HB1284 - Medicaid Telemedicine Provider-to-Provider Consultation
Summary
Virginia HB1284 expands the Medicaid state plan to include payment for provider-to-provider consultations delivered via telemedicine. The bill, signed by the Governor on April 13, 2026, and effective July 1, 2026, incorporates provisions from HB 87. The legislation passed unanimously in both chambers, with the House voting 96-0 and the Senate voting 40-0.
What changed
Virginia HB1284 amends the Medicaid state plan to specify that provider-to-provider consultation services are reimbursable when delivered through telemedicine. The bill codifies telemedicine as an acceptable modality for Medicaid consultation payments under the state plan.\n\nHealthcare providers participating in Medicaid who offer or receive provider-to-provider consultations should prepare to bill for telemedicine-delivered consultations beginning July 1, 2026. Providers should monitor for updated guidance from the Virginia Department of Medical Assistance Services regarding billing codes and documentation requirements for telemedicine consultations.
What to do next
- Update billing systems to accommodate telemedicine consultation claims under Medicaid
- Monitor Virginia DMAS guidance for telemedicine reimbursement implementation details
Archived snapshot
Apr 14, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
ChangeBridge / Virginia / HB1284 Signed by Governor HB1284 House Bill Signed by Governor 2026-04-13
State plan for medical assistance; provider-to-provider consultation.
Department of Medical Assistance Services; state plan for medical assistance; provider-to-provider consultation; telemedicine. Specifies that the Medicaid provision for provider-to-provider consultation includes payment for consultations provided through telemedicine services. This bill incorporates HB 87.
Bill Details
State Virginia
Session 2026 Regular Regular Session
Chamber House
Official Source lis.virginia.gov/bill-details/20261/HB1284
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Sponsors
Mark Downey (Rep - D) Amy Laufer (Rep - D) Virgil Thornton (Rep - D)
Action History
2026-04-13 Approved by Governor-Chapter 767 (effective 7/1/2026) 2026-03-31 Governor's Action Deadline 11:59 p.m., April 13, 2026 2026-03-31 H Enrolled Bill communicated to Governor on March 31, 2026 2026-03-31 H Signed by Speaker 2026-03-31 H Fiscal Impact Statement from Department of Planning and Budget (HB1284) 2026-03-30 S Signed by President 2026-03-30 H Bill text as passed House and Senate (HB1284ER) 2026-03-30 H Enrolled 2026-03-10 S Passed Senate (40-Y 0-N 0-A) 2026-03-10 S Read third time 2026-03-09 S Passed by for the day Block Vote (Voice Vote) 2026-03-09 S Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) 2026-03-09 S Rules suspended 2026-03-06 S Reported from Finance and Appropriations (14-Y 0-N) 2026-02-26 S Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) 2026-02-24 S Assigned Education sub: Health 2026-02-16 S Referred to Committee on Education and Health 2026-02-16 S Constitutional reading dispensed (on 1st reading) 2026-02-13 H Read third time and passed House (96-Y 0-N 0-A) 2026-02-12 H Engrossed by House - committee substitute 2026-02-12 H committee substitute agreed to 2026-02-12 H Read second time 2026-02-11 H Read first time 2026-02-09 H Reported from Appropriations (22-Y 0-N) 2026-02-06 H Subcommittee recommends reporting (7-Y 0-N) 2026-02-05 H Fiscal Impact Statement from Department of Planning and Budget (HB1284) 2026-02-03 H Committee substitute printed 26106678D-H1 2026-02-03 H Incorporates HB87 (Laufer) 2026-02-03 H Assigned HAPP sub: Health & Human Resources 2026-02-03 H Reported from Health and Human Services with substitute and referred to Appropriations (22-Y 0-N) 2026-02-02 H Fiscal Impact Statement from Department of Planning and Budget (HB1284) 2026-01-29 H Subcommittee recommends reporting with substitute and referring to Appropriations (8-Y 0-N) 2026-01-29 H House subcommittee offered 2026-01-23 H Assigned sub: Social Services 2026-01-14 H Referred to Committee on Health and Human Services 2026-01-14 H Presented and ordered printed 26105500D
Votes
2026-01-29 Subcommittee recommends reporting with substitute and referring to Appropriations (8-Y 0-N) Yea: 8 Nay: 0 2026-02-06 Subcommittee recommends reporting (7-Y 0-N) Yea: 7 Nay: 0 2026-02-09 Reported from Appropriations (22-Y 0-N) Yea: 22 Nay: 0 2026-02-03 Reported from Health and Human Services with substitute and referred to Appropriations (22-Y 0-N) Yea: 22 Nay: 0 2026-02-13 Read third time and passed House (96-Y 0-N 0-A) Yea: 96 Nay: 0 2026-02-26 Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) Yea: 15 Nay: 0 2026-03-06 Reported from Finance and Appropriations (14-Y 0-N) Yea: 14 Nay: 0 2026-03-09 Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) Yea: 40 Nay: 0 2026-03-10 Passed Senate (40-Y 0-N 0-A) Yea: 40 Nay: 0
Committee Referrals
2026-01-14 H Health and Human Services 2026-01-23 H Health and Human Services: Social Services 2026-02-03 H Appropriations 2026-02-03 H Appropriations: Health & Human Resources 2026-02-16 S Education and Health 2026-02-24 S Education: Health 2026-02-26 S Finance and Appropriations
Amendments
0000-00-00 Health and Human Services Amendment
Bill Text Versions
2026-01-14 Introduced 2026-01-29 Comm Sub 2026-02-03 Comm Sub 2026-03-30 Enrolled Legislative data powered by LegiScan (CC BY 4.0)
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