2025 SESSION
SENATE SUBSTITUTE
25104815D
SENATE BILL NO. 831
AMENDMENT IN THE NATURE OF A SUBSTITUTE
(Proposed by the Senate Committee on Education and Health
on January 16, 2025)
(Patron Prior to SubstituteSenator Locke)
A BILL to direct the Department of Medical Assistance Services to seek federal authority to implement presumptive eligibility for pregnant individuals.
Be it enacted by the General Assembly of Virginia:
1. 1. That the Department of Medical Assistance Services (the Department) shall seek necessary federal authority to implement presumptive eligibility for pregnant individuals in accordance with 42 C.F.R. 435.1103. If federal authority is authorized to implement presumptive eligibility for pregnant individuals, the Department (i) shall authorize the following qualified entities to make determinations of presumptive eligibility for pregnant individuals certified nurse midwives and licensed certified midwives and (ii) may authorize the following qualified entities to make determinations of presumptive eligibility for pregnant individuals: Federally Qualified Health Centers and community action agencies. Furthermore, the Department may authorize additional qualified entities to make determinations of presumptive eligibility for pregnant individuals, including health care providers, community-based organizations, elementary or secondary schools, or any other entity that the Department determines to be capable of making such determinations. The Department shall set performance standards that such qualified entities shall be required to meet to remain a qualified entity.