Cardinal News
Virginia funds $150 million in state premium savings for 2027 plans
Cardinal News reported that Virginia’s 2027 Marketplace opens November 1 with a new state program, Virginia Premium Savings.
The Record
Virginia: the record
Every Virginia record from every file, newest first; federal records that apply in every state are in the full archive.
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Issues active in Virginia
Tracked issues with at least one Virginia record since Apr 27, 2026.
- Medicaid financing and eligibility operations15 records
- Health center openings, closures and mergers5 records
- Medicaid work-requirement implementation5 records
- 340B drug pricing4 records
- ACA marketplace coverage and uninsured demand2 records
- Immigration enforcement, public charge and immigrant eligibility2 records
Virginia Mercury
Virginia health secretary launches coalition to keep Medicaid members covered
The Virginia Mercury reported that the state’s health secretary announced the Virginia United Coalition to help residents keep health coverage as new federal rules take effect.
VPM News
Virginia ends Medicaid for some lawfully present immigrant adults October 1
Many noncitizen adults without green cards lost Virginia Medicaid under H.R. 1, VPM News reported. DMAS said it reached out to around 5,800 affected immigrants. Pregnant people are not affected.
Virginia Health Care Foundation
Virginia's $14.4 million rural tech round funds three health center projects
The Virginia Health Care Foundation announced 25 rural technology awards totaling $14.39 million under the state's Rural Health Transformation Program.
Office of the Governor of Virginia
Governor Spanberger's Executive Order 20 names federally qualified health centers as partners in Virginia's Medicaid and SNAP coverage response
Gov. Abigail Spanberger signed Executive Order 20, Keep Virginia Covered, on August 25, 2026, directing state agencies to prepare for H.R. 1 changes to Medicaid and SNAP.
Virginia Mercury
Virginia's health secretary tours Eastern Shore Rural Health's Eastville clinic on a rural listening tour amid Medicaid changes
Virginia Secretary of Health and Human Resources Marvin Figueroa toured Eastern Shore Rural Health's Eastville clinic with CEO Jeanette Edwards, one stop on a rural listening tour, the Virginia Mercury reported.
Office of the Governor of Virginia
Governor Spanberger tells Virginia's money committees more than 300,000 Medicaid enrollees risk losing coverage under H.R. 1
Addressing the General Assembly's Joint Money Committees on August 19, 2026, on the close of fiscal year 2026 and the coming budget cycle, Gov. Abigail Spanberger said more than 300,000 Virginians on Medicaid risk losing coverage because of H.R. 1.
Virginia Department of Medical Assistance Services
Virginia Medicaid schedules a September 24 work-requirements town hall for health care providers after its first member session
Virginia's Department of Medical Assistance Services (DMAS) is holding virtual H.R. 1 town halls on the federal Medicaid work requirements. The session for members and applicants took place September 15, 2026, and its recording is posted.
Health Resources and Services Administration
HRSA's 2025 Virginia UDS reports 410,092 patients, down 3,108 from 2024, while uninsured patients rose by 497
HRSA's undated 2025 Virginia UDS profile, first observed in this repository on August 16, 2026, reports 26 Health Center Program awardees serving 410,092 patients.
Virginia Community Healthcare Association
VCHA posts a $1M Commonwealth-funded FQHC transportation pilot for uninsured Virginians in medically underserved areas
The Virginia Community Healthcare Association's standing program page says it received a $1 million Commonwealth of Virginia grant to fund FQHC pilots or expansions of non-emergency medical transportation for uninsured Virginians in medically underserved…
Virginia Department of Health
VDH launches four perinatal health hubs, including Rockbridge Area Health Center, with contracts through June 2027
On April 28, the Virginia Department of Health announced four inaugural Perinatal Health Hubs: Rockbridge Area Health Center in Lexington, Child Development Resources in Williamsburg…
U.S. District Court for the Eastern District of Virginia / Justia docket mirror
Fifteen Virginia FQHCs filed a federal suit on December 19, 2025 challenging DMAS Medicaid PPS reimbursement
The federal docket for Peninsula Institute for Community Health, Inc. Et al. V. Virginia Department of Medical Assistance Services et al., case 3:25-cv-01044 in the Eastern District of Virginia, lists a December 19, 2025 filing and 15 named FQHC plaintiffs.
