Lets Medicaid Users Act as Own Employer
Virginia · HB470 · Introduced Jan 12, 2026
Why it matters
People on certain Medicaid waivers could direct and pay their own caregivers more directly. The state would first need federal approval before any of this could start.
What it does
- Lets people getting services act as the employer of record for their own care
- Lets them name another person to handle employer duties when they cannot
- Gives each person their own tax ID number, with limited exceptions
- Caps a person's designations of another handler at two per calendar year
Status
Latest action (2026-07-21): Continued from last session
About this bill
Would let people getting Medicaid home services act as their own employer, or name someone else to handle those duties. The state agency could limit such changes to twice a year.
Perspectives
💬 The case for
Disability advocates would likely say people should control their own care and hire who they trust. Giving each person their own tax ID supports independence.
💬 The case against
Some providers would likely say employer duties are complex for individuals to handle. They may worry about errors in payroll, taxes, and oversight.
Sponsored by
Sponsor details for this state bill are at the source link.
News
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