Insurance

Home/Health Care/Insurance

HB 1713 Essential health benefits; abortion coverage.

Introduced by: Sally L. Hudson | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Essential health benefits; abortion coverage. Removes the prohibition on the provision of coverage for abortions in any qualified health insurance plan that is sold or offered for sale through a health benefits exchange established or operating in Virginia.

By |2020-01-17T18:37:40-05:00January 17th, 2020|abortion/marriage, Health Care, Insurance|Comments Off on HB 1713 Essential health benefits; abortion coverage.

HB 1704 Health insurance; coverage for case management services and peer support services.

Introduced by: Kaye Kory | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Health insurance; coverage for case management services and peer support services. Requires health insurance policies, subscription contracts, and health care plans to provide coverage for (i) case management services that are prescribed by a licensed physician for a covered individual who has a primary diagnosis of a substance abuse disorder and (ii) peer support services for any covered person who has a primary diagnosis of a mental health disorder other than substance abuse disorder.

By |2020-01-17T18:24:43-05:00January 17th, 2020|Health Care, Insurance|Comments Off on HB 1704 Health insurance; coverage for case management services and peer support services.

HB 1606 Hospitals; notice and consent; out-of-network providers.

Introduced by: Mark L. Cole (by request) | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Hospitals; notice and consent; out-of-network providers. Requires every hospital to notify patients when any service associated with a nonemergency procedure, test, or service to be provided by the hospital will be provided by an out-of-network provider and to obtain written consent to the provision of such service by such out-of-network provider prior to performing such procedure, test, or service

By |2020-01-17T12:30:56-05:00January 17th, 2020|Health Care, Insurance|Comments Off on HB 1606 Hospitals; notice and consent; out-of-network providers.

HB 1567 Health insurance; coverage for infertility treatments.

Introduced by: Mark L. Keam (by request) | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Health insurance; coverage for infertility treatments. Requires health insurance policies, subscription contracts, and health care plans to provide coverage for embryo transfer, in vitro fertilization, artificial insemination, gamete intrafallopian tube transfer, intracytoplasmic sperm injection, zygote intrafallopian transfer, and low tubal ovum transfer when performed on a covered individual who is less than 50 years old and infertile.

By |2020-01-17T12:35:43-05:00January 14th, 2020|Health Care, Insurance, Tier #4|Comments Off on HB 1567 Health insurance; coverage for infertility treatments.

HB 1445 Reproductive health services.

Introduced by: Marcia S. "Cia" Price | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Reproductive health services. Requires health benefit plans to cover the costs of specified health care services, drugs, devices, products, and procedures related to reproductive health. The health benefit plan requirements become effective when a plan is delivered, issued for delivery, reissued, or extended in the Commonwealth on and after January 1, 2021, or at any time thereafter when any term of the health benefit plan is changed or any premium adjustment is made. The measure also requires the Board of Medical Assistance Services to include in the state plan for medical assistance services a provision for the payment of the costs of a reproductive health care program providing reimbursement for medically necessary reproductive health care services, drugs, devices, products, and procedures for eligible individuals.

By |2020-01-17T13:14:51-05:00January 12th, 2020|Health Care, Insurance, Tier #4|Comments Off on HB 1445 Reproductive health services.

HB 1429 Health insurance; nondiscrimination, gender identity or transgender status.

Introduced by: Danica A. Roem | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Health insurance; nondiscrimination; gender identity or transgender status. Prohibits a health carrier from denying or limiting coverage or imposing additional cost sharing or other limitations or restrictions on coverage, under a health benefit plan for health care services that are ordinarily or exclusively available to covered individuals of one sex, to a transgender individual on the basis of the fact that the individual's sex assigned at birth, gender identity, or gender otherwise recorded is different from the one to which such health services are ordinarily or exclusively available. The measure also prohibits a health carrier from (i) subjecting an individual to discrimination under a health benefit plan on the basis of gender identity or being a transgender individual or (ii) requiring that an individual, as a condition of enrollment or continued enrollment under a health benefit plan, pay a premium that is greater than the premium for a similarly situated covered person enrolled in the plan

By |2020-01-17T13:15:57-05:00January 12th, 2020|anti-discrimination/LGBT/hate crime, Health Care, Insurance|Comments Off on HB 1429 Health insurance; nondiscrimination, gender identity or transgender status.

SB 917 Reproductive health services.

SB 917 Reproductive health services. Introduced by: Mamie E. Locke | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Reproductive health services. Requires health benefit plans to cover the costs of specified health care services, drugs, devices, products, and procedures related to reproductive health. The health benefit plan requirements become effective when a plan is delivered, issued for delivery, reissued, or extended in the Commonwealth on and after January 1, 2021, or at any time thereafter when any term of the health benefit plan is changed or any premium adjustment is made. The measure also requires the Board of Medical Assistance Services to include in the state plan for medical assistance services

By |2020-01-17T13:35:04-05:00January 11th, 2020|abortion/marriage, Health Care, Insurance|Comments Off on SB 917 Reproductive health services.

SB 767 Health insurance; payment to out-of-network providers.

Introduced by: George L. Barker | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Health insurance; payment to out-of-network providers. Provides that when a covered person receives covered emergency services from an out-of-network health care provider or receives out-of-network services at an in-network facility, the covered person is not required to pay the out-of-network provider any amount other than the applicable cost-sharing requirement. The measure also establishes a standard for calculating the health carrier's required payment to the out-of-network provider of the services, which standard is the lower of the market-based value for the service or 125 percent of the amount that would be paid under Medicare for the service. If such provider determines that the amount to be paid by the health carrier does not comply with the applicable requirements, the measure requires the provider and the health carrier to make a good faith effort to reach a resolution on the appropriate amount of the reimbursement and, if a resolution is not reached, authorizes either party to request the State Corporation Commission to review the disputed reimbursement amount and determine if the amount complies with applicable requirements

By |2020-01-17T14:26:15-05:00January 10th, 2020|Health Care, Insurance|Comments Off on SB 767 Health insurance; payment to out-of-network providers.

HB 1141 Health benefit plans; preexisting conditions.

Introduced by: Kathy K.L. Tran | all patrons ... notes | add to my profiles SUMMARY AS INTRODUCED: Health benefit plans; preexisting conditions. Eliminates provisions that addressed the ability of health carriers to exclude, limit, or charge more for coverage under health benefit plans on grounds of a preexisting condition that were superseded by requirements enacted in order to conform insurance laws to provisions of the federal Patient Protection and Affordable Care Act.

By |2020-01-15T20:12:26-05:00January 9th, 2020|Health Care, Insurance|Comments Off on HB 1141 Health benefit plans; preexisting conditions.