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Bill

SB 275

Medicaid managed care organizations; community health worker expansion, etc., report.

2026 Regular Session Introduced by Angelia Graves

SB 275 mandates Virginia Medicaid managed care organizations expand community health worker programs and report workforce and integration data to the state.

Fiscal Impact Statement from Department of Planning and Budget (SB275)
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Bill Summary · SB 275

Legislative bill overview

SB 275 requires Virginia's Medicaid managed care organizations to expand their use of community health workers and submit detailed reports on these expansions to the state. The bill mandates reporting on workforce demographics, training programs, and integration of community health workers into care delivery models.

Why is this important

Community health workers serve as cultural and linguistic bridges in underserved communities, improving health outcomes and reducing healthcare disparities. This legislation could increase access to preventive care and chronic disease management for vulnerable Medicaid populations while potentially reducing emergency department utilization and overall healthcare costs.

Potential points of contention

  • Cost implications: Expanding community health worker programs requires funding; the fiscal impact statement suggests potential budget pressures on managed care organizations that may be passed to the state or beneficiaries
  • Implementation burden: Managed care organizations may face administrative costs in tracking, reporting, and establishing new programs, potentially creating compliance challenges
  • Program definition clarity: The bill's specific requirements for "expansion" and workforce standards may lack sufficient detail, creating inconsistency in how different organizations implement the mandate

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

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