5a13be122b
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
142 lines
11 KiB
Markdown
142 lines
11 KiB
Markdown
---
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type: "Bill"
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title: "1915(c) Home and Community Based Services Medicaid Waivers; state plan amdmts., prog. modifications."
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description: "Department of Medical Assistance Services; Department of Behavioral Health and Developmental Services; 1915(c) Home and Community Based Services Medicaid Waivers; state plan amendments; program rule modifications. Directs the Department of Medical Assistance Services (DMAS) and the Department of Behavioral Health and Developmental Services to seek federal authority through the necessary state plan amendments under Titles XIX and XXI of the Social Security Act to modify the program rules for certain 1915(c) Home and Community Based Services Medicaid Waivers to (i) modify the 40-hour-per-week work limit to allow legally responsible individuals with more than one waiver-receiving child to receive reimbursement for 40 hours of work per week per child receiving a waiver; (ii) eliminate the requirement that, in order for a legally responsible individual to receive reimbursement for personal care services, no one else be available to provide services to the member; and (iii) modify the program rules to allow a legally responsible individual or stepparent to be the employer of record. The bill directs DMAS to evaluate the possibility of allowing for respite services under certain 1915(c) Home and Community Based Services Medicaid Waivers and submit its recommendations, cost estimate, and methodology used for obtaining the cost estimate to the General Assembly no later than November 1, 2024. This bill is identical to SB 488."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2024"
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identifier: "HB 909"
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citation: "Virginia HB 909 (2024)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Irene Shin"]
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version_count: 5
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action_count: 61
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vote_count: 13
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first_action: "2024-01-09"
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last_action: "2024-04-08"
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source: "openstates"
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source_identifier: "ocd-bill/b48d3f0b-2976-4a24-b2c4-b8bd42fc162d"
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source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB909"
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source_hash: "cfca0c1ef79c52ba97d4de38d8f2ab1b926e21626f53acabcff3c150f01774da"
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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 HB 909 (2024) — 1915(c) Home and Community Based Services Medicaid Waivers; state plan amdmts., prog. modifications.
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Department of Medical Assistance Services; Department of Behavioral Health and Developmental Services; 1915(c) Home and Community Based Services Medicaid Waivers; state plan amendments; program rule modifications. Directs the Department of Medical Assistance Services (DMAS) and the Department of Behavioral Health and Developmental Services to seek federal authority through the necessary state plan amendments under Titles XIX and XXI of the Social Security Act to modify the program rules for certain 1915(c) Home and Community Based Services Medicaid Waivers to (i) modify the 40-hour-per-week work limit to allow legally responsible individuals with more than one waiver-receiving child to receive reimbursement for 40 hours of work per week per child receiving a waiver; (ii) eliminate the requirement that, in order for a legally responsible individual to receive reimbursement for personal care services, no one else be available to provide services to the member; and (iii) modify the program rules to allow a legally responsible individual or stepparent to be the employer of record. The bill directs DMAS to evaluate the possibility of allowing for respite services under certain 1915(c) Home and Community Based Services Medicaid Waivers and submit its recommendations, cost estimate, and methodology used for obtaining the cost estimate to the General Assembly no later than November 1, 2024. This bill is identical to SB 488.
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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. **CHAP0646** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0646)
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2. **Committee substitute printed 24107401D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB909H1)
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3. **Committee substitute printed 24108085D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB909S1)
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4. **HB909ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB909ER)
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5. **Prefiled and ordered printed; offered 01/10/24 24104863D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB909)
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## Votes
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- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
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- Conference report agreed to by Senate (40-Y 0-N) — **40–0** (pass) · upper
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- Passed Senate with substitute with amendment (39-Y 0-N) — **39–0** (pass) · upper
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- Reported from Finance and Appropriations with amendment (15-Y 0-N) — **15–0** (pass) · upper
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- Reported from Health and Human Services with amendment(s) (22-Y 0-N) — **22–0** (pass) · lower
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- Reported from Appropriations with substitute (20-Y 0-N) — **20–0** (pass) · lower
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- Reported from Education and Health with substitute (15-Y 0-N) — **15–0** (pass) · upper
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- VOTE: Adoption (96-Y 0-N) — **95–0** (pass) · lower
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- VOTE: REJECTED (2-Y 95-N) — **2–94** (fail) · lower
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- Senate insisted on substitute with amendment (40-Y 0-N) — **40–0** (pass) · upper
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- VOTE: Block Vote Passage (99-Y 0-N) — **98–0** (pass) · lower
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- Subcommittee recommends reporting with substitute (7-Y 0-N) — **7–0** (pass) · lower
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- Subcommittee recommends reporting with amendments (8-Y 0-N) — **8–0** (pass) · lower
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## Sponsors
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- Irene Shin — primary (person)
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- Alfonso H. Lopez — cosponsor (person)
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- Amy J. Laufer — cosponsor (person)
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- Jackie H. Glass — cosponsor (person)
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- Joshua G. Cole — cosponsor (person)
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- Kathy K.L. Tran — cosponsor (person)
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- Marcia S. "Cia" Price — cosponsor (person)
