---
type: "Bill"
title: "1915(c) Home and Community-Based Services Medicaid Waivers; state plan amendments, program rule."
description: "Department of Medical Assistance Services; Departmentof Behavioral Health and Developmental Services; 1915(c) Home andCommunity-Based Services Medicaid Waivers; state plan amendments;program rule modifications. Directs the Department of MedicalAssistance Services and the Department of Behavioral Health and DevelopmentalServices to seek to modify the program rules for certain 1915(c) Homeand Community-Based Services Medicaid Waivers to eliminate the requirementthat in order for a legally responsible individual to receive reimbursementfor personal care services, no one else be available to provide suchservices to the Medicaid member. This bill incorporates HB 1282."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2024"
identifier: "HB 1318"
citation: "Virginia HB 1318 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Joshua G. Cole"]
version_count: 4
action_count: 31
vote_count: 7
first_action: "2024-01-10"
last_action: "2024-04-05"
source: "openstates"
source_identifier: "ocd-bill/8dd0d1c6-62a1-4006-86aa-ab908f35df0c"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB1318"
source_hash: "9e0412d589cce988e311962449e346049ba8e164a93cd56a61f986bb3c2887af"
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 1318 (2024) — 1915(c) Home and Community-Based Services Medicaid Waivers; state plan amendments, program rule.

Department of Medical Assistance Services; Departmentof Behavioral Health and Developmental Services; 1915(c) Home andCommunity-Based Services Medicaid Waivers; state plan amendments;program rule modifications. Directs the Department of MedicalAssistance Services and the Department of Behavioral Health and DevelopmentalServices to seek to modify the program rules for certain 1915(c) Homeand Community-Based Services Medicaid Waivers to eliminate the requirementthat in order for a legally responsible individual to receive reimbursementfor personal care services, no one else be available to provide suchservices to the Medicaid member. This bill incorporates HB 1282.

## Version chain

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

1. **CHAP0551** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0551)
2. **Committee substitute printed 24106944D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1318H1)
3. **HB1318ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1318ER)
4. **Presented and ordered printed 24104677D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1318)

## Votes

- Subcommittee recommends reporting with substitute (8-Y 0-N) — **8–0** (pass) · lower
- Reported from Finance and Appropriations (15-Y 0-N) — **15–0** (pass) · upper
- Reported from Health and Human Services with substitute (22-Y 0-N) — **22–0** (pass) · lower
- VOTE: Block Vote Passage (100-Y 0-N) — **99–0** (pass) · lower
- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
- Passed Senate (39-Y 0-N) — **39–0** (pass) · upper
- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper

## Sponsors

- Joshua G. Cole — primary (person)
- Amy J. Laufer — cosponsor (person)
- Irene Shin — cosponsor (person)
- Tony O. Wilt — cosponsor (person)

## Timeline

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

- **2024-01-10** Presented and ordered printed 24104677D `introduction`
- **2024-01-10** Referred to Committee on Health and Human Services `referral-committee`
- **2024-01-23** Impact statement from DPB (HB1318)
- **2024-01-23** Assigned sub: Social Services `referral-committee`
- **2024-02-01** Subcommittee recommends reporting with substitute (8-Y 0-N) `substitution`
- **2024-02-06** Reported from Health and Human Services with substitute (22-Y 0-N) `committee-passage`
- **2024-02-06** Committee substitute printed 24106944D-H1 `substitution`
- **2024-02-06** Incorporates HB1282 (Wilt)
- **2024-02-07** Impact statement from DPB (HB1318H1)
- **2024-02-08** Read first time `reading-1`
- **2024-02-09** Read second time `reading-2`
- **2024-02-09** Committee substitute agreed to 24106944D-H1 `substitution`
- **2024-02-09** Engrossed by House - committee substitute HB1318H1 `substitution`
- **2024-02-12** Read third time and passed House BLOCK VOTE (100-Y 0-N) `passage, reading-3`
- **2024-02-12** VOTE: Block Vote Passage (100-Y 0-N) `passage`
- **2024-02-13** Constitutional reading dispensed
- **2024-02-13** Referred to Committee on Education and Health `referral-committee`
- **2024-02-19** Assigned Education and Health Sub: Health `referral-committee`
- **2024-02-22** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2024-02-22** Rereferred to Finance and Appropriations `referral-committee`
- **2024-02-27** Constitutional reading dispensed (39-Y 0-N)
- **2024-02-27** Reported from Finance and Appropriations (15-Y 0-N) `committee-passage`
- **2024-02-28** Read third time `reading-3`
- **2024-02-28** Passed Senate (39-Y 0-N) `passage`
- **2024-03-05** Enrolled `enrolled`
- **2024-03-05** Bill text as passed House and Senate (HB1318ER) `passage`
- **2024-03-05** Impact statement from DPB (HB1318ER)
- **2024-03-11** Enrolled Bill communicated to Governor on March 11, 2024 `enrolled, executive-receipt`
- **2024-03-11** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
- **2024-04-05** Approved by Governor-Chapter 551 (effective 7/1/24) `executive-signature`
- **2024-04-05** Acts of Assembly Chapter text (CHAP0551)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8dd0d1c6-62a1-4006-86aa-ab908f35df0c`. Confidence: reported (aggregated from official Virginia legislature records).