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Bill

HB 823

Community Living and Family and Individual Supports Waiver; program rule amendments.

2026 Regular Session Introduced by Betsy Carr

HB 823 modifies Virginia's disability services waiver program rules, affecting Medicaid-funded community living supports for people with disabilities; passed committee with amendments for appropriations review.

Assigned HAPP sub: Health & Human Resources
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Bill Summary · HB 823

Legislative bill overview

HB 823 amends Virginia's rules governing the Community Living and Family and Individual Supports (CLFIS) Waiver program, which provides Medicaid-funded services to individuals with disabilities and long-term care needs in community settings rather than institutions. The bill modifies program eligibility criteria, service delivery requirements, or operational standards, though specific amendments are not detailed in the available action record.

Why is this important

The CLFIS Waiver serves a vulnerable population—people with disabilities who depend on state-funded support to live independently in their communities. Changes to waiver rules directly affect access to care, service quality, and the fiscal sustainability of Virginia's Medicaid budget. Program modifications can either expand services to underserved populations or reduce state spending, making this bill consequential for both beneficiaries and state finances.

Potential points of contention

  • Scope of amendments unclear: The bill moved through committee with amendments but specific changes remain undisclosed in available records, making it difficult to assess whether proposed rules expand or restrict beneficiary access and protections.
  • Fiscal implications: The Department of Planning and Budget generated a fiscal impact statement, suggesting the changes have budget consequences that may require appropriations or involve cost-shifting between state and federal Medicaid funding.
  • Disability rights safeguards: Any modifications to eligibility, service definitions, or program administration could affect vulnerable individuals' ability to remain in community settings versus institutional care placements.

Compiled from official sources — confirm details with the bill’s official record.

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