reading dispensed
- **2017-02-08** Referred to Committee on Education and Health `referral-committee`
- **2017-02-13** Assigned Education sub: Health `referral-committee`
- **2017-02-16** Rereferred to Finance `referral-committee`
- **2017-02-21** Read third time `reading-3`
- **2017-02-21** Reading of substitute waived
- **2017-02-21** Committee substitute agreed to 17105597D-S1
- **2017-02-21** Engrossed by Senate - committee substitute HB2304S1
- **2017-02-22** Placed on Calendar
- **2017-02-22** Senate substitute rejected by House 17105597D-S1 (0-Y 100-N)
- **2017-02-23** Senate requested conference committee
- **2017-02-23** House acceded to request
- **2017-02-23** Conferees appointed by House
- **2017-02-23** Conferees appointed by Senate
- **2017-02-24** Amended by conference committee
- **2017-02-24** Conference report agreed to by House (94-Y 1-N)
- **2017-03-07** Enrolled
- **2017-03-07** Signed by Speaker
- **2017-03-10** Signed by President
- **2017-03-13** Enrolled Bill communicated to Governor on 3/13/17
- **2017-03-13** Governor's Action Deadline Midnight, March 27, 2017
- **2017-03-24** Approved by Governor-Chapter 749 (effective 7/1/17) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/32d51380-54de-42a2-acac-5d21e4b64f30`. Confidence: reported (aggregated from official Virginia legislature records).