Legislative Update

Health General

Bills Committee Last action Date
HB 226 - Stolle - Patients; medically or ethically inappropriate care not required. (H) Committee for Courts of Justice

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0368)03/19/18
notes: Establishes a process whereby a physician may cease to provide health care that has been determined to be medically or ethically inappropriate for a patient.
HB 764 - Jones, S.C. - Consortium Comprehensive Cancer Center Advisory Board; established, report. (H) Committee on Appropriations

(S) Committee on Finance
(H) Failed to pass in House03/10/18
notes: Establishes as an independent advisory board in state government an 11-member Consortium Comprehensive Cancer Center Advisory Board, consisting of the President of Virginia Commonwealth University or his designee, the Vice President for Health Sciences at Virginia Commonwealth University or his designee, the President of the University of Virginia or his designee, the Executive Vice President for Health Affairs at the University of Virginia or his designee, one representative of Eastern Virginia Medical School, one representative of Virginia Tech Carilion School of Medicine and Research Institute, and five other nonlegislative citizen members, to study the requirements for designation as a consortium Comprehensive Cancer Center by the National Cancer Institute and make recommendations to Virginia Commonwealth University and the University of Virginia relating to the process for establishing a joint National Cancer Institute-designated consortium Comprehensive Cancer Center, including recommendations relating to a joint leadership structure, research integration, and programmatic integration. The provisions of the bill sunset on July 1, 2021.
HB 954 - Adams, D.M. - Healthy Virginia, Commission for; established, report. (H) Committee on Rules(H) Left in Rules02/13/18
notes: Establishes the Commission for a Healthy Virginia to (i) support the mission and vision of a healthy Virginia, (ii) define measurable outcomes that build community competence around health and well-being, and (iii) make policy recommendations for improving the health and well-being of the people of the Commonwealth.
HB 1001 - Byron - Health care shared savings; incentive programs. (H) Committee on Commerce and Labor(H) VOTE: DEFEATED (49-Y 49-N)01/31/18
notes: Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered health care service from a lower-cost provider. Incentive payments shall be at least 50 percent of the saved cost compared to the average cost. Incentive payments are not required for savings of $25 or less. Programs are required to be approved by the Commissioner of Insurance. The measure also requires health carriers to make available an interactive mechanism on their website that enables a covered person to compare costs between providers in-network, calculate estimated out-of-pocket costs, and obtain quality data for those providers, to the extent available. The measure authorizes covered persons to obtain health care services from out-of-network providers if their costs are below the average of in-network providers. The measure requires health care facilities and practitioners to provide a covered person an estimate of charges prior to an admission, procedure, or service. All health care providers are required to post in a visible area notification of the patient's ability to obtain information in order to get an estimate of out-of-pocket costs from his health carrier and to compare providers.
HB 1014 - Toscano - CBD oil and THC-A oil; certification for use, dispensing. (H) Committee for Courts of Justice(H) Left in Courts of Justice02/15/18
notes: Provides that a practitioner may issue a written certification for the use of cannabidiol oil or THC-A oil for the treatment or to alleviate the symptoms of any diagnosed condition or disease determined by the practitioner to benefit from such use. Under current law, a practitioner may only issue such certification for the treatment or to alleviate the symptoms of intractable epilepsy.
HB 1107 - Yancey - Medicaid Legacy Fund; created. (H) Committee on Rules(H) Left in Rules02/13/18
notes: Creates the Medicaid Legacy Fund (the Fund), to consist of all federal and state Medicaid funds, including any funds made available as enhanced match under 42 U.S.C. 1396d(y). Moneys in the Fund shall be used for paying the cost of medical assistance services. Moneys remaining in the Fund at the end of the fiscal year shall be deposited in the Medicaid Legacy Investment Fund and invested, and proceeds shall be disbursed to and deposited in the Fund at the beginning of the next fiscal year to be used to pay a portion of the cost of medical assistance services. The amount of revenue appropriated by the General Assembly in any year in which funds are disbursed from the Medicaid Legacy Investment Fund to the Fund shall be reduced by the amount transferred from the Medicaid Legacy Investment Fund to the Fund. The bill directs the Board of the Virginia Retirement System to manage the Medicaid Legacy Investment Fund. The bill also provides that upon adoption of any measure expanding eligibility for medical assistance services to include individuals described in 42 U.S.C. 1396a(a)(10)(A)(i)(VIII), the Secretary of Health and Human Resources shall apply for a waiver to allow the Commonwealth to receive federal funds for medical assistance services as an annual payment at the beginning of each fiscal year.
HB 1108 - Yancey - Medicaid; Secretary of Health and Human Resources to apply for a waiver. (H) Committee on Rules(H) Left in Rules02/13/18
notes: Directs the Secretary of Health and Human Resources to apply for a waiver pursuant to 1115 of the Social Security Act, 42 U.S.C. 1315, to allow the Commonwealth to receive the federal medical assistance percentage for the provision of medical assistance pursuant to the state plan for medical assistance, any Medicaid waiver, or 42 U.S.C. 1396d(y) as an annual payment at the beginning of each fiscal year upon adoption of any measure expanding eligibility for medical assistance services to individuals described in 42 U.S.C. 1396a(a)(10)(A)(i)(VIII).
HB 1197 - Garrett - Stroke care; Department of Health shall be responsible for quality improvement initiatives. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0276)03/09/18
notes: Provides that the Department of Health shall be responsible for stroke care quality improvement initiatives in the Commonwealth. Such initiatives shall include (i) establishing a system to collect data and information about stroke care in the Commonwealth, (ii) facilitating information and data sharing and collaboration among hospitals and health care providers to improve the quality of stroke care in the Commonwealth, (iii) requiring the application of evidence-based treatment guidelines for transitioning patients to community-based follow-up care following acute treatment for stroke, and (iv) establishing a process for continuous quality improvement for the delivery of stroke care by the statewide system for stroke response and treatment.
HB 1198 - Garrett - Stroke centers, certified; designation of hospitals. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0103)03/02/18
notes: Expands the list of certified stroke center designations for hospitals included in regional stroke triage plans to include comprehensive stroke centers, primary stroke centers with supplementary levels of stroke care distinction, and acute stroke ready hospitals and adds the American Heart Association to the list of entities authorized to provide certification of such hospitals.
HB 1220 - Wilt - Food protection managers; regulations. (H) Committee on Agriculture, Chesapeake and Natural Resources(H) Left in Agriculture, Chesapeake and Natural Resources02/13/18
notes: Directs the Board of Agriculture and Consumer Services and the Board of Health to amend regulations governing retail food establishments to provide (i) an exemption from the requirement that at least one employee of the retail food establishment who has supervisory and management responsibility and authority to direct and control food preparation and service be a certified food protection manager, provided that the retail food establishment has not been found to be in violation of regulations governing retail food establishments in the immediately preceding five-year period, and (ii) for acceptance of evidence of online training and completion of an online examination to satisfy the requirements for certification as a food protection manager.
HB 1507 - Adams, L.R. - Patient-Centered Medical Home Advisory Council; established. (H) Committee on Appropriations(H) Left in Appropriations02/13/18
notes: Establishes the Patient-Centered Medical Home Advisory Council (Council) as an advisory council in the executive branch. The bill requires the Council to advise and make recommendations to the Secretary of Health and Human Services and the agencies within his secretariat on health care reforms designed to increase access to and improve outcomes of treatment and recovery services for opioid addiction and opioid-related disorders through the use of a patient-centered medical home system.

