Virginia 2026 Session Status: In Committee

HB1434 — Medicaid; benefit for nutrition services programs, sunset.

Last action — Left in Committee Appropriations

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  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 is in committee in the House of Delegates. Introduced January 22, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House of Delegates.

Prognosis

Advancing 34% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Medicaid; benefit for nutrition services programs, sunset.

Bill Text

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

Read HB1434 on the official Virginia source →

How this bill changes current law

24 changes Share ↗

Compared against the Code of Virginia as published AI-generated reading aid — verify against the official bill.

This bill amends 1 section(s) of the Code of Virginia: 32.1-325.002.

  • 32.1-325.002

    A. The Department shall, conditional on the receipt of all necessary approvals and the securing of federal financial participation pursuant to subsection

    Inserts “A. The Department shall, conditional on the receipt of all necessary approvals and the securing of federal financial participation pursuant to subsection”.

  • 32.1-325.002

    D

    Inserts “D”.

  • 32.1-325.002

    ,

    Inserts “,”.

  • 32.1-325.002

    implement

    Inserts “implement”.

  • 32.1-325.002

    a provision for payment of medical assistance for

    Inserts “a provision for payment of medical assistance for”.

  • 32.1-325.002

    nutrition services programs

    Inserts “nutrition services programs”.

  • 32.1-325.002

    under the Medicaid program in the Commonwealth.

    Inserts “under the Medicaid program in the Commonwealth.”.

  • 32.1-325.002

    The Department shall design such programs to improve health outcomes and reduce the need for medical care for individuals with nutrition-related chronic diseases through nutrition services.

    Inserts “The Department shall design such programs to improve health outcomes and reduce the need for medical care for individuals with nutrition-related chronic diseases through nutrition services.”.

  • 32.1-325.002

    B.

    Inserts “B.”.

  • 32.1-325.002

    Nutrition services programs established pursuant to subsection A may include:

    Inserts “Nutrition services programs established pursuant to subsection A may include:”.

  • 32.1-325.002

    1.

    Inserts “1.”.

  • 32.1-325.002

    Case management

    Inserts “Case management”.

  • 32.1-325.002

    services for access to food and nutrition;

    Inserts “services for access to food and nutrition;”.

  • 32.1-325.002

    2. Nutrition counseling and instruction

    Inserts “2. Nutrition counseling and instruction”.

  • 32.1-325.002

    ;

    Inserts “;”.

  • 32.1-325.002

    3. Home-delivered meals or pantry stocking tailored to individual needs;

    Inserts “3. Home-delivered meals or pantry stocking tailored to individual needs;”.

  • 32.1-325.002

    4. Nutrition

    Inserts “4. Nutrition”.

  • 32.1-325.002

    prescriptions tailored to individual needs; and

    Inserts “prescriptions tailored to individual needs; and”.

  • 32.1-325.002

    5. Grocery provisions

    Inserts “5. Grocery provisions”.

  • 32.1-325.002

    .

    Inserts “.”.

  • 32.1-325.002

    C. The Department shall prioritize the inclusion of community-based organizations and local growers

    Inserts “C. The Department shall prioritize the inclusion of community-based organizations and local growers”.

  • 32.1-325.002

    to support the purchase and distribution of locally grown food in nutrition prescriptions wherever feasible.

    Inserts “to support the purchase and distribution of locally grown food in nutrition prescriptions wherever feasible.”.

  • 32.1-325.002

    D.

    Inserts “D.”.

  • 32.1-325.002

    The Department shall submit any state plan amendments or waiver applications as may be necessary to implement the provisions of this section and to secure federal financial participation for state Medicaid expenditures under the federal Medicaid program. The nutrition services programs established pursuant to this section shall be contingent on securing all necessary federal approvals and federal financial participation as may be necessary to implement the provisions of this section.

    Inserts “The Department shall submit any state plan amendments or waiver applications as may be necessary to implement the provisions of this section and to secure federal financial participation for state Medicaid expenditures under the federal Medicaid program. The nutrition services programs established pursuant to this section shall be contingent on securing all necessary federal approvals and federal financial participation as may be necessary to implement the provisions of this section.”.

Action History

  1. H Left in Committee Appropriations

  2. H Subcommittee recommends laying on the table (7-Y 0-N)

  3. H Placed on Appropriations Agenda

  4. H Fiscal Impact Statement from Department of Planning and Budget (HB1434)

  5. H Assigned HAPP sub: Health & Human Resources

  6. H Referred to Committee on Appropriations

  7. H Reported from Health and Human Services and referred to Appropriations (15-Y 7-N)

  8. H Placed on Health and Human Services Agenda

  9. H Subcommittee recommends reporting and referring to Appropriations (6-Y 2-N)

  10. H Placed on Health and Human Services Agenda

  11. H Assigned sub: Social Services

  12. H Referred to Committee on Health and Human Services

  13. H Presented and ordered printed 26104331D

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 147 not signed on · 7 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

Passed 15 Yea · 7 Nay
Party YeaNayPresentNot Voting
Unaffiliated 15700
Total 15700
% of votes cast 68%32%0%0%
How each member voted (22)

Official roll call →

Subjects

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 HB1434 do?
Medicaid; benefit for nutrition services programs, sunset.
Who sponsors HB1434?
HB1434 is sponsored by Joshua G. Cole.
What is the current status of HB1434?
This bill is in committee in the House of Delegates. Introduced January 22, 2026. It must pass committee before a floor vote.
Where can I track HB1434?
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Last checked for changes 4 months ago · updated continuously

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