HB 470 Virginia House of Delegates · 2026 Regular Session

Medicaid waivers; consumer-directed services, employer of record.

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.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House of Delegates Passage
Feb 2026
Senate Passage
Governor
Introduced Jan 12, 2026 Last action Mar 4, 2026
Floor votes · House of Delegates Feb 13, 2026

How they voted

813
Passed · 4 other
Total votes 88
Feb 13, 2026
D Democratic53
50 Yea 3
94% Yea
R Republican35
31 Yea 3 Nay 1
88% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
17
Key actions
6
Committee
9
Feb 26, 2026
Upper · Passed
Reported from Education and Health and rereferred to Finance and Appropriations (13-Y 0-N)
upper
Feb 16, 2026
Committee
Referred to Committee on Education and Health
upper
Feb 13, 2026
Lower · Passed
Read third time and passed House (93-Y 3-N 0-A)
lower
Feb 9, 2026
Lower · Passed
Reported from Appropriations (20-Y 0-N)
lower
Feb 6, 2026
Lower · Passed
Subcommittee recommends reporting (7-Y 0-N)
lower
Feb 3, 2026
Committee
Assigned HAPP sub: Health & Human Resources
lower
Feb 3, 2026
Lower · Passed
Reported from Health and Human Services and referred to Appropriations (21-Y 1-N)
lower
Jan 29, 2026
Lower · Passed
Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)
lower
Jan 21, 2026
Committee
Assigned sub: Social Services
lower
Jan 12, 2026
Committee
Referred to Committee on Health and Human Services
lower
1 primary · 1 co-sponsor

Sponsors