The bill also requires the Department of Behavioral Health and Developmental Services, in partnership with community services boards, a hospital licensed in the Commonwealth, and telemedicine networks, to establish a two-year pilot program in Planning District 12 designed to provide comprehensive treatment and recovery services to uninsured or underinsured individuals suffering from opioid addiction or opioid-related disorders. The bill requires the Department and its partners to collaborate with the Patient-Centered Medical Home Advisory Council to develop the pilot program.
HB 1584 - Byron - Health insurance; balance billing for ancillary services. (H) Committee on Commerce and Labor(H) Continued to 2019 in Commerce and Labor02/08/18
notes: Prohibits an out-of-network health care provider from charging a covered person who is insured through a health benefit plan an amount for ancillary services that is greater than the allowed amount the carrier is obligated to pay to the covered person. The measure defines "ancillary services" as screening, diagnostic, or laboratory services provided in connection with or arising out of other health care services that the covered person receives from or at an in-network provider. The measure requires an in-network provider to provide certain notices regarding the provision of ancillary services by an out-of-network provider. The measure has a delayed effective date of January 1, 2019.
HJ 84 - Plum - Governor; enter into agreements regarding Medicaid services, benefits, and programs. (H) Committee on Rules(H) Left in Rules02/13/18
notes: Encourages the Governor to enter into an agreement with the U.S. Secretary of Health and Human Services to extend to all eligible residents of the Commonwealth the full range of services, benefits, and programs available under federal law and regulations through the Medicaid program.
HJ 123 - Hope - Assisted living facilities; study an onsite temporary emergency electrical power sources. (H) Committee on Rules(H) Left in Rules02/13/18
notes: Directs the Joint Commission on Health Care to study (i) the feasibility of requiring an onsite temporary emergency electrical power source for licensed assisted living facilities and (ii) the services that assisted living facilities should be required to provide or continue to provide during an emergency.
HJ 124 - Carter - Health care spending; JLARC to study. (H) Committee on Rules(H) Left in Rules02/13/18
notes: Directs the Joint Legislative Audit and Review Commission to study health care spending in the Commonwealth.
HJ 125 - Carter - Universal health care; JLARC to study cost of implementing. (H) Committee on Rules(H) Left in Rules02/13/18
notes: Directs the Joint Legislative Audit and Review Commission to study the cost of implementing universal health care in the Commonwealth.
SB 281 - Barker - Medicare patients; patient notice of observation or outpatient status. (S) Committee on Education and Health(S) Incorporated by Education and Health (SB269-Black) (14-Y 0-N)01/11/18
notes: Provides that, for Medicare patients placed in observation or outpatient status, any hospital that provides a written notice and an oral explanation of such notice to the patient that satisfies the federal requirements for such notice shall be deemed to have satisfied Virginia's requirements for such notice. The bill also extends the timeframe for the provision of the notice required by current law from 24 hours to 36 hours.
SB 287 - McClellan - Statewide Trauma Registry; spinal cord injuries. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0195)03/05/18
notes: Provides that the Commissioner of Health shall make information contained in the Statewide Trauma Registry available to the Department for Aging and Rehabilitative Services to allow the Department to develop and implement programs and services for persons suffering from spinal cord injuries.
SB 305 - Dance - Cognitive impairment; VDH to include certain information in its public health outreach programs. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0468)03/23/18
notes: Directs the Department of Health, in partnership with the Alzheimer's Disease and Related Disorders Commission, the Department for Aging and Rehabilitative Services, and the Alzheimer's Association, to incorporate in its existing, relevant public health outreach programs information (i) to educate health care providers on the importance of early detection and timely diagnosis of cognitive impairment, validated cognitive assessment tools, the value of a Medicare Annual Wellness visit for cognitive health, and the new Medicare care planning billing code for individuals with cognitive impairment and (ii) to increase understanding and awareness of early warning signs of Alzheimer's disease and other types of dementia, the value of early detection and diagnosis, and how to reduce the risk of cognitive decline, particularly among persons in diverse communities who are at greater risk of developing Alzheimer's disease and other types of dementia.
SB 346 - Peake - Fire Programs Fund; use of funds. (H) Committee on Commerce and Labor

