Fabio
106 lines
6.2 KiB
Markdown
106 lines
6.2 KiB
Markdown
---
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type: "Bill"
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title: "Medical Assistance Services, Department of; appeals of agency determinations."
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description: "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."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2025"
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identifier: "SB 1237"
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citation: "Virginia SB 1237 (2025)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Jennifer B. Boysko"]
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version_count: 6
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action_count: 36
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vote_count: 8
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first_action: "2025-01-08"
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last_action: "2025-04-02"
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source: "openstates"
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source_identifier: "ocd-bill/9c62c40b-09db-4ea1-bab3-21ea94dc01d7"
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source_url: "https://lis.virginia.gov/bill-details/20251/SB1237"
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source_hash: "11fa660854856609efa805a317a2b8f7a6d1df851ad7f27e2443b48940e8871c"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-va"]
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---
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# Virginia SB 1237 (2025) — Medical Assistance Services, Department of; appeals of agency determinations.
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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.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1018469.PDF)
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2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1079259.PDF)
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3. **Governor Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1074723.PDF)
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4. **Governor's Recommendation** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1074232.HTML)
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5. **Reenrolled** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1075814.PDF)
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6. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1054647.PDF)
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## Votes
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- Senate concurred in Governor's recommendation (40-Y 0-N) — **40–0** (pass) · upper
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- Passed House (96-Y 0-N) — **96–0** (pass) · lower
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- Constitutional reading dispensed (on 1st reading) (39-Y 0-N) — **39–0** (pass) · upper
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- Reported from Health and Human Services (22-Y 0-N) — **22–0** (pass) · lower
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- Constitutional reading dispensed (on 3rd reading) — **40–0** (pass) · upper
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- House concurred in Governor's recommendation (95-Y 0-N) — **95–0** (pass) · lower
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- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper
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- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
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## Sponsors
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- Jennifer B. Boysko — primary (person)
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- Irene Shin — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2025-01-08** Prefiled and ordered printed; Offered 01-08-2025 25100654D `filing, introduction`
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- **2025-01-08** Referred to Committee on Education and Health `referral-committee`
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- **2025-01-28** Assigned Education sub: Health `referral-committee`
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- **2025-01-30** Reported from Education and Health (15-Y 0-N) `committee-passage`
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- **2025-01-31** Rules suspended
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- **2025-01-31** Constitutional reading dispensed (on 1st reading) (39-Y 0-N)
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- **2025-01-31** Passed by for the day
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- **2025-02-03** Read second time and engrossed `reading-2`
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- **2025-02-03** Rules suspended
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- **2025-02-03** Constitutional reading dispensed (on 3rd reading) (40-Y 0-N)
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- **2025-02-03** Passed Senate (40-Y 0-N) `passage`
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- **2025-02-06** Placed on Calendar
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- **2025-02-06** Read first time `reading-1`
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- **2025-02-06** Referred to Committee on Health and Human Services `referral-committee`
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- **2025-02-11** Reported from Health and Human Services (22-Y 0-N) `committee-passage`
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- **2025-02-13** Read second time `reading-2`
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- **2025-02-14** Read third time `reading-3`
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- **2025-02-14** Passed House (96-Y 0-N) `passage`
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- **2025-02-18** Enrolled `enrolled`
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- **2025-02-18** Bill text as passed Senate and House (SB1237ER) `passage`
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- **2025-02-18** Fiscal Impact Statement from Department of Planning and Budget (SB1237)
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- **2025-02-18** Signed by Speaker `passage`
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- **2025-02-20** Signed by President `passage`
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- **2025-03-03** Enrolled Bill Communicated to Governor on March 3, 2025 `enrolled`
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- **2025-03-03** Governor's Action Deadline 11:59 p.m., March 24, 2025 `executive-receipt`
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- **2025-03-24** Governor's recommendation received by Senate `executive-veto-line-item`
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- **2025-03-24** Governor's substitute printed (SB1237S1)
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- **2025-04-02** Senate concurred in Governor's recommendation (40-Y 0-N)
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- **2025-04-02** House concurred in Governor's recommendation (95-Y 0-N)
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- **2025-04-02** Governor's recommendation adopted `executive-signature`
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- **2025-04-02** Reenrolled `enrolled`
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- **2025-04-02** Reenrolled bill text (SB1237ER2) `enrolled`
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- **2025-04-02** Signed by President as reenrolled `enrolled, passage`
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- **2025-04-02** Signed by Speaker as reenrolled `enrolled, passage`
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- **2025-04-02** Enacted, Chapter 621 (Effective 07/01/2025) `became-law`
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- **2025-04-02** Acts of Assembly Chapter text (CHAP0621)
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9c62c40b-09db-4ea1-bab3-21ea94dc01d7`. Confidence: reported (aggregated from official Virginia legislature records).
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