Del. Rae Cousins

Department of Medical Assistance Services; reimbursement rates for Early Intervention Program for Infants and Toddlers with Disabilities; work group; report. Directs the Department of Medical Assistance Services to convene a work group of relevant stakeholders to assess and make recommendations related to reimbursement rates for the federal Early Intervention Program for Infants and Toddlers With Disabilities. The bill requires the work group to report its recommendations to the Chairmen of the House Committee on Health and Human Services and the Senate Committee on Education and Health by November 1, 2025.

Maddy summaryHB 1843 would replace Columbus Day, observed on the second Monday in October, with Indigenous Peoples' Day as an official state holiday. This change directly affects state employees, public schools, and government offices that observe the holiday, altering the designated day for closures and observances. The bill maintains the same date (the second Monday in October) but changes the holiday's name and historical reference. It does not alter other holiday schedules or create new state obligations beyond the holiday designation.

Health insurance; coverage for at-home blood pressure monitors. Requires health insurers, health maintenance organizations, and corporations providing health care coverage subscription contracts to provide coverage for at-home blood pressure monitors to individuals who (i) have a diagnosis of hypertension, (ii) are at risk of developing hypertension, or (iii) have been recommended for at-home blood pressure monitoring by a licensed health care provider. The coverage provided under the bill shall not be subject to any copayment or fees for an at-home blood pressure monitor. The bill directs the Bureau of Insurance, in consultation with the Department of Health, to establish guidelines for implementing the coverage required by the bill, to monitor compliance of such requirements by health care providers, and to submit a report of its findings and recommendations to the Governor and General Assembly by December 1, 2026.

State plan for medical assistance services; recovery residences; work group; report. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance services to include a provision for payment of care provided at certain recovery residences for individuals diagnosed with a substance use disorder. The bill also directs the Department of Behavioral Health and Developmental Services to (i) convene a work group of relevant stakeholders to (a) establish a monitoring and evaluation framework to assess the effectiveness and impact of recovery residences on long-term recovery outcomes and (b) study the economic impact of recovery residences on the Commonwealth and (ii) in consultation with such work group, promulgate regulations to ensure recovery residences are operating in compliance with American Society of Addiction Medicine standards. The bill directs the work group to report its findings and recommendations to the Chairs of the House Committee on Health and Human Services and the Senate Committee on Education and Health by November 1, 2025.

Board of Education; Child Care Subsidy Program; maximum reimbursement rate; vendors providing care outside of normal business hours. Directs the Board of Education to amend its regulations relating to the Child Care Subsidy Program to permit payment over the maximum reimbursable rate for any vendor that provides child care outside of normal business hours, provided that such rate may not exceed twice the maximum reimbursable rate for child care provided within normal business hours.

Study; JLARC; Virginia's campaign finance laws; independent agency; report. Directs the Joint Legislative Audit and Review Commission (JLARC) to study Virginia's campaign finance laws. In its study, JLARC is directed to (i) identify any legal, technical, and staffing shortcomings in the current election and campaign finance laws relating to (a) reporting and investigating violations, (b) enforcing legal and regulatory requirements, and (c) implementing directions from state government at the local level and (ii) determine whether current budgetary allocations are sufficient to effectively carry out such aspects of the campaign finance system. To that end, JLARC is directed to analyze how existing campaign finance and election laws can be modernized by creating a new independent agency to increase transparency and accountability using best practices from other jurisdictions across the United States and to produce a report of clear recommendations and best practices for creating such an independent agency for improving the current system.

Line of Duty Act; payments to beneficiaries. Provides that if a deceased person, as that term is defined in the Line of Duty Act, died as a result of certain cancers within 10 years from his date of retirement, his beneficiary shall be entitled to the payment of certain benefits. Under current law, such beneficiary shall be entitled to such payment if the deceased person's death (i) arose out of and in the course of his employment or (ii) was within five years from his date of retirement.

Abolition of fees; legal representation of indigent defendant. Eliminates the fees for the cost of court-appointed counsel or public defender representation for persons who are determined to be indigent.

Virginia Residential Landlord and Tenant Act; landlord obligations; access of tenant to broadband services. Prohibits the landlord of a multifamily dwelling unit from accepting payment from a provider of broadband service for granting such provider mere access to the landlord's tenants or giving such tenants mere access to such service. The bill also prohibits a landlord from demanding or accepting payment from tenants in exchange for such a service unless the landlord itself is the provider of the service.

Regulation of discharging preproduction plastic; requirements. Requires the Department of Environmental Quality to establish a program to ensure zero discharge or release from point and nonpoint source at certain facilities that discharge to (i) a surface water under a Virginia Pollutant Discharge Elimination System permit issued by the Department or (ii) a publicly owned treatment works under an industrial pretreatment program permit or other written authorization issued by a local permit control authority and to require the prompt and environmentally responsible containment and cleanup of discharged or released preproduction plastic. The bill requires the Department to adopt and implement certain requirements in order to reduce and control the discharge or release of preproduction plastic from such facilities. The bill allows the Department to exempt a facility from the requirements of the program if a facility satisfies the criteria for a no exposure certification and complies with inspection requirements administered by the Department. The bill also allows the Department to establish additional requirements regarding the regulation of discharges and releases of preproduction plastic from certain facilities into water or onto land in the Commonwealth.