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SB 73

Medicaid billing navigation for certain school services; DMAS to train local school division staff.

2026 Regular Session Introduced by Barbara Favola and 4 co-sponsors

Virginia legislation requires schools to hire Medicaid billing navigators to help recover reimbursement for student health services, potentially increasing district revenue through federal health funding.

Governor's Action Deadline 11:59 p.m., April 13, 2026
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Bill Summary · SB 73

Legislative bill overview

SB 73 directs Virginia's Superintendent of Public Instruction to establish Medicaid billing navigator positions and report on their implementation. These navigators would help schools understand and access Medicaid reimbursement for health services provided to eligible students. The bill requires the Superintendent to report findings and recommendations to the General Assembly.

Why is this important

Schools can bill Medicaid for certain health services they provide, but many lack expertise to access these funds—leaving significant reimbursement on the table. Navigator positions could help school divisions identify qualifying services, complete billing correctly, and recover revenue for health programs. This represents potential new funding for schools without direct appropriation.

Potential points of contention

  • Implementation costs: Creating navigator positions requires funding; the bill's fiscal impact and whether funds are appropriated remains unclear
  • Administrative burden: Schools may face additional compliance requirements and documentation demands to participate in billing
  • Equity concerns: Well-resourced districts may better utilize navigators than under-resourced ones, potentially widening funding gaps
  • Medicaid eligibility verification: Navigators must ensure students qualify for Medicaid, raising privacy and data-sharing questions between schools and state agencies

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

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