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State Budget

2026 Session

Budget Amendments - HB30 (Member Request)

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Chief Patron: Willett
Transition FAMIS Program to Medicaid Children's Health Insurance Program

Item 293 #1h

Item 293 #1h

 First Year - FY2027 Second Year - FY2028
Health and Human Resources
Department of Medical Assistance Services FY2027 $918,332 FY2028 $6,529,019 GF
FY2027 $1,725,872 FY2028 $12,270,345 NGF

Language
Page 370, line 26, strike "$322,834,597" and insert "$325,478,801".
 Page 370, line 26, strike "$346,432,630" and insert "$365,231,994".

Page 370, line 34, at the beginning of the line insert, "A."

Page 370, after line 37, insert:

"B. The Department of Medical Assistance Services shall seek federal authority through the necessary waiver(s) and/or State Plan authorization under Titles XIX and XXI of the Social Security Act to align the Medicaid and Family Access to Medical Insurance Security (FAMIS) children's programs by transitioning the separate FAMIS population to a CHIP-funded Medicaid expansion children's group, effective July 1, 2027. The department shall have authority to implement necessary changes upon federal approval and prior to the completion of any regulatory process undertaken in order to effect such change. The department shall have authority to promulgate emergency regulations to implement this amendment within 280 days or less from the enactment date of this act."

Explanation

(This amendment provides $918,332 the first year and $6.5 million the second year from the general fund and $1.7 million the first year and $12.3 million the second year from nongeneral funds and language authorizing the Department of Medical Assistance Services to seek federal authority to merge the Family Access to Medical Insurance Security (FAMIS) program into a single Children's Health Insurance Program children's eligibility group under Medicaid. This merge will create administrative efficiencies and ensure equitable benefits and health care access for all children served in Virginia's medical assistance programs.)

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