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0649)03/30/18
notes: Authorizes moneys in the Fire Programs Fund to be used for purposes of preventing the occurrence of cancer among firefighters.
SB 347 - Peake - Statewide cancer registry; collection of data on exposure to fire incidents and cancer incidence. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0459)03/23/18
notes: Requires that the information physicians report on a patient diagnosed with cancer to the statewide cancer registry include information, with the patient's consent, regarding the patient's work history as a firefighter, if any, including (i) his status as a volunteer, paid on-call, or career firefighter; (ii) the number of years on the job; and (iii) a measure or estimate of the number and type of fire incidents attended. The bill also provides that one purpose of the statewide cancer registry is to collect data to evaluate potential links between exposure to fire incidents and cancer incidence.
SB 369 - Newman - All-Payer Claims Database; participation by certain insurers. (S) Committee on Education and Health(S) Incorporated by Education and Health (SB634-Dunnavant) (15-Y 0-N)01/18/18
notes: Provides that participation in the All-Payer Claims Database by (i) issuers of individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; corporations providing individual or group accident and sickness subscription contracts; and health maintenance organizations providing a health care plan for health care services; (ii) third-party administrators and any other entities that receive or collect charges, contributions, or premiums for, or adjust or settle health care claims for, Virginia residents; (iii) the Department of Medical Assistance Services with respect to services provided under programs administered pursuant to Titles XIX and XXI of the Social Security Act; and (iv) federal health insurance plans, if available, including but not limited to Medicare, TRICARE, and the Federal Employees Health Benefits Plan, shall be mandatory, to the extent permitted by federal law. Currently, participation is optional.
SB 536 - Obenshain - Medicare, Medicaid, and CHIP; duty of in-network providers to submit claims. (H) Committee for Courts of Justice

