Obviously there would be a lot more legalese in a formal regulatory change.  But given the constitutional and legal restrictions in Virginia regarding same-sex civil unions, it seems that if the intent is to provide "spousal" coverage in this manner, the regulation will by necessity allow coverage for any adult living in a "home" with any public employee who doesn't mind entering into a financial relationship with the other adult.

A worker could have his brother's family move into the house, and the brother's entire family would become eligible for coverage under the Va medical plan.  A family could have their elderly parents move in and get coverage.  A homeowner could rent a room to a public employee and obtain state medical coverage.  A person could rent a room from a state employee and get medical coverage.

A change like this should be debated by elected officials, and enacted by the votes of our legislature -- not slipped in under the radar as a regulatory change in the waning days of an outgoing administration.