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Virginia SB 114 — Medicaid waivers; consumer-directed services, employer of record.

Virginia, 2027. SB 114: Medicaid waivers; consumer-directed services, employer of record.

SB 1142027 sessionSenate

Plural source record ↗

Official legislative source ↗

Latest action

July 21, 2026 — Continued from last session

Summary

Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record. Directs the Department of Medical Assistance Services (DMAS) to modify the program rules for consumer-directed services available through certain Medicaid waivers to allow an individual receiving services to serve as the employer of record (EOR) for his own service delivery and designate another individual to perform all or a portion of the duties of the EOR on the individual's behalf when the individual receiving services is unable to perform such duties or direct his own care. The bill specifies that when an individual (i) has not yet reached the age of majority, (ii) is ineligible to use his existing employer identification number (EIN) to facilitate the taxation of benefits, or (iii) is otherwise determined to be ineligible by DMAS by administrative rule, the EIN shall be assigned to the individual receiving services and shall not be transferred to another individual. Under the bill, DMAS has the authority to limit such amendments to specify that an individual receiving services may make such designation no more than twice per calendar year.

A BILL to direct the Department of Medical Assistance Services to submit state plan amendments to the Centers for Medicare and Medicaid Services to seek to modify the program rules for consumer-directed services available through certain Medicaid waivers.

Sponsors

Bill text

Introduced Read version ↗ Read version ↗

Recorded votes

No roll-call votes were supplied for this bill. This does not imply that no vote occurred.

Legislative history

  1. Continued from last session
  2. Continued to next session in Finance and Appropriations (10-Y 4-N)
  3. Reported from Education and Health and rereferred to Finance and Appropriations (14-Y 0-N)
  4. Assigned Education sub: Health
  5. Fiscal Impact Statement from Department of Planning and Budget (SB114)
  6. Referred to Committee on Education and Health
  7. Prefiled and ordered printed; Offered 01-14-2026 26101164D

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