(S) Committee for Courts of Justice
(G) Acts of Assembly Chapter text (CHAP0788)04/06/18
notes: Extends the duty of in-network providers of health care services to submit claims to an insurer for health care provided to an individual covered by Medicare, Medicaid, or CHIP within a specified time period.
SB 574 - DeSteph - Step therapy protocols; health benefits, disclosure of information. (S) Committee on Finance(S) Continued to 2019 in Finance (16-Y 0-N)02/06/18
notes: Requires health benefit plans that restrict the use of any prescription drug through the use of a step therapy protocol to have in place a clear, convenient, and expeditious process for a prescribing medical provider to request an override of such restrictions for a patient. A step therapy protocol is a protocol or program that (i) establishes the specific sequence in which prescription drugs for a specified medical condition are medically appropriate for a particular covered person and are covered by a health benefit plan or that (ii) conditions coverage of a prescription medication on a patient's first trying an alternative medication without success. The measure requires the granting of a step therapy protocol override if any of certain conditions are satisfied.
SB 593 - Vogel - Health insurance; coverage for autism spectrum disorder. (H) Committee on Appropriations

(S) Committee on Finance
(H) Left in Appropriations03/06/18
notes: Requires health insurers, health care subscription plans, and health maintenance organizations to provide coverage for the diagnosis and treatment of autism spectrum disorder in individuals of any age. Currently, such coverage is required to be provided for individuals from age two through age 10. The provision applies with respect to insurance policies, subscription contracts, and health care plans delivered, issued for delivery, reissued, or extended on or after January 1, 2019.
SB 639 - Dunnavant - Health care shared savings; incentive programs. (S) Committee on Finance(S) Continued to 2019 in Finance (16-Y 0-N)02/08/18
notes: Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered health care service from a lower-cost provider. Incentive payments shall be at least 50 percent of the saved cost compared to the average cost. Incentive payments are not required for savings of $25 or less. Programs are required to be approved by the Commissioner of Insurance. The measure also requires health carriers to make available an interactive mechanism on their website that enables a covered person to compare costs between providers in-network, calculate estimated out-of-pocket costs, and obtain quality data for those providers, to the extent available. The measure authorizes covered persons to obtain health care services from out-of-network providers if their costs are below the average of in-network providers. The measure requires health care facilities and practitioners to provide a covered person an estimate of charges prior to an admission, procedure, or service. All health care providers are required to post in a visible area notification of the patient's ability to obtain information in order to get an estimate of out-of-pocket costs from his health carrier and to compare providers.
SB 654 - McPike - Virginia Health Club Act; automated external defibrillator required in health clubs. (H) Committee on Health, Welfare and Institutions