The Richmonder
Daily Planet's uninsured patient share rose from 36% in 2024 to more than 50%; Virginia health centers project a combined $36M annual reimbursement loss
Reporting published July 9 states that the share of uninsured patients seen by Daily Planet rose from 36% in 2024 to more than 50%, and that Virginia community health centers project a combined $36 million annual loss in insurance reimbursements from…
Virginia Mercury / Virginia Hospital & Healthcare Association data
Virginia emergency-department visits classified as uninsured or self-pay rose 8% from 2024 to 2025
Virginia Hospital & Healthcare Association data reported by Virginia Mercury and republished by the Kenbridge Victoria Dispatch show an 8% year-over-year increase in Virginia emergency-department visits classified as self-pay…
Virginia Mercury / Virginia Hospital & Healthcare Association
Virginia hospital association estimates proposed CMS state-directed-payment rule could reduce state Medicaid spending by $31B over a decade
The Virginia Hospital & Healthcare Association estimates that a proposed CMS rule on Medicaid managed-care state-directed payments could reduce Virginia Medicaid spending by $31 billion over a decade, with changes described as phasing in during 2027…
Tri-Area Community Health
Tri-Area Community Health now lists Floyd and Patrick County school clinics as open to students and staff
On August 16, 2026, Tri-Area's current Floyd County Schools and Patrick County Schools pages each displayed “Now Open!” And described weekday medical and behavioral-health access for students and staff only.
Virginia Department of Health
VDH distributes $6.6M annually in state funds for Ryan White Part B services; Daily Planet is among Grant Year 2026 recipients
On July 22, the Virginia Department of Health announced $6.6 million annually in state funding for the Ryan White HIV/AIDS Program Part B. For Grant Year 2026, April 1, 2026 through March 31, 2027, VDH lists increased funding for 14 existing subrecipients…
Free Clinic of New River Valley Inc.
CHCNRV posts Saturday morning walk-in PromptCare for same-day medical services in Christiansburg
Directory-listed Free Clinic of New River Valley Inc., operating as Community Health Center of the New River Valley, says its Christiansburg Center is open from 8 a.m.–noon Saturday for PromptCare walk-in appointments and same-day medical services.
Central Virginia Health Services
Central Virginia Health Services sets May 1 deadline for salaried FNP residency with precepted and mentored clinics
Central Virginia Health Services listed May 1, 2026, as the application deadline for its postgraduate nurse-practitioner residency.
Daily Planet Health Services
Daily Planet expands registration access to broader community members facing barriers to care
Daily Planet Health Services says that, beginning July 1, 2025, its health center also welcomes people from the broader community who face barriers to care, including people living in or around public housing and people living with HIV.
Peninsula Institute for Community Health
SEVHS posts same- or next-day everyday-care appointments with phone, portal and telehealth options
Directory-listed Peninsula Institute for Community Health, Inc., operating as Southeastern Virginia Health System, says its Everyday Care service for common illnesses and minor injuries offers same- or next-day appointments with a provider.
Virginia Mercury
Eight Southwest Virginia school-based clinics close as projected 340B savings fall by about $400K
Virginia Mercury reported that an FQHC operator closed eight school-based clinics serving Bristol and Washington and Smyth counties. The clinics had been supported by reinvesting 340B savings.
Virginia General Assembly
Virginia delays Medicaid behavioral health redesign completion to no later than July 1, 2027
The final FY2027-FY2028 budget requires DMAS to complete implementation of the redesigned Medicaid behavioral health services no later than July 1, 2027, not July 1, 2026.
Virginia Health Care Foundation
Virginia Health Care Foundation awards more than $2.7M to 19 organizations effective July 1
Effective July 1, 2026, the Virginia Health Care Foundation awarded more than $2.7 million to 19 organizations for behavioral health, primary medical, dental, pharmacy, and school-based services.
Virginia General Assembly
Virginia Medicaid schedules 4% personal care/EPSDT rate increase for January 2027 and 3.9% for January 2028
The final budget increases Medicaid rates for agency- and consumer-directed personal care, respite, and companion services in HCBS waivers and EPSDT by 4 percent effective January 1, 2027, followed by 3.9 percent effective January 1, 2028.
Virginia General Assembly
Virginia law sets the nurse-practitioner autonomous-practice threshold at three full-time clinical years
Code of Virginia § 54.1-2957 allows a nurse practitioner with at least the equivalent of three years of full-time postgraduate clinical experience under a qualifying practice agreement to seek authorization to practice without a practice agreement.
