Fabio
131 lines
9.9 KiB
Markdown
131 lines
9.9 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 incorporates SB 149 and is identical to HB 909."
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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: "SB 488"
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citation: "Virginia SB 488 (2024)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Lashrecse D. Aird"]
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version_count: 6
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action_count: 56
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vote_count: 12
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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/57aa2655-f271-4800-b48e-3e5083803971"
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source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+SB488"
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source_hash: "ed0018f7ef8b8abee38a8d1c1e5f05e21e3e78d32ed60f05362a7d3ea1ad898d"
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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 488 (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 incorporates SB 149 and is identical to HB 909.
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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. **CHAP0679** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0679)
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2. **Committee substitute printed 24106728D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB488S1)
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3. **Committee substitute printed 24107496D-S2** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB488S2)
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4. **Committee substitute printed 24108201D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB488H1)
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5. **Prefiled and ordered printed; offered 01/10/24 24104869D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB488)
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6. **SB488ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB488ER)
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## Votes
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- Conference report agreed to by Senate (40-Y 0-N) — **40–0** (pass) · upper
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- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
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- Senate acceded to request (40-Y 0-N) — **40–0** (pass) · upper
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- Reported from Finance and Appropriations with substitute (15-Y 0-N) — **15–0** (pass) · upper
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- House substitute rejected by Senate (0-Y 40-N) — **0–40** (fail) · upper
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- Reported from Health and Human Services with substitute (21-Y 0-N) — **21–0** (pass) · lower
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- VOTE: Adoption (96-Y 0-N) — **95–0** (pass) · lower
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- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
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- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
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- Reported from Education and Health with substitute (15-Y 0-N) — **15–0** (pass) · upper
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- Subcommittee recommends reporting with substitute (8-Y 0-N) — **8–0** (pass) · lower
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- VOTE: Block Vote Passage (97-Y 0-N) — **96–0** (pass) · lower
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## Sponsors
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- Lashrecse D. Aird — primary (person)
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- David R. Suetterlein — cosponsor (person)
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- Jennifer D. Carroll Foy — 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 24104869D `filing, introduction`
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- **2024-01-09** Referred to Committee on Education and Health `referral-committee`
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- **2024-01-18** Assigned Education and Health Sub: Health `referral-committee`
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- **2024-01-23** Impact statement from DPB (SB488)
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- **2024-02-01** Reported from Education and Health with substitute (15-Y 0-N) `committee-passage`
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- **2024-02-01** Committee substitute printed 24106728D-S1 `substitution`
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- **2024-02-01** Incorporates SB149 (Suetterlein)
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- **2024-02-01** Rereferred to Finance and Appropriations `referral-committee`
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- **2024-02-07** Impact statement from DPB (SB488S1)
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- **2024-02-08** Reported from Finance and Appropriations with substitute (15-Y 0-N) `committee-passage`
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- **2024-02-08** Committee substitute printed 24107496D-S2 `substitution`
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- **2024-02-09** Impact statement from DPB (SB488S2)
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- **2024-02-09** Constitutional reading dispensed (39-Y 0-N)
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- **2024-02-12** Read second time `reading-2`
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- **2024-02-12** Education and Health Committee substitute rejected 24106728D-S1
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- **2024-02-12** Reading of substitute waived
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- **2024-02-12** Finance and Appropriations Committee substitute agreed to 24107496D-S2 `substitution`
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- **2024-02-12** Engrossed by Senate - committee substitute SB488S2 `substitution`
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- **2024-02-12** Constitutional reading dispensed (40-Y 0-N)
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- **2024-02-12** Passed Senate (40-Y 0-N) `passage`
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- **2024-02-15** Placed on Calendar
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- **2024-02-15** Read first time `reading-1`
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- **2024-02-15** Referred to Committee on Health and Human Services `referral-committee`
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- **2024-02-16** Assigned sub: Social Services `referral-committee`
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- **2024-02-22** Subcommittee recommends reporting with substitute (8-Y 0-N) `substitution`
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- **2024-02-27** Reported from Health and Human Services with substitute (21-Y 0-N) `committee-passage`
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- **2024-02-27** Committee substitute printed 24108201D-H1 `substitution`
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- **2024-02-28** Impact statement from DPB (SB488H1)
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- **2024-02-29** Read second time `reading-2`
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- **2024-03-01** Read third time `reading-3`
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- **2024-03-01** Committee substitute agreed to 24108201D-H1 `substitution`
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- **2024-03-01** Engrossed by House - committee substitute SB488H1 `substitution`
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- **2024-03-01** Passed House with substitute BLOCK VOTE (97-Y 0-N) `passage`
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- **2024-03-01** VOTE: Block Vote Passage (97-Y 0-N) `passage`
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- **2024-03-04** Passed by for the day
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- **2024-03-05** House substitute rejected by Senate (0-Y 40-N)
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- **2024-03-06** House insisted on substitute `substitution`
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- **2024-03-06** House requested conference committee `referral-committee`
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- **2024-03-07** Senate acceded to request (40-Y 0-N)
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- **2024-03-07** Conferees appointed by Senate
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- **2024-03-07** Senators: Aird, Favola, Craig
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- **2024-03-07** Conferees appointed by House
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- **2024-03-07** Delegates: Henson, Srinivasan, Taylor
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- **2024-03-08** Amended by conference committee
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- **2024-03-08** Conference report agreed to by Senate (40-Y 0-N) `committee-passage-favorable`
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- **2024-03-08** Conference report agreed to by House (96-Y 0-N) `committee-passage-favorable`
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- **2024-03-08** VOTE: Adoption (96-Y 0-N)
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- **2024-03-25** Enrolled `enrolled`
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- **2024-03-25** Bill text as passed Senate and House (SB488ER) `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`
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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 (SB488ER)
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- **2024-04-08** Approved by Governor-Chapter 679 (effective 7/1/24) `executive-signature`
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- **2024-04-08** Acts of Assembly Chapter text (CHAP0679)
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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/57aa2655-f271-4800-b48e-3e5083803971`. Confidence: reported (aggregated from official Virginia legislature records).
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