(S) Committee on Commerce and Labor
(H) Passed by indefinitely in Health, Welfare and Institutions (11-Y 9-N)02/27/18
notes: Requires each health club location to (i) have a working automated external defibrillator, (ii) develop a medical emergency response plan in coordination with local emergency medical service providers, and (iii) ensure that at least one employee is at the health club location during hours the health club is open to the public who has current certification in cardiopulmonary resuscitation or has received training, within the last two years, in emergency first aid and cardiopulmonary resuscitation, including training on the use of an automated external defibrillator.
SB 719 - Dunnavant - Substance Abuse Data Sharing and Analytics Clearinghouse; established, report. (S) Committee on General Laws and Technology(S) Incorporated by General Laws and Technology (SB580-Hanger) (14-Y 0-N)02/05/18
notes: Establishes a Substance Abuse Data Sharing and Analytics Clearinghouse (the Clearinghouse), to be administered by the Secretary of Health and Human Resources in consultation with the Substance Abuse Data Sharing and Analytics Advisory Committee (the Advisory Committee), also created by the bill. To the extent allowed by federal law, state and local health and human services and public safety agencies are required to provide data to the Clearinghouse to be used for data analytics and analysis related to improving the efficiency and efficacy of the treatment and prevention of substance abuse, with a focus on opioid addiction and abuse. The Secretary of Health and Human Resources may also enter into agreements with private entities and public institutions of higher education to further the goals of the Clearinghouse. The bill requires the Secretary to report annually to the Governor and the General Assembly regarding the results achieved through the use of the Clearinghouse, including the identification of cost savings and policy recommendations.
The Advisory Committee shall have 14 members, consisting of three members of the House of Delegates, two members of the Senate, the Secretaries of Health and Human Resources, Public Safety and Homeland Security, and Technology, and six nonlegislative citizen members representing local government, the medical profession, and community services boards. The Advisory Committee is charged with advising on all matters related to the Clearinghouse.
The bill also makes changes to the Government Data Collection and Dissemination Practices Act to codify that data sharing among state and local agencies in certain circumstances is a proper use of personal data.
SB 721 - Chase - Health care services; practitioners to provide to patient payment estimates. (S) Committee on Education and Health(S) Passed by indefinitely in Education and Health with letter (15-Y 0-N)02/01/18
notes: Requires practitioners licensed by the Board of Medicine and hospitals to provide a patient or the representative of a patient scheduled to receive a nonemergency procedure, test, or service to be performed by the practitioner or hospital, at least three days in advance of the date of such procedure, test, or service, an estimate of the payment amount for which the participant will be responsible. Under current law, the requirement to provide such estimate applies only to hospitals for elective procedures, tests, or services and only upon request.
SB 731 - Dunnavant - Health insurance plans; prior authorization for drug benefits or surgical procedures. (S) Committee on Commerce and Labor(S) Continued to 2019 in Commerce and Labor (15-Y 0-N)01/29/18
notes: Provides that prior authorization requirements currently applicable to drug benefits are applicable to the process for a carrier's approval of surgical procedures. The measure requires contracts between an insurance carrier and a participating health care provider that require the carrier's prior authorization to include provisions that prohibit the carrier, after it has approved a prior authorization request submitted by a participating health care provider, from (i) withdrawing or retracting its approval of the request or (ii) declining or refusing to pay a claim submitted for the drug benefit or surgical procedure. The measure provides that if a health plan or provider contract states that prior authorization is not required for a specific drug benefit or surgical procedure, the carrier shall not refuse to pay a claim submitted for the drug benefit or surgical procedure. The measure addresses the standards applicable to electronic submissions of requests for prior authorization and specifies that requests may be submitted in paper if the provider meets certain criteria. Finally, the measure exempts a drug benefit from prior authorization requirements if prior authorization has been approved for the drug benefit in 90 percent or more of the requests for prior authorization submitted by the provider in the preceding 12 months or if the drug is a generic medication. These provisions apply to provider contracts entered into, amended, extended, or renewed on or after January 1, 2019.
SB 779 - Stanley - Covenants not to compete; physicians. (S) Committee for Courts of Justice(S) Failed to report (defeated) in Courts of Justice (7-Y 8-N)02/05/18
notes: Declares that any covenant not to compete that restricts the right of a physician to practice medicine upon the termination of an employment contract is void. A similar prohibition applies to noncompetition provisions triggered by a physician's dissociation from, or the termination or dissolution of, a business entity. The measure provides that all other provisions of the employment contract or other agreement are enforceable, including provisions that require the payment of damages in an amount that is reasonably related to the injury suffered by reason of termination of the employment contract or the dissociation from or the termination or dissolution of a business entity.
SB 781 - Dunnavant - Global reform waiver; Secretary of Health and Human Resources to apply. (S) Committee on Education and Health(S) Passed by indefinitely in Education and Health with letter (13-Y 0-N)02/12/18
notes: Directs the Secretary of Health and Human Resources to apply for a waiver to allow for transformation of the Commonwealth's existing program of medical assistance services through the implementation of a person-centered model of medical assistance services that improves outcomes and reduces costs by (i) integrating medical and behavioral health care, (ii) implementing a value-based payment model, and (iii) promoting personal choice and responsibility, including cost-sharing and incentives that encourage healthy behaviors, prevention, and wellness. Such waiver may include provisions for an aggregate cap on federal funds for a specified period of time with adequate tools to manage state financing of the program. The Secretary of Health and Human Resources shall report to the Governor and the General Assembly on the status of the waiver by December 1, 2018.
The bill also directs the Secretary of Health and Human Resources, together with the Secretary of Commerce and Trade, to submit a request to the U.S. Secretary of Housing and Urban Development (i) to receive all federal funds made available to the Commonwealth from the Department of Housing and Urban Development as a single annual grant and (ii) for flexibility in the administration of such funds to better align medical assistance and housing support services to better support low-income individuals receiving medical assistance. The Secretaries of Health and Human Resources and Commerce and Trade shall report to the Governor and the General Assembly on the status of such request by December 1, 2018.
SB 844 - Dunnavant - Health insurance; individual coverage, short-term policies. (H) Committee on Commerce and Labor

