SB 1393: Pregnancy mobile application; promoting awareness of gov't. maternal & infant health programs, etc. - Virginia

Conference Substitute → Governor Substitute Not Adopted · 6 edits

MODERATE

The bill was revised from a Senate Substitute to a Governor Substitute, removing a requirement for the Department to seek federal authority for food services and narrowing the target audience from 'individuals' to 'mothers'. The Governor's version also simplified data reporting requirements and added a condition that the request for proposals only occurs when funding is appropriated.

Scope change

The bill's scope was narrowed by changing the target population from 'prenatal, pregnant, and postpartum individuals' to 'prenatal, pregnant, and postpartum mothers' and removed the option for the Department to partner with a managed care organization.

ELIGIBILITY

Removed the requirement for the Department to seek Centers for Medicare and Medicaid Services authority to expand access to nutritious food for Medicaid members.

Changed the target population from 'individuals' to 'mothers' in multiple sections of the bill.

REQUIREMENT

Simplified data reporting requirements by removing specific metrics about Medicaid eligibility and engagement with Virginia-specific content.

Removed the requirement for the application to survey users' specific questions as determined by the Department.

Removed the requirement that the application demonstrate a consistent workflow to increase awareness of state agency programs.

TIMELINE

Changed the request for proposals timeline from a fixed 180-day deadline to 'when appropriations are provided through a general appropriations act'.

Health and Human Services Substitute → Conference Substitute · 4 edits

MODERATE

The bill was amended from a House Substitute to a Conference Substitute, primarily changing the bill title and adding implementation deadlines. The core policy requirements for the mobile pregnancy application remain largely the same, though the language was adjusted to clarify that the Department of Medical Assistance Services (instead of Department of Health) will issue the request for proposals.

Scope change

The bill's scope remains focused on creating a mobile pregnancy application to promote maternal and infant health programs for Medicaid-eligible individuals, with no substantive change to the core requirements.

TIMELINE

Added a requirement that the mobile application must be implemented no later than October 1, 2026, from a vendor selected through the request for proposals process.

SCOPE

Changed the department responsible for issuing the request for proposals from the Department of Health to the Department of Medical Assistance Services.

ELIGIBILITY

Changed eligibility language from 'eligible for Medicaid' to 'enrolled in Medicaid' in the bill's operative section.

TECHNICAL

Updated bill metadata including session identifiers, bill numbers, and committee attribution to reflect the Conference Substitute version.

Education and Health Substitute → Health and Human Services Substitute · 5 edits

MODERATE

The bill was transferred from the Senate Committee on Education and Health to the House Committee on Health and Human Services, changing the bill's subtitle from 'Education and Health Substitute' to 'Health and Human Services Substitute'. The substantive policy content remains largely the same, directing the Department of Medical Assistance Services to partner with a mobile pregnancy application to support Medicaid-eligible individuals.

Scope change

The bill's scope shifted from being sponsored by the Senate Committee on Education and Health to the House Committee on Health and Human Services, reflecting a change in committee jurisdiction rather than substantive policy scope.

SCOPE

The bill's committee sponsorship changed from the Senate Committee on Education and Health to the House Committee on Health and Human Services, indicating a shift in legislative oversight.

REQUIREMENT

The bill title was updated from 'relating to Department of Health' to 'direct the Department of Medical Assistance Services', clarifying the specific agency responsible for implementation.

The requirement for the Department of Health to issue a request for proposal was changed to the Department of Medical Assistance Services, aligning with the new agency designation.

FISCAL

The payment language was simplified from a per-member-per-month fee structure to a flat annual cap of $580,000, removing the per-user fee calculation language.

TECHNICAL

The document formatting changed significantly with added page numbers, dates, and spacing, but these are primarily cosmetic changes to the legislative markup.

SEH Sub: Health Substitute → Education and Health Substitute · 4 edits

MODERATE

The bill was resubmitted as a substitute amendment on January 30, 2025, with updated formatting and additional patron information. The core policy content regarding the pregnancy mobile application remains substantively unchanged, including the $10 per member per month fee and $580,000 annual budget cap.

TIMELINE

Offer date changed from January 28, 2025 to January 30, 2025

TECHNICAL

Added second patron name: Senator Carroll Foy [SB 1457]

Changed committee name from 'Senate Committee on Education and Health' to 'Senate Committee on Education and Health' (no substantive change)

Formatting changes including added line numbers and spacing for document layout

Enrolled → SEH Sub: Health Substitute · 4 edits

MODERATE

The bill was converted from an enrolled act to a substitute version, shifting the implementing department from the Department of Medical Assistance Services to the Department of Health. The most significant substantive change is the addition of a specific funding cap of $580,000 annually with a per-member fee structure, which was not present in the original version.

Scope change

The bill's scope changed by transferring responsibility from the Department of Medical Assistance Services to the Department of Health.

SCOPE

The implementing agency changed from the Department of Medical Assistance Services to the Department of Health.

FISCAL

Added a specific funding provision authorizing payment based on a $10 per member per month fee, with an annual cap of $580,000.

REQUIREMENT

Removed the requirement that the contract be limited to appropriations provided through a general appropriation act.

Removed the provision seeking authority from the Centers for Medicare and Medicaid Services to expand access to nutritious food for pregnant and postpartum Medicaid members.

Introduced → Enrolled · 6 edits · Mar 10, 2025

MODERATE

This bill was enacted into law after being introduced in the Virginia General Assembly. The primary change is that the Department of Medical Assistance Services (DMAS) now partners with a mobile pregnancy application to help Medicaid-eligible individuals access maternal and infant health programs. The bill was amended to clarify that the application serves individuals enrolled in Medicaid rather than just eligible for it, and added provisions for implementation timelines, funding requests, and expanded access to nutritious food services for pregnant and postpartum Medicaid members.

Scope change

The bill's scope was expanded from a simple Department of Health application to a Department of Medical Assistance Services partnership with specific implementation deadlines, funding requirements, and new provisions for nutritious food services for pregnant and postpartum Medicaid members.

AGENCY

Changed from Department of Health to Department of Medical Assistance Services as the responsible agency.

ELIGIBILITY

Changed eligibility criteria from 'eligible for Medicaid' to 'enrolled in Medicaid' for application users.

TIMELINE

Added implementation deadline of October 1, 2026 for the mobile application contract.

FISCAL

Added requirement for future cost funding requests to be submitted as part of the Budget Bill process.

REQUIREMENT

Added new section requiring DMAS to seek CMS authority for in-lieu nutritious food services for pregnant and postpartum Medicaid members.

Added specific provisions for healthy food boxes and nutritional counseling services for up to nine months post-eligibility.

Pregnancy mobile application; promoting awareness of gov't. maternal & infant health programs, etc.

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