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- Timothy P. Griffin — cosponsor (person)
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- Tony O. Wilt — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2024-01-09** Prefiled and ordered printed; offered 01/10/24 24104863D `filing, introduction`
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- **2024-01-09** Referred to Committee on Health and Human Services `referral-committee`
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- **2024-01-19** Assigned sub: Social Services `referral-committee`
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- **2024-01-23** Impact statement from DPB (HB909)
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- **2024-02-01** Subcommittee recommends reporting with amendments (8-Y 0-N)
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- **2024-02-01** Subcommittee recommends referring to Committee on Appropriations `referral-committee`
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- **2024-02-06** Reported from Health and Human Services with amendment(s) (22-Y 0-N) `committee-passage`
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- **2024-02-06** Referred to Committee on Appropriations `referral-committee`
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- **2024-02-06** Assigned App. sub: Health & Human Resources `referral-committee`
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- **2024-02-07** Subcommittee recommends reporting with substitute (7-Y 0-N) `substitution`
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- **2024-02-09** Reported from Appropriations with substitute (20-Y 0-N) `committee-passage`
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- **2024-02-09** Committee substitute printed 24107401D-H1 `substitution`
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- **2024-02-11** Read first time `reading-1`
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- **2024-02-12** Impact statement from DPB (HB909H1)
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- **2024-02-12** Read second time `reading-2`
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- **2024-02-12** Committee on Health & Human Services amendment rejected `amendment-failure`
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- **2024-02-12** Committee on Appropriations substitute agreed to 24107401D-H1 `substitution`
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- **2024-02-12** Engrossed by House - committee substitute HB909H1 `substitution`
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- **2024-02-13** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
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- **2024-02-13** VOTE: Block Vote Passage (99-Y 0-N) `passage`
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- **2024-02-14** Constitutional reading dispensed
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- **2024-02-14** Referred to Committee on Education and Health `referral-committee`
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- **2024-02-19** Assigned Education and Health Sub: Health `referral-committee`
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- **2024-02-22** Senate subcommittee amendments and substitutes offered
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- **2024-02-22** Senate committee, floor amendments and substitutes offered
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- **2024-02-22** Reported from Education and Health with substitute (15-Y 0-N) `committee-passage`
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- **2024-02-22** Committee substitute printed 24108085D-S1 `substitution`
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- **2024-02-22** Rereferred to Finance and Appropriations `referral-committee`
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- **2024-02-23** Impact statement from DPB (HB909S1)
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- **2024-02-27** Constitutional reading dispensed (39-Y 0-N)
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- **2024-02-27** Reported from Finance and Appropriations with amendment (15-Y 0-N) `committee-passage`
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- **2024-02-28** Read third time `reading-3`
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- **2024-02-28** Reading of substitute waived
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- **2024-02-28** Committee substitute agreed to 24108085D-S1 `substitution`
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- **2024-02-28** Reading of amendment waived
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- **2024-02-28** Committee amendment agreed to `amendment-passage`
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- **2024-02-28** Engrossed by Senate - committee substitute with amendment HB909S1 `substitution`
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- **2024-02-28** Passed Senate with substitute with amendment (39-Y 0-N) `passage`
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- **2024-03-01** Senate substitute with amendment rejected by House 24108085D-S1 (2-Y 95-N) `amendment-failure`
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- **2024-03-01** VOTE: REJECTED (2-Y 95-N)
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- **2024-03-04** Passed by for the day
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- **2024-03-05** Senate insisted on substitute with amendment (40-Y 0-N) `substitution`
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- **2024-03-05** Senate requested conference committee `referral-committee`
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- **2024-03-06** House acceded to request
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- **2024-03-06** Conferees appointed by House
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- **2024-03-06** Delegates: Shin, Tran, Wilt
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- **2024-03-07** Conferees appointed by Senate
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- **2024-03-07** Senators: Favola, Boysko, Head
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- **2024-03-07** Amended by conference committee
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- **2024-03-07** Conference report agreed to by House (96-Y 0-N) `committee-passage-favorable`
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- **2024-03-07** VOTE: Adoption (96-Y 0-N)
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- **2024-03-08** Conference report agreed to by Senate (40-Y 0-N) `committee-passage-favorable`
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- **2024-03-25** Enrolled `enrolled`
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- **2024-03-25** Bill text as passed House and Senate (HB909ER) `passage`
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- **2024-03-25** Signed by President `passage`
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- **2024-03-26** Signed by Speaker `passage`
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- **2024-03-27** Enrolled Bill communicated to Governor on March 27, 2024 `enrolled, executive-receipt`
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- **2024-03-27** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
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- **2024-04-07** Impact statement from DPB (HB909ER)
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- **2024-04-08** Approved by Governor-Chapter 646 (effective 7/1/24) `executive-signature`
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- **2024-04-08** Acts of Assembly Chapter text (CHAP0646)
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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/b48d3f0b-2976-4a24-b2c4-b8bd42fc162d`. Confidence: reported (aggregated from official Virginia legislature records).
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