1915(c) Home and Community Based Services Medicaid Waivers; state plan amdmts., prog. modifications. (HB909)

Introduced By

Del. Irene Shin (D-Herndon) with support from co-patron Del. Tony Wilt (R-Harrisonburg)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


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. Read the Bill »


According to the fiscal impact statement, this legislation is not expected to generate any additional costs for the Department of Medical Assistance Services (DMAS).

Summary generated automatically by OpenAI.


Bill Has Passed


01/09/2024Prefiled and ordered printed; offered 01/10/24 24104863D
01/09/2024Referred to Committee on Health and Human Services
01/19/2024Assigned sub: Social Services
01/23/2024Impact statement from DPB (HB909)
02/01/2024Subcommittee recommends reporting with amendments (8-Y 0-N)
02/01/2024Subcommittee recommends referring to Committee on Appropriations
02/06/2024Reported from Health and Human Services with amendment(s) (22-Y 0-N) (see vote tally)
02/06/2024Referred to Committee on Appropriations
02/06/2024Assigned App. sub: Health & Human Resources
02/07/2024Subcommittee recommends reporting with substitute (7-Y 0-N)
02/09/2024Reported from Appropriations with substitute (20-Y 0-N) (see vote tally)
02/09/2024Committee substitute printed 24107401D-H1
02/11/2024Read first time
02/12/2024Committee amendment rejected
02/12/2024Committee substitute agreed to 24107401D-H1
02/12/2024Impact statement from DPB (HB909H1)
02/12/2024Read second time
02/12/2024Committee on Health & Human Services amendment rejected
02/12/2024Committee on Appropriations substitute agreed to 24107401D-H1
02/12/2024Engrossed by House - committee substitute HB909H1
02/13/2024Read third time and passed House BLOCK VOTE (99-Y 0-N)
02/13/2024VOTE: Block Vote Passage (99-Y 0-N) (see vote tally)
02/14/2024Constitutional reading dispensed
02/14/2024Referred to Committee on Education and Health
02/19/2024Assigned Education and Health Sub: Health
02/22/2024Senate subcommittee amendments and substitutes offered
02/22/2024Senate committee, floor amendments and substitutes offered
02/22/2024Reported from Education and Health with substitute (15-Y 0-N) (see vote tally)
02/22/2024Committee substitute printed 24108085D-S1
02/22/2024Rereferred to Finance and Appropriations
02/23/2024Impact statement from DPB (HB909S1)
02/27/2024Constitutional reading dispensed (39-Y 0-N) (see vote tally)
02/27/2024Reported from Finance and Appropriations with amendment (15-Y 0-N) (see vote tally)
02/28/2024Read third time
02/28/2024Reading of substitute waived
02/28/2024Committee substitute agreed to 24108085D-S1
02/28/2024Reading of amendment waived
02/28/2024Committee amendment agreed to
02/28/2024Engrossed by Senate - committee substitute with amendment HB909S1
02/28/2024Passed Senate with substitute with amendment (39-Y 0-N) (see vote tally)
03/01/2024Senate substitute with amendment rejected by House 24108085D-S1 (2-Y 95-N)
03/01/2024VOTE: REJECTED (2-Y 95-N) (see vote tally)
03/04/2024Passed by for the day
03/05/2024Senate insisted on substitute with amendment (40-Y 0-N)
03/05/2024Senate requested conference committee
03/06/2024House acceded to request
03/06/2024Conferees appointed by House
03/06/2024Delegates: Shin, Tran, Wilt
03/07/2024Conferees appointed by Senate
03/07/2024Senators: Favola, Boysko, Head
03/07/2024C Amended by conference committee
03/07/2024Conference report agreed to by House (96-Y 0-N)
03/07/2024VOTE: Adoption (96-Y 0-N)
03/08/2024Conference report agreed to by Senate (40-Y 0-N)
03/25/2024Bill text as passed House and Senate (HB909ER)
03/25/2024Signed by President
03/26/2024Signed by Speaker
03/27/2024Enrolled Bill communicated to Governor on March 27, 2024
03/27/2024G Governor's Action Deadline 11:59 p.m., April 8, 2024
04/07/2024Impact statement from DPB (HB909ER)
04/08/2024G Approved by Governor-Chapter 646 (effective 7/1/24)

Post a Public Comment About this Bill

if you have one

(Limited HTML is OK: <a>, <em>, <strong>, <s>)