---
type: "Bill"
title: "Medical assistance services; state plan, case management service, individuals w/severe brain injury."
description: "State plan for medical assistance services;case management services; individuals with severe traumatic braininjury. Directs the Board of Medical Assistance Services to updatethe state plan for medical assistance services to include a provisionfor the payment of medical assistance for targeted case managementservices for individuals with severe traumatic brain injury."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "HB 680"
citation: "Virginia HB 680 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Patrick A. Hope"]
version_count: 3
action_count: 73
vote_count: 22
first_action: "2022-01-11"
last_action: "2022-08-04"
source: "openstates"
source_identifier: "ocd-bill/563d66d4-4612-4499-87c7-5ad9830f89d6"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB680"
source_hash: "3344770f4c4dfd2eaa146acc6280cbeefbb32b801ec32579ac35dcb9ca3b18aa"
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 680 (2022) — Medical assistance services; state plan, case management service, individuals w/severe brain injury.

State plan for medical assistance services;case management services; individuals with severe traumatic braininjury. Directs the Board of Medical Assistance Services to updatethe state plan for medical assistance services to include a provisionfor the payment of medical assistance for targeted case managementservices for individuals with severe traumatic brain injury.

## Version chain

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

1. **CHAP0011** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0011)
2. **HB680** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB680)
3. **HB680ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB680ER)

## Votes

- VOTE: Adoption (94-Y 0-N) — **56–43** (pass) · lower
- Reported from Finance and Appropriations with amendment (16-Y 0-N) — **16–0** (pass) · upper
- Reported from Finance and Appropriations with amendment (16-Y 0-N) — **0–0** (fail) · upper
- Reported from Health, Welfare and Institutions (21-Y 1-N) — **21–1** (pass) · lower
- VOTE: Passage (99-Y 0-N) — **0–0** (fail) · lower
- Reported from Appropriations (22-Y 0-N) — **22–0** (pass) · lower
- Passed Senate with amendment (39-Y 0-N) — **39–0** (pass) · upper
- Subcommittee recommends reporting (4-Y 3-N) — **4–3** (pass) · lower
- Senate insisted on amendment (39-Y 0-N) — **39–0** (pass) · upper
- Reported from Education and Health (15-Y 0-N) — **0–0** (fail) · upper
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- VOTE: Passage (99-Y 0-N) — **98–0** (pass) · lower
- Constitutional reading dispensed (40-Y 0-N) — **0–0** (fail) · upper
- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper
- Reported from Appropriations (22-Y 0-N) — **0–0** (fail) · lower
- VOTE: Rejected (0-Y 97-N) — **0–96** (fail) · lower
- VOTE: Rejected (0-Y 97-N) — **0–0** (fail) · lower
- Reported from Health, Welfare and Institutions (21-Y 1-N) — **0–0** (fail) · lower
- Subcommittee recommends reporting (4-Y 3-N) — **0–0** (fail) · lower
- Passed Senate with amendment (39-Y 0-N) — **0–0** (fail) · upper
- Senate insisted on amendment (39-Y 0-N) — **0–0** (fail) · upper
- Conference report agreed to by Senate (39-Y 0-N) — **40–0** (pass) · upper

## Sponsors

- Patrick A. Hope — primary (person)
- Rodney T. Willett — cosponsor (person)

