Rapid whole genome sequencing; state plan for medical assistance services.

Text was reformatted from plain text to structured legislative format with line numbers, headers, and spacing adjustments for Senate substitute documentation.

Removed the 'Enrolled' designation and chapter number, reverting the bill to a draft substitute version offered for consideration by the Senate Committee on Education and Health on February 12-13, 2025.

Changed the document format from standard enacted bill text to a substitute bill format with line numbers and committee attribution, indicating this is a revised version pending further legislative action.

Added coverage for rapid whole genome sequencing for infants one year of age or younger receiving inpatient intensive care services, with results expected within 7-15 days.

Added coverage for remote patient monitoring services for high-risk pregnant persons, medically complex infants and children, transplant patients, post-surgical patients, and those with chronic conditions at high risk of hospital readmission.

Added coverage for telemedicine services regardless of patient location or whether a provider is present, and removed requirements for proprietary technology or in-state physical presence for providers.

Added coverage for up to a 12-month supply of hormonal contraceptives at one time without utilization controls, unless there are clinical contraindications.

Added coverage for remote ultrasound procedures and remote fetal non-stress tests when conducted off-site with FDA-approved digital technology.

Added coverage for originating site fees for emergency medical services agencies facilitating synchronous telehealth visits with Medicaid members.

Added coverage for provider-to-provider consultations with the same scope and reimbursement as the fee-for-service program.

Added coverage for targeted case management services for individuals with severe traumatic brain injury.

Added coverage for the initial purchase or replacement of complex rehabilitative technology wheelchair bases and accessories for nursing facility residents without deductibles or copayments.

Clarified that telemedicine providers licensed in Virginia do not need to maintain a physical presence in the state to be enrolled as Medicaid providers.

Clarified that telemedicine provider groups do not need an in-state service address to enroll as Medicaid vendors or provider groups.

Changed bill status from 'Introduced' to 'Enrolled' and updated formatting to reflect final legislative approval.