republic-os/legislation/us/states/va/2026/hb-1284.md

---
type: "Bill"
title: "State plan for medical assistance; provider-to-provider consultation."
description: "Department of Medical Assistance Services; state plan for medical assistance; provider-to-provider consultation; telemedicine. Specifies that the Medicaid provision for provider-to-provider consultation includes payment for consultations provided through telemedicine services. This bill incorporates HB 87."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "HB 1284"
citation: "Virginia HB 1284 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Mark C. Downey"]
version_count: 5
action_count: 36
vote_count: 9
first_action: "2026-01-14"
last_action: "2026-04-13"
source: "openstates"
source_identifier: "ocd-bill/f17d7bfa-434c-4074-8166-904633fe0933"
source_url: "https://lis.virginia.gov/bill-details/20261/HB1284"
source_hash: "c45ab69d2f1424a3811481c26c320d1ab57a1ce8e8dc7bb44622f4dbb626e8c3"
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 1284 (2026) — State plan for medical assistance; provider-to-provider consultation.

Department of Medical Assistance Services; state plan for medical assistance; provider-to-provider consultation; telemedicine. Specifies that the Medicaid provision for provider-to-provider consultation includes payment for consultations provided through telemedicine services. This bill incorporates HB 87.

## Version chain

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

1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1088050.PDF)
2. **Health and Human Services Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1103193.HTML)
3. **Health and Human Services Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1114779.PDF)
4. **Social Services Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1103351.PDF)
5. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1210579.PDF)

## Votes

- Reported from Education and Health — **15–0** (pass) · upper
- Reported from Appropriations — **22–0** (pass) · lower
- Constitutional reading dispensed (on 2nd reading) — **40–0** (pass) · upper
- Passage R — **40–0** (pass) · upper
- Subcommittee recommends reporting with substitute — **8–0** (pass) · lower
- Reported from Health and Human Services with substitute — **22–0** (pass) · lower
- Subcommittee recommends reporting — **7–0** (pass) · lower
- H VOTE: — **96–0** (pass) · lower
- Reported from Finance and Appropriations — **14–0** (pass) · upper

## Sponsors

- Mark C. Downey — primary (person)
- Amy J. Laufer — cosponsor (person)
- Virgil Thornton — cosponsor (person)

## Timeline

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

- **2026-01-14** Presented and ordered printed 26105500D `introduction`
- **2026-01-14** Referred to Committee on Health and Human Services `referral-committee`
- **2026-01-23** Assigned sub: Social Services `referral-committee`
- **2026-01-29** House subcommittee offered
- **2026-01-29** Subcommittee recommends reporting with substitute and referring to Appropriations (8-Y 0-N) `substitution`
- **2026-02-02** Fiscal Impact Statement from Department of Planning and Budget (HB1284)
- **2026-02-03** Reported from Health and Human Services with substitute and referred to Appropriations (22-Y 0-N) `committee-passage`
- **2026-02-03** Assigned HAPP sub: Health & Human Resources `referral-committee`
- **2026-02-03** Incorporates HB87 (Laufer)
- **2026-02-03** Committee substitute printed 26106678D-H1 `substitution`
- **2026-02-05** Fiscal Impact Statement from Department of Planning and Budget (HB1284)
- **2026-02-06** Subcommittee recommends reporting (7-Y 0-N)
- **2026-02-09** Reported from Appropriations (22-Y 0-N) `committee-passage`
- **2026-02-11** Read first time `reading-1`
- **2026-02-12** Read second time `reading-2`
- **2026-02-12** committee substitute agreed to `substitution`
- **2026-02-12** Engrossed by House - committee substitute `substitution`
- **2026-02-13** Read third time and passed House (96-Y 0-N 0-A) `passage, reading-3`
- **2026-02-16** Constitutional reading dispensed (on 1st reading)
- **2026-02-16** Referred to Committee on Education and Health `referral-committee`
- **2026-02-24** Assigned Education sub: Health `referral-committee`
- **2026-02-26** Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) `committee-passage`
- **2026-03-06** Reported from Finance and Appropriations (14-Y 0-N) `committee-passage`
- **2026-03-09** Rules suspended
- **2026-03-09** Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
- **2026-03-09** Passed by for the day Block Vote (Voice Vote)
- **2026-03-10** Read third time `reading-3`
- **2026-03-10** Passed Senate (40-Y 0-N 0-A) `passage`
- **2026-03-30** Enrolled `enrolled`
- **2026-03-30** Bill text as passed House and Senate (HB1284ER) `passage`
- **2026-03-30** Signed by President `passage`
- **2026-03-31** Fiscal Impact Statement from Department of Planning and Budget (HB1284)
- **2026-03-31** Signed by Speaker `passage`
- **2026-03-31** Enrolled Bill communicated to Governor on March 31, 2026 `enrolled, executive-receipt`
- **2026-03-31** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
- **2026-04-13** Approved by Governor-Chapter 767 (effective 7/1/2026) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f17d7bfa-434c-4074-8166-904633fe0933`. Confidence: reported (aggregated from official Virginia legislature records).