(S) Committee on Finance
(S) Communicated to Governor04/18/18
notes: Bars a health carrier that does not actively participate in the health benefit exchange from entering into or renewing a contract with the Commonwealth or any agency or political subdivision thereof related to the administration, sponsorship, sale, offering, or provision of services or benefits under a Medicaid managed care program or a health insurance program for current or retired state or local government employees.
SB 867 - McPike - Stroke care; Department of Health shall be responsible for quality improvement initiatives. (H) Committee on Health, Welfare and Institutions

(S) Committee on Finance
(G) Acts of Assembly Chapter text (CHAP0198)03/05/18
notes: Provides that the Department of Health shall be responsible for stroke care quality improvement initiatives in the Commonwealth. Such initiatives shall include (i) establishing a system to collect data and information about stroke care in the Commonwealth, (ii) facilitating information and data sharing and collaboration among hospitals and health care providers to improve the quality of stroke care in the Commonwealth, (iii) requiring the application of evidence-based treatment guidelines for transitioning patients to community-based follow-up care following acute treatment for stroke, and (iv) establishing a process for continuous quality improvement for the delivery of stroke care by the statewide system for stroke response and treatment.
SB 868 - McPike - Stroke centers, certified; designation of hospitals. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0109)03/02/18
notes: Expands the list of certified stroke center designations for hospitals included in regional stroke triage plans to include comprehensive stroke centers, primary stroke centers with supplementary levels of stroke care distinction, and acute stroke ready hospitals and adds the American Heart Association to the list of entities authorized to provide certification of such hospitals.
SB 916 - Chase - Health benefit plans; sale by authorized foreign health insurers. (S) Committee on Commerce and Labor(S) Continued to 2019 in Commerce and Labor (14-Y 1-N)01/29/18
notes: Establishes a procedure by which the State Corporation Commission may authorize health insurers licensed to sell health benefit plans in any other state to sell health benefit plans in Virginia without obtaining a license to engage in the business of insurance in Virginia or complying with other requirements applicable to Virginia-licensed insurers. A health benefit plan sold by an authorized foreign health insurer is not be required to include state-mandated health benefits. The measure establishes criteria to be used by the Commission in determining whether to authorize a foreign health insurer to sell, offer, or provide a health benefit plan in the Commonwealth. The measure authorizes the Commission to conduct market conduct and financial condition examinations of any foreign health insurer that has applied for, or has received, authorization to sell health benefit plans in Virginia. The measure also specifies disclosures that an authorized foreign health insurer is required to include in applications and policies. The measure has a delayed effective date of January 1, 2019.
SB 964 - Sturtevant - Health insurance; catastrophic health plans. (H) Committee on Commerce and Labor

(S) Committee on Finance
(S) Communicated to Governor04/18/18
notes: Requires health carriers to offer catastrophic plans in the individual market in every locality in the Commonwealth in which they offer any health benefit plan. A catastrophic plan is a high-deductible health care plan that provides essential health benefits and coverage for at least three primary care visits per policy year. Under the federal Affordable Care Act, catastrophic plans satisfy requirements that health benefit plans provide minimum levels of coverage only if they cover individuals who are under 30 years of age or who qualify for a hardship exemption or affordability exemption. The measure requires the Secretary of Health and Human Resources to apply to the federal government for a state innovation waiver allowing the implementation of the provision. The provision will become effective 30 days after the Secretary notifies persons that the request has been approved.
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