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Tuesday, July 7, 2026

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VA · HB470INTRO · 2 COSPONSORS

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

Where it is in the process
Plain-English 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 whe…

Source: OpenStates · fetched March 4, 2026

Who it affects
Medicaid / public insurance

Modifies program rules for consumer-directed services available through certain Medicaid waivers.

Person with a disability

Allows individuals receiving services to serve as the employer of record (EOR) for their own service delivery, or designate another individual to perform EOR duties.

Caregiver (family or unpaid)

Allows individuals receiving services to designate another individual to perform EOR duties, potentially impacting caregivers.

AI-extracted
Who This AffectsAI analysis
  • Medicaid / public insurancedirectModerate impactHigh certainty

    Modifies program rules for consumer-directed services available through certain Medicaid waivers.

    Directs the Department of Medical Assistance Services (DMAS) to modify the program rules for consumer-directed services available through certain Medicaid waivers· Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record.
  • Person with a disabilitydirectModerate impactHigh certainty

    Allows individuals receiving services to serve as the employer of record (EOR) for their own service delivery, or designate another individual to perform EOR duties.

    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· Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record.
  • Caregiver (family or unpaid)directModerate impactMedium certainty

    Allows individuals receiving services to designate another individual to perform EOR duties, potentially impacting caregivers.

    designate another individual to perform all or a portion of the duties of the EOR on the individual's behalf· Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record.
What the Bill Does
  • Directs DMAS to modify program rules for consumer-directed services under certain Medicaid waivers.
  • Allows individuals receiving services to be the employer of record (EOR) for their service delivery.
  • Permits individuals to designate another person to perform EOR duties on their behalf.
Votes
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