VirginiaVirginia would seek approval for Medicaid recipients to delegate employer duties
Virginia would seek federal approval so people in certain Medicaid home and community programs could delegate employer duties when unable to handle them or direct their care.
What it does
With federal approval, people in certain Medicaid home and community programs could serve as employers and delegate duties when unable to manage those duties or their care. Virginia could limit designations to twice per calendar year.
Under the rules requested for federal approval, the employer tax identification number would belong to the person receiving care. Transfers would be allowed for minors and people found ineligible.
Argument forWith federal approval, people unable to manage employer duties could choose helpers to handle that work while serving as employers themselves.
Argument againstIf Virginia limits designations to twice per calendar year, people whose helpers become unavailable could have trouble naming replacements.
More detail
Virginia's Department of Medical Assistance Services would seek federal approval to let people serve as employers for their own care and name someone to handle employer duties. This would cover people receiving services they direct themselves through certain Medicaid programs for care at home or in the community. A person could delegate some or all employer duties when unable to perform those duties or direct their own care. The requested rules would need federal approval. The department could set a limit of no more than two designations per calendar year.
The Department of Medical Assistance Services would seek rules assigning the employer tax identification number to the person receiving care and restricting its transfer. The rules would cover people receiving services they direct themselves through the affected Medicaid home and community programs. Transfer would be allowed for people below the age of adulthood, people ineligible to use their existing number for taxes on benefits, and people the department otherwise finds ineligible under its rules. These rules would be part of the request for federal approval.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Jul 21Continued from last sessionLatest
- Mar 4Continued to next session in Finance and Appropriations (12-Y 3-N)
- Feb 26Reported from Education and Health and rereferred to Finance and Appropriations (13-Y 0-N)Minor
- Feb 16Referred to Committee on Education and HealthMinor
- Feb 16Constitutional reading dispensed (on 1st reading)
- Feb 13Read third time and passed House (93-Y 3-N 0-A)Passed House
- Feb 12Read second time and engrossedMinor
- Feb 11Read first timeMinor
- Feb 10Fiscal Impact Statement from Department of Planning and Budget (HB470)
- Feb 9Reported from Appropriations (20-Y 0-N)Minor
- Feb 6Subcommittee recommends reporting (7-Y 0-N)
- Feb 3Assigned HAPP sub: Health & Human ResourcesMinor
- Feb 3Reported from Health and Human Services and referred to Appropriations (21-Y 1-N)Minor
- Jan 29Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)
- Jan 21Assigned sub: Social ServicesMinor
- Jan 15Fiscal Impact Statement from Department of Planning and Budget (HB470)
- Jan 12Referred to Committee on Health and Human ServicesMinor
- Jan 12Prefiled and ordered printed; Offered 01-14-2026 26104032DIntroduced
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