---
type: "Bill"
title: "State plan for medical assistance services; telemedicine, in-state presence."
description: "State plan for medical assistance services; telemedicine, in-state presence."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2023"
identifier: "SB 1418"
citation: "Virginia SB 1418 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Pillion"]
version_count: 3
action_count: 25
vote_count: 5
first_action: "2023-01-11"
last_action: "2023-03-21"
source: "openstates"
source_identifier: "ocd-bill/86e9b66f-90c0-48c4-a7af-0e9e8173d52b"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?231+sum+SB1418"
source_hash: "b82e89d27fa0159de7ad66eccdcf5e048a35164bc4495ee14df8084df38ee903"
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 SB 1418 (2023) — State plan for medical assistance services; telemedicine, in-state presence.

## Version chain

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

1. **CHAP0113** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+CHAP0113)
2. **Prefiled and ordered printed; offered 01/11/23 23102751D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+SB1418)
3. **SB1418ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+SB1418ER)

## Votes

- Constitutional reading dispensed (38-Y 0-N) — **0–0** (fail) · upper
- Read third time and passed Senate (39-Y 0-N) — **0–0** (fail) · upper
- Reported from Education and Health (15-Y 0-N) — **0–0** (fail) · upper
- VOTE: Block Vote Passage (99-Y 0-N) — **0–0** (fail) · lower
- Reported from Health, Welfare and Institutions (22-Y 0-N) — **0–0** (fail) · lower

## Sponsors

- Pillion — primary (person)

## Timeline

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

- **2023-01-11** Prefiled and ordered printed; offered 01/11/23 23102751D `filing, introduction`
- **2023-01-11** Referred to Committee on Education and Health `referral-committee`
- **2023-01-13** Assigned Education sub: Health `referral-committee`
- **2023-01-18** Impact statement from DPB (SB1418)
- **2023-01-19** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2023-01-20** Constitutional reading dispensed (38-Y 0-N)
- **2023-01-23** Read second time and engrossed `reading-2`
- **2023-01-24** Read third time and passed Senate (39-Y 0-N) `passage, reading-3`
- **2023-02-13** Placed on Calendar
- **2023-02-13** Read first time `reading-1`
- **2023-02-13** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2023-02-16** Reported from Health, Welfare and Institutions (22-Y 0-N) `committee-passage`
- **2023-02-20** Read second time `reading-2`
- **2023-02-21** Read third time `reading-3`
- **2023-02-21** Passed House BLOCK VOTE (99-Y 0-N) `passage`
- **2023-02-21** VOTE: Block Vote Passage (99-Y 0-N) `passage`
- **2023-02-24** Enrolled `enrolled`
- **2023-02-24** Bill text as passed Senate and House (SB1418ER) `passage`
- **2023-02-24** Signed by President `passage`
- **2023-02-24** Signed by Speaker `passage`
- **2023-02-27** Impact statement from DPB (SB1418ER)
- **2023-03-02** Enrolled Bill Communicated to Governor on March 2, 2023 `enrolled`
- **2023-03-02** Governor's Action Deadline 11:59 p.m., March 27, 2023 `executive-receipt`
- **2023-03-21** Approved by Governor-Chapter 113 (effective 7/1/23) `executive-signature`
- **2023-03-21** Acts of Assembly Chapter text (CHAP0113)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/86e9b66f-90c0-48c4-a7af-0e9e8173d52b`. Confidence: reported (aggregated from official Virginia legislature records).