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---
type: "Bill"
title: "Telemedicine services; payment and coverage of services."
description: "Requires insurers, corporations, or health maintenance organizations to cover medically necessary remote patient monitoring services as part of their coverage of telemedicine services to the full extent that these services are available. The bill defines remote patient monitoring services as the delivery of home health services using telecommunications technology to enhance the delivery of home health care, including monitoring of clinical patient data such as weight, blood pressure, pulse, pulse oximetry, blood glucose, and other condition-specific data; medication adherence monitoring; and interactive video conferencing with or without digital image upload. The bill requires the Board of Medical Assistance Services to include in the state plan for medical assistance services a provision for the payment of medical assistance for medically necessary health care services provided through telemedicine services. This bill is identical to"
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2019"
identifier: "SB 1221"
citation: "Virginia SB 1221 (2019)"
classification: ["bill"]
subjects: ["Health", "Health", "Insurance"]
status: "enacted"
primary_sponsors: ["A. Benton \"Ben\" Chafin"]
version_count: 3
action_count: 21
vote_count: 6
first_action: "2019-01-04"
last_action: "2019-03-05"
source: "openstates"
source_identifier: "ocd-bill/e7c6a8d5-9d31-48f8-bcd1-9baadd69b172"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+SB1221"
source_hash: "532d9a38d268446c8c541175c5732bb658b652aa5814745f3a0063b552fc4b68"
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 1221 (2019) — Telemedicine services; payment and coverage of services.
Requires insurers, corporations, or health maintenance organizations to cover medically necessary remote patient monitoring services as part of their coverage of telemedicine services to the full extent that these services are available. The bill defines remote patient monitoring services as the delivery of home health services using telecommunications technology to enhance the delivery of home health care, including monitoring of clinical patient data such as weight, blood pressure, pulse, pulse oximetry, blood glucose, and other condition-specific data; medication adherence monitoring; and interactive video conferencing with or without digital image upload. The bill requires the Board of Medical Assistance Services to include in the state plan for medical assistance services a provision for the payment of medical assistance for medically necessary health care services provided through telemedicine services. This bill is identical to
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Senate: Bill text as passed Senate and House (SB1221ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+SB1221ER)
2. **Senate: Committee substitute printed 19105327D-S1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+SB1221S1)
3. **Senate: Prefiled and ordered printed; offered 01/09/19 19101469D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+SB1221)
## Votes
- Read third time and passed Senate — **400** (pass) · upper
- Reported from Health, Welfare and Institutions — **210** (pass) · lower
- Constitutional reading dispensed — **400** (pass) · upper
- Reported from Finance — **160** (pass) · upper
- Reported from Education and Health with substitute — **141** (pass) · upper
- Passed House BLOCK VOTE — **980** (pass) · lower
## Sponsors
- A. Benton "Ben" Chafin — primary (person)
- Amanda F. Chase — cosponsor (person)
- Barbara A. Favola (incorporated chief co-patron) — cosponsor (person)
- Bill R. DeSteph, Jr. — cosponsor (person)
- Bryce E. Reeves — cosponsor (person)
- Charles W. Carrico, Sr. — cosponsor (person)
- Frank W. Wagner — cosponsor (person)
- Glen H. Sturtevant, Jr. — cosponsor (person)
- James W. Morefield — cosponsor (person)
- Jennifer B. Boysko — cosponsor (person)
- John A. Cosgrove, Jr. — cosponsor (person)
- R. Steven Landes — cosponsor (person)
- Roslyn C. Tyler — cosponsor (person)
- Sam Rasoul — cosponsor (person)
- Siobhan S. Dunnavant — cosponsor (person)
- T. Montgomery "Monty" Mason — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-01-04** Prefiled and ordered printed; offered 01/09/19 19101469D `introduction`
- **2019-01-04** Referred to Committee on Education and Health `referral-committee`
- **2019-01-11** Assigned Education sub: Health Professions `referral-committee`
- **2019-01-24** Incorporates SB1124 (Favola)
- **2019-01-24** Rereferred to Finance `referral-committee`
- **2019-01-31** Read second time `reading-2`
- **2019-01-31** Reading of substitute waived
- **2019-01-31** Committee substitute agreed to 19105327D-S1
- **2019-01-31** Engrossed by Senate - committee substitute SB1221S1
- **2019-02-06** Placed on Calendar
- **2019-02-06** Read first time `reading-1`
- **2019-02-06** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2019-02-12** Read second time `reading-2`
- **2019-02-13** Read third time `reading-3`
- **2019-02-13** Passed House BLOCK VOTE (98-Y 0-N) `passage`
- **2019-02-18** Enrolled
- **2019-02-18** Signed by Speaker
- **2019-02-19** Signed by President
- **2019-02-20** Enrolled Bill Communicated to Governor on February 20, 2019
- **2019-02-20** Governor's Action Deadline Midnight, March 26, 2019
- **2019-03-05** Approved by Governor-Chapter 219 (effective 7/1/19) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e7c6a8d5-9d31-48f8-bcd1-9baadd69b172`. Confidence: reported (aggregated from official Virginia legislature records).