Legislative Updates

The Virginia Chapter of AAHAM and the Virginia Hospital and Healthcare Association have a strong partnership which supports our membership through education and networking.   For more information on the VHHA, click here.

Please contact Brent Rawlings or Sara Heisler with any questions regarding this material.

More information on these and other measures considered during the session is available at http://leg1.state.va.us.


April 2022

Greetings!

Both the Virginia General Assembly and then United States Congress have been at a gridlock recently over funding, with promises of compromise on the horizon.

In Virginia, the General Assembly did not agree on a two-year biennium budget before officially adjourning the 2022 legislation session on March 12. Budget leaders continue to work toward a compromise before the current budget expires on June 30. In the meantime, Governor Glenn Youngkin has called the General Assembly back for a special session, which began on April 4, to complete work on the budget, and he has aired television ads promoting his proposed tax cuts which include eliminating the grocery tax, doubling the standard deduction for Virginia tax filers, and temporarily suspending the gas tax.

On Capitol Hill, Congress came to a stalemate after President Joe Biden requested $22.5 billion in COVID-19 emergency funding for the ongoing domestic response as well as international aid. Recently, Senate leaders announced they have reached a scaled-down $10 billion deal which would provide domestic funding only.

VHHA is closely monitoring the progress on the state budget and federal funding to advocate for the needs of Virginia hospitals and Virginians’ access to health care.

--The VHHA Government Affairs Team

What's Happening in Richmond

State Budget Negotiations Still in Progress


The Virginia General Assembly adjourned the 2022 legislative session sine die as scheduled but did not come to an agreement on the new two-year state budget in time. Budget leaders said they needed additional time to negotiate, with the plan to convene a special session to act on the budget and a handful of outstanding bills.

Governor Youngkin called the special session to begin on April 4, despite budget leaders not yet reaching a budget compromise. On April 4, the General Assembly convened briefly at the call of the Governor and then recessed until leadership calls the legislature back with 48 hours notice, which will likely not occur until a compromise has been reached between the House and Senate. The current budget expires on June 30, 2022.

The budgets proposed by the Republican-led House of Delegates and Democrat-led Senate are about $3 billion apart, largely due to a difference over whether to fully enact Governor Youngkin’s proposed tax cuts or to invest state revenues in core services. Senate Democrats have agreed to eliminate the state’s share of the grocery tax but have maintained opposition to doubling the standard deduction in this budget, citing the need to more broadly study tax reform in Virginia. Rather than doubling the standard deduction, which would return $300 for individual tax filers and $600 for couples, Senate Democrats have proposed funding for higher pay raises for teachers and mental health workers, additional k-12 support positions, at-risk schools, affordable housing, and local police.

VHHA continues to advocate for hospitals’ budget priorities, including funding for the Unite Virginia e-referral system, the Trauma Center Fund, nursing scholarships, reimbursement costs related to COVID-19, and new behavioral health crisis receiving centers in Winchester, Prince William, and Southwest, as well as new behavioral health beds at Chesapeake Regional Medical Center.


Veto Session on April 27
 

Separately from the special session, the General Assembly will reconvene on April 27 for what is known as the veto session, when legislators consider legislative amendments or vetoes made by the Governor. VHHA has requested that Governor Youngkin amend House Bill 745 to include an emergency clause. HB 745, sponsored by Delegate Rob Bell (R-Albemarle), will allow graduates of a respiratory therapist program to temporarily practice pending licensure. The emergency clause would enable the law to go into effect immediately, rather than on July 1, 2022. This legislation will help VHHA members hire and train respiratory therapists more quickly and efficiently, in an effort to alleviate workforce shortages.
 

What's Happening in Washington, D.C.

Save Rural Hospitals Act of 2021
 

On April 4, VHHA sent a letter to Congressman Ben Cline (R-VA-06) to respectfully request support for the Save Rural Hospitals Act of 2021 (H.R.4066). The legislation, which is supported by Senators Mark Warner (D-VA) and Tim Kaine (D-VA) and Congressman Morgan Griffith (R-VA-09), would help address the growing disparities in the Medicare Area Wage Index (AWI) by establishing a national floor of 0.85. This legislation would help rural hospitals across the Commonwealth without negatively impacting AWI payments for other hospitals located in Virginia’s urban areas.

A press release touting the introduction of the legislation in the Senate in March 2021 states, “The Save Rural Hospitals Act of 2021  would help curb the alarming trend of hospital closures in rural communities by making sure hospitals are fairly reimbursed for their services by the federal government. The 'Medicare Area Wage Index,' a formula used by Medicare to reimburse hospitals, is currently much lower for health care providers in rural communities, due to the fact that the formula is based on labor costs, which vary across the country. To make sure rural hospitals are fairly reimbursed, the Save Rural Hospitals Act of 2021 would establish a national minimum “area wage index” of 0.85.”
 

COVID-19 Response Funding

 

After reports that federal funding for COVID-19 response would expire due to congressional gridlock, the U.S. Senate leadership has announced a $10 billion bipartisan deal to support domestic vaccines, tests, and drug treatment therapies. Although the funding for some emergency response efforts is already running out, it remains to be seen whether both chambers of Congress will vote on the new package before their two-week scheduled spring recess on April 8.


 



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