republic-os/legislation/us/states/va/2022/sb-426.md

---
type: "Bill"
title: "Medical assistance services; state plan, remote patient monitoring."
description: "State plan for medical assistance services; remote patient monitoring. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance services to provide for the payment of medical assistance for (i) remote patient monitoring services provided via telemedicine for patients who have experienced a chronic or acute health condition who have had two or more hospitalizations or emergency department visits related to such health condition in the previous 12 months, when there is evidence that the use of remote patient monitoring is likely to prevent readmission to a hospital or emergency department, and (ii) provider-to-provider consultations that is no more restrictive than, and is at least equal in amount, duration, and scope to, that available through the fee-for-service program."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "SB 426"
citation: "Virginia SB 426 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Siobhan S. Dunnavant"]
version_count: 5
action_count: 42
vote_count: 9
first_action: "2022-01-11"
last_action: "2022-04-08"
source: "openstates"
source_identifier: "ocd-bill/2804acb5-6392-4e30-8ef5-86d6b275b972"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+SB426"
source_hash: "7c0286b8e251e49d3214e0f44575ed4226c275e2a6fb9ea74624773312891b40"
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 426 (2022) — Medical assistance services; state plan, remote patient monitoring.

State plan for medical assistance services; remote patient monitoring. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance services to provide for the payment of medical assistance for (i) remote patient monitoring services provided via telemedicine for patients who have experienced a chronic or acute health condition who have had two or more hospitalizations or emergency department visits related to such health condition in the previous 12 months, when there is evidence that the use of remote patient monitoring is likely to prevent readmission to a hospital or emergency department, and (ii) provider-to-provider consultations that is no more restrictive than, and is at least equal in amount, duration, and scope to, that available through the fee-for-service program.

## Version chain

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

1. **CHAP0269** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0269)
2. **Committee substitute printed 22106909D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB426H1)
3. **Prefiled and ordered printed; offered 01/12/22 22102392D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB426)
4. **Printed as engrossed 22102392D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB426E)
5. **SB426ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB426ER)

## Votes

- House substitute agreed to by Senate (39-Y 0-N) — **39–0** (pass) · upper
- VOTE: Block Vote Passage (98-Y 0-N) — **97–0** (pass) · lower
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- Reported from Appropriations (21-Y 0-N) — **21–0** (pass) · lower
- Read third time and passed Senate (40-Y 0-N) — **40–0** (pass) · upper
- Reported from Health, Welfare and Institutions with substitute (22-Y 0-N) — **22–0** (pass) · lower
- Reported from Education and Health with amendment (15-Y 0-N) — **15–0** (pass) · upper
- Subcommittee recommends reporting (8-Y 0-N) — **8–0** (pass) · lower
- Reported from Finance and Appropriations (16-Y 0-N) — **16–0** (pass) · upper

## Sponsors

- Siobhan S. Dunnavant — primary (person)

## Timeline

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

- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22102392D `introduction`
- **2022-01-11** Referred to Committee on Education and Health `referral-committee`
- **2022-01-14** Assigned Education sub: Health `referral-committee`
- **2022-01-18** Senate subcommittee amendments and substitutes offered
- **2022-01-20** Reported from Education and Health with amendment (15-Y 0-N) `committee-passage`
- **2022-01-20** Rereferred to Finance and Appropriations `referral-committee`
- **2022-01-25** Impact statement from DPB (SB426)
- **2022-02-02** Reported from Finance and Appropriations (16-Y 0-N) `committee-passage`
- **2022-02-03** Constitutional reading dispensed (40-Y 0-N)
- **2022-02-04** Read second time `reading-2`
- **2022-02-04** Reading of amendment waived
- **2022-02-04** Committee amendment agreed to
- **2022-02-04** Engrossed by Senate as amended SB426E
- **2022-02-04** Printed as engrossed 22102392D-E
- **2022-02-07** Impact statement from DPB (SB426E)
- **2022-02-07** Read third time and passed Senate (40-Y 0-N) `passage, reading-3`
- **2022-02-22** Placed on Calendar
- **2022-02-22** Read first time `reading-1`
- **2022-02-22** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2022-02-24** House committee, floor amendments and substitutes offered
- **2022-02-24** Reported from Health, Welfare and Institutions with substitute (22-Y 0-N) `committee-passage`
- **2022-02-24** Committee substitute printed 22106909D-H1 `substitution`
- **2022-02-24** Referred to Committee on Appropriations `referral-committee`
- **2022-02-25** Assigned App. sub: Health & Human Resources `referral-committee`
- **2022-02-28** Impact statement from DPB (SB426H1)
- **2022-03-01** Subcommittee recommends reporting (8-Y 0-N)
- **2022-03-02** Reported from Appropriations (21-Y 0-N) `committee-passage`
- **2022-03-04** Read second time `reading-2`
- **2022-03-07** Read third time `reading-3`
- **2022-03-07** Committee substitute agreed to 22106909D-H1
- **2022-03-07** Engrossed by House - committee substitute SB426H1
- **2022-03-07** Passed House with substitute BLOCK VOTE (98-Y 0-N) `passage`
- **2022-03-07** VOTE: Block Vote Passage (98-Y 0-N)
- **2022-03-08** House substitute agreed to by Senate (39-Y 0-N)
- **2022-03-08** Title replaced 22106909D-H1
- **2022-03-10** Enrolled
- **2022-03-10** Impact statement from DPB (SB426ER)
- **2022-03-10** Signed by President
- **2022-03-10** Signed by Speaker
- **2022-03-22** Enrolled Bill Communicated to Governor on March 22, 2022
- **2022-03-22** Governor's Action Deadline 11:59 p.m., April 11, 2022
- **2022-04-08** Approved by Governor-Chapter 269 (effective 7/1/22) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2804acb5-6392-4e30-8ef5-86d6b275b972`. Confidence: reported (aggregated from official Virginia legislature records).