# Virginia Funds Healthcare System Investments

Virginia’s 2026–2028 budget provides more than $500 million for healthcare-system investments, including premium assistance, a federal contingency fund, and support for community health providers. Separately, a federal court ruling prevents the Centers for Medicare & Medicaid Services (CMS) from enforcing guidance Virginia argued would narrow Medicaid exemptions for people with serious illnesses. The budget could lead to downstream state-funded service needs, but the announcements identify no active solicitation, contract award, or procurement timeline.

- Healthcare providers and service organizations may find future opportunities tied to premium assistance and community health support as Virginia implements the budget.
- The court ruling affects enforcement of CMS guidance in Virginia; organizations working on Medicaid services should account for the ruling when assessing the applicable program environment.
- Contractors can use state agency and budget implementation notices to identify concrete solicitations or service requirements as they are announced; no current bid opportunity or deadline is specified.

**Jurisdictions:** sled
**Industries:** Healthcare
**Topics:** Regulatory Compliance, Grants & Funding, Policy
**Published:** October 31, 2026

### Government Entities
- Commonwealth of Virginia
- Centers for Medicare & Medicaid Services (CMS)
- Virginia Office of the Secretary of Health and Human Resources
- Virginia Insurance Marketplace

### Key Quotes
> We created a state subsidy program meant to bridge that gap, and now as we’re heading towards open enrollment, about 200,000 Virginians will see potentially hundreds of dollars of savings if they come back to the ACA marketplace.
> — Abigail Spanberger, Governor of Virginia

### Sources
- [October Releases](https://www.governor.virginia.gov//newsroom/news-releases/2026/october-releases/name-1127840-en.html) - VA
- [October Releases](https://www.governor.virginia.gov//newsroom/news-releases/2026/october-releases/name-1127843-en.html) - VA