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Department of Medical Assistance Services; appeals of agency determinations. Allows health care providers to appeal any adverse action or determination by the Department of Medical Assistance Services (DMAS) or a DMAS contractor. Under current law, such appeal is allowed for a determination of overpayment to a provider by DMAS. The bill adds provisions allowing for DMAS and an appealing provider to stay the deadline for their appeal decision to facilitate settlement discussions. The bill further specifies that DMAS contractors are required to represent themselves during appeal proceedings. This bill is identical to HB 2082.
Introduced
Jan 8, 2025
Last Action
Apr 2, 2025
Session
VA 2025
Sponsors
1 primary · 1 co
Senate concurred in Governor's recommendation (40-Y 0-N)
Acts of Assembly Chapter text (CHAP0621)
Enacted, Chapter 621 (Effective 07/01/2025)
Signed by Speaker as reenrolled
Signed by President as reenrolled
Reenrolled bill text (SB1237ER2)
Reenrolled
Governor's recommendation adopted
House concurred in Governor's recommendation (95-Y 0-N)
Governor's substitute printed (SB1237S1)
Governor's recommendation received by Senate
Enrolled Bill Communicated to Governor on March 3, 2025
Governor's Action Deadline 11:59 p.m., March 24, 2025
Signed by President
Enrolled
Bill text as passed Senate and House (SB1237ER)
Fiscal Impact Statement from Department of Planning and Budget (SB1237)
Signed by Speaker
Read third time
Passed House (96-Y 0-N)
Read second time
Reported from Health and Human Services (22-Y 0-N)
Placed on Calendar
Referred to Committee on Health and Human Services
Read first time
Constitutional reading dispensed (on 3rd reading) (40-Y 0-N)
Passed Senate (40-Y 0-N)
Rules suspended
Read second time and engrossed
Rules suspended
Passed by for the day
Constitutional reading dispensed (on 1st reading) (39-Y 0-N)
Reported from Education and Health (15-Y 0-N)
Assigned Education sub: Health
Referred to Committee on Education and Health
Prefiled and ordered printed; Offered 01-08-2025 25100654D
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
Acts of Assembly Chapter text (CHAP0621)
Jennifer B. Boysko