Number of End-Stage Renal Disease patients statewide: 21,081

In 2023, the Virginia General Assembly passed legislation that provides access to Medigap insurance for dialysis patients under age 65. Effective January 1, 2024, insurance carriers shall offer enrollment in at least one of its issued Medigap policies and not charge under-age 65 individuals premium rates higher than charged to individuals who are age 65 and older.

Medicare, a federal program, pays for dialysis for over 80% of dialysis treatments. However, many issues concerning dialysis patients are actually handled at the state level.

Individual states have to provide certain basic services under Medicaid, but they also have flexibility in how they structure their plans and set their reimbursement rates. In addition, some states have the authority to determine the need and location for additional dialysis facilities (this is often referred to as certificate of need). Because dialysis patients’ care can be affected by state officials as well as federal officials, DPC members are becoming more active on state issues—ensuring the patients’ voice is heard locally as well as nationally.

Virginia Dialysis Patient Resources

Patient Support and Financial Resources

National Kidney Foundation of Virginia
Provides limited, short-term financial assistance to those affected by chronic kidney and/or urologic disease and living in area served by NKF Virginia.

ESRD Network

#5 Mid-Atlantic Renal Coalition
1527 Huguenot Road
Midlothian, VA  23113

State Run Programs

Dept. of Medical Assistance Service

  • Adult Programs: Providing access to high quality, comprehensive health care services to those Virginians who qualify for our programs.
  • Programs for Children: FAMIS is Virginia’s program that helps families provide health insurance to their children.

Health Reform Status

Exchange: The federal government will run the health insurance exchange in Virginia.

Medicaid: Medicaid expansion was effective on May 30, 2018.

Learn More About Resources

Fact Sheets


Online Courses

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State-by-State Resources


Additional Resources