U.S. House Office of the Law Revision Counsel
Federal statute authorizes $4.6B for the FY2026 Community Health Center Fund and funding only through December 31, 2026 thereafter
The current U.S. Code authorizes $4.6 billion for the Health Center Program in FY2026 and $1,159,452,055 for the period October 1 through December 31, 2026. It contains no CHC Fund amount after December 31, 2026.
Virginia Department of Medical Assistance Services
Virginia will renew Medicaid Expansion eligibility every six months beginning January 2027
DMAS states that, beginning in January 2027, Medicaid Expansion members will have eligibility reviewed every six months instead of every 12 months.
Office of U.S. Senator Mark R. Warner
Virginia senators documented health-center closures and canceled visits during the 2025 federal payment delays
Senators Mark Warner and Tim Kaine joined colleagues in asking HHS to resolve delayed access to appropriated HRSA funding.
Virginia House Appropriations Committee
Introduced Virginia budget adds $1.1B GF in FY2027 and $1.7B GF in FY2028 for the Medicaid forecast
The House Appropriations Committee's January summary of the introduced budget identifies $1.1 billion in additional general funds for the Medicaid utilization-and-inflation forecast in FY2027 and $1.7 billion in FY2028—$2.8 billion across the FY2027-FY2028…
Virginia Rural Health Transformation
Virginia receives $189,544,888 for year one of the Rural Health Transformation Program
Virginia's official program site reports a $189,544,888 budget-year-one federal award within the nationwide five-year, $50 billion Rural Health Transformation Program.
Virginia Health Care Foundation
VHCF awards $770,313 through 10 grants to 9 safety-net organizations, including $140,000 for Neighborhood Health
The Virginia Health Care Foundation's January 12 grant round awarded $770,313 through 10 grants to 9 nonprofit safety-net organizations for behavioral health, medical, and dental access; Eastern Shore Rural Health System received two of the grants.
Virginia General Assembly
Virginia budget imposes quarterly Medicaid 340B drug reporting on covered entities
Chapter Item 291 requires each 340B covered entity that dispenses a 340B drug to a Medicaid member to report claim-level information to DMAS quarterly, including acquisition cost, billed and reimbursed amounts, and whether the claim used an in-house, contract…
Virginia Department of Medical Assistance Services
Virginia Medicaid work requirements take effect Jan. 1, 2027: 80 hours/month for expansion adults 19-64
DMAS says that, beginning in January 2027, nonexempt Medicaid Expansion adults must complete at least 80 hours per month of qualifying work, work-program participation, school, or volunteering, or meet an income alternative.
Virginia General Assembly
Virginia's final budget retains automatic Medicaid Expansion disenrollment if the enhanced federal match methodology is reduced
Chapter Item 291 authorizes expansion coverage but directs DMAS to disenroll the newly eligible adult group if federal law or regulation modifies the enhanced federal medical-assistance percentage from the methodology in effect on January 1…
Virginia Department of Medical Assistance Services
DMAS allows several routes to satisfy the 80-hour Medicaid Expansion requirement beginning January 2027
DMAS lists four compliance routes: a combined 80 monthly hours of work, a work program, school, or volunteering; at least half-time school enrollment; monthly income equal to 80 hours at the federal minimum wage; or, for seasonal work…
Virginia General Assembly
Virginia's enacted SB 278 creates a 340B work group with a November 1, 2026 report deadline
SB 278, approved as Chapter 887 on April 13, directs the Secretary of Health and Human Resources to convene a stakeholder work group on 340B governance, transparency, duplicate discounts, savings, contract pharmacies…
DMAS
DMAS implementation deck scopes work requirements to about 550,000 Medicaid Expansion members
DMAS's May 2026 H.R. 1 implementation deck identifies approximately 550,000 Medicaid Expansion members in scope for the January 1, 2027 work-requirement and six-month-renewal changes.
Virginia General Assembly
Final budget provides $121.7M per year for centralized Medicaid call-center and eligibility operations
Chapter Item 295 provides $9,505,235 in general funds and $112,204,717 in nongeneral funds in each of FY2027 and FY2028 for centralized Medicaid call-center and eligibility operations.
Virginia General Assembly
Virginia funds a $19.31M-per-year Medicaid eligibility-solutions contract in FY2027-FY2028
The final budget provides $3,094,795 in general funds and $16,216,115 in nongeneral funds in each year for a vendor to improve timely and accurate Medicaid eligibility determinations and redeterminations.