Virginia 2026 Session Status: Introduced

HB470 — Medicaid waivers; consumer-directed services, employer of record.

Last action — Continued from last session

  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House of Delegates
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the House of Delegates. Introduced January 12, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 26% · moderate confidence

  • Introduced

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 7 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill relates to consumer-directed services under Medicaid waivers and establishes an employer of record.

This legislation addresses Medicaid waivers by focusing on consumer-directed services and creating an employer of record. It aims to help individuals manage their care more directly.

What this means for you
  • Families: This means families involved in Medicaid can expect to have more control over the services they receive.

Summary

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

Bill Text

We don't have the full text on file for this bill yet.

Read HB470 on the official Virginia source →

Action History

  1. S Continued to next session in Finance and Appropriations (12-Y 3-N)

  2. S Rereferred to Finance and Appropriations

  3. S Reported from Education and Health and rereferred to Finance and Appropriations (13-Y 0-N)

  4. S Referred to Committee on Education and Health

  5. S Constitutional reading dispensed (on 1st reading)

  6. H Read third time and passed House (93-Y 3-N 0-A)

  7. H Read second time and engrossed

  8. H Read first time

  9. H Fiscal Impact Statement from Department of Planning and Budget (HB470)

  10. H Reported from Appropriations (20-Y 0-N)

  11. H Placed on Appropriations Agenda

  12. H Subcommittee recommends reporting (7-Y 0-N)

  13. H Placed on Appropriations Agenda

  14. H Assigned HAPP sub: Health & Human Resources

  15. H Referred to Committee on Appropriations

  16. H Reported from Health and Human Services and referred to Appropriations (21-Y 1-N)

  17. H Placed on Health and Human Services Agenda

  18. H Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)

  19. H Placed on Health and Human Services Agenda

  20. H Assigned sub: Social Services

  21. H Fiscal Impact Statement from Department of Planning and Budget (HB470)

  22. H Referred to Committee on Health and Human Services

  23. H Prefiled and ordered printed; Offered 01-14-2026 26104032D

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 147 not signed on · 6 voted No

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (147)

147 members have not signed on to this bill.

Show all 147 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Reported from Education and Health and rereferred to Finance and Appropriations

Passed 13 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 13002
Total 13002
% of votes cast 87%0%0%13%
How each member voted (15)
Member Party Vote
Barbara A. Favola — Yea
Christie New Craig — Yea
Christopher T. Head — Yea
David R. Suetterlein — Yea
Jennifer B. Boysko — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Mamie E. Locke — Yea
Mark J. Peake — Yea
Russet Perry — Not Voting
Schuyler T. VanValkenburg — Yea
Stella G. Pekarsky — Yea
Tara A. Durant — Not Voting
Todd E. Pillion — Yea

Official roll call →

Continued to next session in Finance and Appropriations

Passed 12 Yea · 3 Nay
Party YeaNayPresentNot Voting
Unaffiliated 12300
Total 12300
% of votes cast 80%20%0%0%
How each member voted (15)
Member Party Vote
Aaron R. Rouse — Yea
Barbara A. Favola — Yea
Bryce E. Reeves — Nay
Jennifer B. Boysko — Yea
Jeremy S. McPike — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Nay
R. Creigh Deeds — Yea
Richard H. Stuart — Yea
Ryan T. McDougle — Nay
Scott A. Surovell — Yea
Todd E. Pillion — Yea

