Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
6.2 KiB
type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
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| Bill | Medical Assistance Services, Department of; appeals of agency determinations. | Department of Medical Assistance Services; appeals of agency determinations. Allows health care providers to appeal any adverse action or determination by the Department of Medical Assistance Services (DMAS) or a DMAS contractor. Under current law, such appeal is allowed for a determination of overpayment to a provider by DMAS. The bill adds provisions allowing for DMAS and an appealing provider to stay the deadline for their appeal decision to facilitate settlement discussions. The bill further specifies that DMAS contractors are required to represent themselves during appeal proceedings. This bill is identical to HB 2082. | us/states/va | Virginia General Assembly | 2025 | SB 1237 | Virginia SB 1237 (2025) |
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enacted |
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6 | 36 | 8 | 2025-01-08 | 2025-04-02 | openstates | ocd-bill/9c62c40b-09db-4ea1-bab3-21ea94dc01d7 | https://lis.virginia.gov/bill-details/20251/SB1237 | 11fa660854856609efa805a317a2b8f7a6d1df851ad7f27e2443b48940e8871c | 2026-07-01 | https://data.openstates.org/daily/2026-07-01/public.pgdump | 2026-07-06 | reported |
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Virginia SB 1237 (2025) — Medical Assistance Services, Department of; appeals of agency determinations.
Department of Medical Assistance Services; appeals of agency determinations. Allows health care providers to appeal any adverse action or determination by the Department of Medical Assistance Services (DMAS) or a DMAS contractor. Under current law, such appeal is allowed for a determination of overpayment to a provider by DMAS. The bill adds provisions allowing for DMAS and an appealing provider to stay the deadline for their appeal decision to facilitate settlement discussions. The bill further specifies that DMAS contractors are required to represent themselves during appeal proceedings. This bill is identical to HB 2082.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
- Introduced (filed) — source
- Chaptered (committee substitute) — source
- Governor Substitute (committee substitute) — source
- Governor's Recommendation (committee substitute) — source
- Reenrolled (committee substitute) — source
- Enrolled (enrolled) — source
Votes
- Senate concurred in Governor's recommendation (40-Y 0-N) — 40–0 (pass) · upper
- Passed House (96-Y 0-N) — 96–0 (pass) · lower
- Constitutional reading dispensed (on 1st reading) (39-Y 0-N) — 39–0 (pass) · upper
- Reported from Health and Human Services (22-Y 0-N) — 22–0 (pass) · lower
- Constitutional reading dispensed (on 3rd reading) — 40–0 (pass) · upper
- House concurred in Governor's recommendation (95-Y 0-N) — 95–0 (pass) · lower
- Reported from Education and Health (15-Y 0-N) — 15–0 (pass) · upper
- Passed Senate (40-Y 0-N) — 40–0 (pass) · upper
Sponsors
- Jennifer B. Boysko — primary (person)
- Irene Shin — cosponsor (person)
Timeline
The legislative action history — every referral, reading, and vote.
- 2025-01-08 Prefiled and ordered printed; Offered 01-08-2025 25100654D
filing, introduction - 2025-01-08 Referred to Committee on Education and Health
referral-committee - 2025-01-28 Assigned Education sub: Health
referral-committee - 2025-01-30 Reported from Education and Health (15-Y 0-N)
committee-passage - 2025-01-31 Rules suspended
- 2025-01-31 Constitutional reading dispensed (on 1st reading) (39-Y 0-N)
- 2025-01-31 Passed by for the day
- 2025-02-03 Read second time and engrossed
reading-2 - 2025-02-03 Rules suspended
- 2025-02-03 Constitutional reading dispensed (on 3rd reading) (40-Y 0-N)
- 2025-02-03 Passed Senate (40-Y 0-N)
passage - 2025-02-06 Placed on Calendar
- 2025-02-06 Read first time
reading-1 - 2025-02-06 Referred to Committee on Health and Human Services
referral-committee - 2025-02-11 Reported from Health and Human Services (22-Y 0-N)
committee-passage - 2025-02-13 Read second time
reading-2 - 2025-02-14 Read third time
reading-3 - 2025-02-14 Passed House (96-Y 0-N)
passage - 2025-02-18 Enrolled
enrolled - 2025-02-18 Bill text as passed Senate and House (SB1237ER)
passage - 2025-02-18 Fiscal Impact Statement from Department of Planning and Budget (SB1237)
- 2025-02-18 Signed by Speaker
passage - 2025-02-20 Signed by President
passage - 2025-03-03 Enrolled Bill Communicated to Governor on March 3, 2025
enrolled - 2025-03-03 Governor's Action Deadline 11:59 p.m., March 24, 2025
executive-receipt - 2025-03-24 Governor's recommendation received by Senate
executive-veto-line-item - 2025-03-24 Governor's substitute printed (SB1237S1)
- 2025-04-02 Senate concurred in Governor's recommendation (40-Y 0-N)
- 2025-04-02 House concurred in Governor's recommendation (95-Y 0-N)
- 2025-04-02 Governor's recommendation adopted
executive-signature - 2025-04-02 Reenrolled
enrolled - 2025-04-02 Reenrolled bill text (SB1237ER2)
enrolled - 2025-04-02 Signed by President as reenrolled
enrolled, passage - 2025-04-02 Signed by Speaker as reenrolled
enrolled, passage - 2025-04-02 Enacted, Chapter 621 (Effective 07/01/2025)
became-law - 2025-04-02 Acts of Assembly Chapter text (CHAP0621)
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/9c62c40b-09db-4ea1-bab3-21ea94dc01d7. Confidence: reported (aggregated from official Virginia legislature records).