## Timeline

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

- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22101512D `introduction`
- **2022-01-11** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2022-01-25** Reported from Health, Welfare and Institutions (21-Y 1-N) `committee-passage`
- **2022-01-25** Referred to Committee on Appropriations `referral-committee`
- **2022-01-26** Assigned App. sub: Health & Human Resources `referral-committee`
- **2022-01-28** Impact statement from DPB (HB680)
- **2022-02-01** Subcommittee recommends reporting (4-Y 3-N)
- **2022-02-02** Reported from Appropriations (22-Y 0-N) `committee-passage`
- **2022-02-04** Read first time `reading-1`
- **2022-02-07** Read second time and engrossed `reading-2`
- **2022-02-08** Read third time and passed House (99-Y 0-N) `passage, reading-3`
- **2022-02-08** VOTE: Passage (99-Y 0-N)
- **2022-02-09** Constitutional reading dispensed
- **2022-02-09** Referred to Committee on Education and Health `referral-committee`
- **2022-02-17** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2022-02-17** Rereferred to Finance and Appropriations `referral-committee`
- **2022-03-01** Reported from Finance and Appropriations with amendment (16-Y 0-N) `committee-passage`
- **2022-03-02** Constitutional reading dispensed (40-Y 0-N)
- **2022-03-03** Read third time `reading-3`
- **2022-03-03** Reading of amendment waived
- **2022-03-03** Committee amendment agreed to
- **2022-03-03** Engrossed by Senate as amended
- **2022-03-03** Passed Senate with amendment (39-Y 0-N) `passage`
- **2022-03-07** Senate amendment rejected by House (0-Y 97-N)
- **2022-03-07** VOTE: Rejected (0-Y 97-N)
- **2022-03-08** Senate insisted on amendment (39-Y 0-N)
- **2022-03-08** Senate requested conference committee
- **2022-03-09** House acceded to request
- **2022-03-09** Conferees appointed by House
- **2022-03-10** Conferees appointed by Senate
- **2022-03-12** Continued to 2022 Sp. Sess. 1 pursuant to HJR455
- **2022-06-01** Amended by conference committee
- **2022-06-01** Conference report agreed to by House (94-Y 0-N)
- **2022-06-01** VOTE: Adoption (94-Y 0-N)
- **2022-06-17** Conference report agreed to by Senate (39-Y 0-N)
- **2022-07-20** Enrolled
- **2022-07-20** Signed by Speaker
- **2022-07-21** Signed by President
- **2022-07-28** Enrolled Bill communicated to Governor on July 28, 2022
- **2022-07-28** Governor's Action Deadline 11:59 p.m., August 4, 2022
- **2022-08-04** Approved by Governor-Chapter 11 (effective on the 1st day of the 4th month following the month `executive-signature`
- **2022-08-04** of adjournment of the 2022 Special Session l)
- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22101512D `introduction`
- **2022-01-11** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2022-01-25** Reported from Health, Welfare and Institutions (21-Y 1-N) `committee-passage`
- **2022-01-25** Referred to Committee on Appropriations `referral-committee`
- **2022-01-26** Assigned App. sub: Health & Human Resources `referral-committee`
- **2022-01-28** Impact statement from DPB (HB680)
- **2022-02-01** Subcommittee recommends reporting (4-Y 3-N)
- **2022-02-02** Reported from Appropriations (22-Y 0-N) `committee-passage`
- **2022-02-04** Read first time `reading-1`
- **2022-02-07** Read second time and engrossed `reading-2`
- **2022-02-08** Read third time and passed House (99-Y 0-N) `passage, reading-3`
- **2022-02-08** VOTE: Passage (99-Y 0-N)
- **2022-02-09** Constitutional reading dispensed
- **2022-02-09** Referred to Committee on Education and Health `referral-committee`
- **2022-02-17** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2022-02-17** Rereferred to Finance and Appropriations `referral-committee`
- **2022-03-01** Reported from Finance and Appropriations with amendment (16-Y 0-N) `committee-passage`
- **2022-03-02** Constitutional reading dispensed (40-Y 0-N)
- **2022-03-03** Read third time `reading-3`
- **2022-03-03** Reading of amendment waived
- **2022-03-03** Committee amendment agreed to
- **2022-03-03** Engrossed by Senate as amended
- **2022-03-03** Passed Senate with amendment (39-Y 0-N) `passage`
- **2022-03-07** Senate amendment rejected by House (0-Y 97-N)
- **2022-03-07** VOTE: Rejected (0-Y 97-N)
- **2022-03-08** Senate insisted on amendment (39-Y 0-N)
- **2022-03-08** Senate requested conference committee
- **2022-03-09** House acceded to request
- **2022-03-09** Conferees appointed by House
- **2022-03-10** Conferees appointed by Senate
- **2022-03-12** Continued to 2022 Sp. Sess. 1 pursuant to HJR455

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/563d66d4-4612-4499-87c7-5ad9830f89d6`. Confidence: reported (aggregated from official Virginia legislature records).