Official roll call →

Read third time and passed House

Passed 93 Yea · 3 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 93304
Total 93304
% of votes cast 93%3%0%4%
How each member voted (100)
Member Party Vote
Adele Y. McClure — Yea
Alex Q. Askew — Yea
Alfonso H. Lopez — Yea
Amy J. Laufer — Yea
Anne Ferrell Tata — Yea
Atoosa R. Reaser — Yea
Barry D. Knight — Not Voting
Betsy B. Carr — Yea
Bill Wiley — Yea
Bonita G. Anthony — Yea
Briana D. Sewell — Yea
C.E. Cliff Hayes, Jr. — Yea
Charlie Schmidt — Yea
Charniele L. Herring — Yea
Chris S. Runion — Yea
Dan I. Helmer — Yea
David A. Reid — Yea
Debra D. Gardner — Yea
Delores L. McQuinn — Yea
Delores Oates — Yea
Destiny LeVere Bolling — Yea
Don Scott — Yea
Elizabeth B. Bennett-Parker — Yea
Elizabeth R. Guzman — Yea
Ellen H. McLaughlin — Yea
Eric Phillips — Yea
Eric R. Zehr — Nay
Garrett McGuire — Yea
Gretchen M. Bulova — Yea
H. Otto Wachsmann, Jr. — Nay
Hillary Pugh Kent — Yea
Holly M. Seibold — Not Voting
Hyland F. "Buddy" Fowler, Jr. — Yea
Irene Shin — Yea
Israel D. O'Quinn — Yea
JJ Singh — Yea
Jackie H. Glass — Yea
James A. "Jay" Leftwich — Yea
James W. Morefield — Yea
Jason S. Ballard — Yea
Jeion A. Ward — Yea
Jessica L. Anderson — Yea
John Chilton McAuliff — Yea
Joseph P. McNamara — Yea
Joshua E. Thomas — Yea
Joshua G. Cole — Yea
Justin Pence — Yea
Karen Hamilton — Yea
Karen Keys-Gamarra — Yea
Karen R. "Kacey" Carnegie — Yea
Karrie K. Delaney — Yea
Kathy K.L. Tran — Yea
Katrina Callsen — Yea
Kelly K. Convirs-Fowler — Not Voting
Kimberly Pope Adams — Yea
Laura Jane Cohen — Yea
Leslie Chambers Mehta — Yea
Lily V. Franklin — Yea
Lindsey Dougherty — Yea
Luke E. Torian — Yea
M. Keith Hodges — Yea
Madison Whittle — Yea
Marcia S. "Cia" Price — Yea
Marcus B. Simon — Yea
Margaret A. Franklin — Yea
Mark C. Downey — Yea
Marty Martinez — Yea
May Nivar — Yea
Michael B. Feggans — Yea
Michael J. Webert — Yea
Michelle Lopes Maldonado — Yea
Mike A. Cherry — Yea
Mitchell Cornett — Yea
Nadarius E. Clark — Not Voting
Nicole Cole — Yea
Patrick A. Hope — Yea
Paul E. Krizek — Yea
Phil M. Hernandez — Yea
Phillip A. Scott — Yea
R. Lee Ware — Yea
Rae Cousins — Yea
Richard C. "Rip" Sullivan, Jr. — Yea
Robert S. Bloxom, Jr. — Yea
Rodney T. Willett — Yea
Rozia A. Henson, Jr. — Yea
Sam Rasoul — Yea
Scott A. Wyatt — Yea
Shelly A. Simonds — Yea
Stacey Annie Carroll — Yea
Terry G. Kilgore — Yea
Terry L. Austin — Yea
Thomas A. Garrett, Jr. — Yea
Thomas C. Wright, Jr. — Yea
Timothy P. Griffin — Nay
Tony O. Wilt — Yea
Virgil Thornton — Yea
Vivian E. Watts — Yea
Wendell S. Walker — Yea
Will Davis — Yea
Wren M. Williams — Yea

Official roll call →

Reported from Appropriations

Passed 20 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 20002
Total 20002
% of votes cast 91%0%0%9%
How each member voted (22)
Member Party Vote
Alex Q. Askew — Yea
Amy J. Laufer — Yea
Betsy B. Carr — Yea
Bill Wiley — Yea
Briana D. Sewell — Yea
C.E. Cliff Hayes, Jr. — Yea
Charniele L. Herring — Yea
David A. Reid — Yea
Delores L. McQuinn — Yea
Ellen H. McLaughlin — Yea
James W. Morefield — Not Voting
Joshua E. Thomas — Yea
Kathy K.L. Tran — Yea
Luke E. Torian — Not Voting
M. Keith Hodges — Yea
Marcia S. "Cia" Price — Yea
Paul E. Krizek — Yea
Robert S. Bloxom, Jr. — Yea
Rodney T. Willett — Yea
Scott A. Wyatt — Yea
Shelly A. Simonds — Yea
Terry L. Austin — Yea

Official roll call →

Reported from Health and Human Services and referred to Appropriations

Passed 21 Yea · 1 Nay
Party YeaNayPresentNot Voting
Unaffiliated 21100
Total 21100
% of votes cast 95%5%0%0%
How each member voted (22)
Member Party Vote
C.E. Cliff Hayes, Jr. — Yea
Charniele L. Herring — Yea
Debra D. Gardner — Yea
Garrett McGuire — Yea
H. Otto Wachsmann, Jr. — Yea
Irene Shin — Yea
Joshua G. Cole — Yea
Kathy K.L. Tran — Yea
Laura Jane Cohen — Yea
M. Keith Hodges — Yea
Marcia S. "Cia" Price — Yea
Mark C. Downey — Yea
Mike A. Cherry — Yea
Mitchell Cornett — Yea
Nicole Cole — Yea
Patrick A. Hope — Yea
Phillip A. Scott — Yea
Rodney T. Willett — Yea
Rozia A. Henson, Jr. — Yea
Sam Rasoul — Yea
Timothy P. Griffin — Nay
Wendell S. Walker — Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB470 do?
Medicaid waivers; consumer-directed services, employer of record.
Who sponsors HB470?
HB470 is sponsored by Laura Jane Cohen.
What is the current status of HB470?
This bill has been introduced in the House of Delegates. Introduced January 12, 2026. It must pass committee before a floor vote.
Where can I track HB470?
Track HB470 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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