Access to Health Care & Insurance

Bills CommitteeLast actionDate
HB 146 - Head - Insurance; provider complaints, etc. (H) Committee on Appropriations

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0164)04/07/22
notes: Requires the State Corporation Commission to conduct an examination of the business and affairs of an insurer upon (i) request by a statewide association representing health care professionals affirming no less than 10 complaints alleging insurer misconduct in a six-month period from providers participating in such insurer's network or (ii) verifiable information that such insurer has violated any law, regulation, or prior order of the Commission. The bill requires the Commission to publish a reasonably detailed summary of each violation and any corrective action plan on the Commission website within 60 days of the completion of an examination. The bill requires a health insurer that uses a provider panel to establish procedures for (a) notifying a provider at least 90 days prior to the implementation of a policy that restricts enrollee access to the provider's services, (b) providing reasonable notice to primary care providers in the insurer's provider panel prior to the implementation of a policy that restricts enrollee access to the specialty referral services provider, and (c) notifying the purchaser of the health benefit plan of any change in policy that restricts enrollee access to a contracted provider. Finally the bill requires a health insurer to provide with a renewal coverage proposal written notice of intent to increase by more than 15 percent the annual premium charged for coverage.
HB 237 - Orrock - Health insurance; short-term limited-duration medical plans. (H) Committee on Commerce and Energy(H) Left in Commerce and Energy02/15/22
notes: Repeals prohibitions on the duration, renewal and extension, and availability of short-term limited-duration medical plans.
HB 245 - Wilt - Group health benefit plans; sponsoring associations, formation of benefits consortium. (H) Committee on Commerce and Energy(H) Left in Commerce and Energy02/15/22
notes: Provides that sponsoring associations, including self-funded multiple employer welfare arrangements, may provide health benefit plans for small employers in the form of a trust benefit consortium, subject to certain requirements. The bill includes conditions for qualifying as a sponsoring association, requirements for the formation of a trust benefits consortium, and provisions to establish a board of trustees. Under the bill, such trust benefits consortium is subject to the federal Employee Retirement Income Security Act of 1974 (ERISA) and U.S. Department of Labor regulations and such trust shall not include certain words or terms in its name that are uniquely descriptive of insurance companies or business, and a statement to this effect is required to be included on the first page of the health benefit plan documents. A benefits consortium or sponsoring association is exempt from the requirements of the Virginia Life, Accident and Sickness Insurance Guaranty Association and exempt from annual license taxes under the bill.
HB 312 - Rasoul - Virginia Health Benefit Exchange; annual marketing plan. (H) Committee on Appropriations

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0250)04/08/22
notes: Requires the Virginia Health Benefit Exchange to prepare an annual marketing plan that includes consumer outreach and navigator programs. This bill is a recommendation of the Joint Commission on Health Care.
HB 360 - Fowler - Health insurance; carrier contracts, carrier provision of certain prescription drug information. (H) Committee on Health, Welfare and Institutions

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0284)04/08/22
notes: Requires a carrier or its pharmacy benefits manager to, upon request of a health care provider on behalf of an enrollee or a third party on behalf of the health care provider, furnish certain information to the health care provider or the authorized third party. The bill requires the carrier to ensure the data is provided in real-time, is in the same format in which the request is made or agreed to by the parties, and is accurate at the time of the request.
HB 431 - Murphy - Qualified health plans; state-mandated health benefits. (H) Committee on Appropriations

(S) Committee on Finance and Appropriations
(G) Acts of Assembly Chapter text (CHAP0560)04/11/22
notes: Provides an exception to the prohibition of a qualified health plan providing state-mandated health benefits that are not provided in the essential health benefits package for state-mandated health benefits enacted no later than July 1, 2020.
HB 480 - Helmer - Health insurance; coverage for the diagnosis of and treatment for infertility. (H) Committee on Commerce and Energy(H) Left in Commerce and Energy02/15/22
notes: Requires health insurance policies, subscription contracts, and health care plans to provide coverage for the diagnosis and treatment of infertility and for standard fertility preservation procedures, defined in the bill.
HB 481 - Helmer - Hospitals; price transparency. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0297)04/11/22
notes: Requires every hospital to make information about standard charges for items and services provided by the hospital available on the hospital's website.
HB 519 - March - Hospitals; regulations, visitation of individuals infected with COVID-19. (H) Committee on Health, Welfare and Institutions(H) Left in Health, Welfare and Institutions02/15/22
notes: Directs the Board of Health to include in regulations governing hospitals a provision prohibiting hospitals from restricting in any way the ability of a patient who has tested positive for infection with COVID-19 to receive visits from members of his family.
HB 534 - Batten - State plan for medical assistance services; eligibility, social security disability income. (H) Committee on Health, Welfare and Institutions(H) Continued to 2023 in Health, Welfare and Institutions02/08/22
notes: Directs the State Board of Medical Assistance Services to amend the state plan for medical assistance to disregard, for the purposes of eligibility determination, any social security disability income received by the person.
HB 537 - Batten - Telemedicine; out-of-state providers, behavioral health services provided by practitioner. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0275)04/08/22
notes: Allows certain practitioners of professions regulated by the Boards of Medicine, Counseling, Psychology, and Social Work who provide behavioral health services and who are licensed in another state, the District of Columbia, or a United States territory or possession and in good standing with such regulatory agency to engage in the practice of that profession in the Commonwealth with a patient located in the Commonwealth when (i) such practice is for the purpose of providing continuity of care through the use of telemedicine services and (ii) the practitioner has previously established a practitioner-patient relationship with the patient. The bill provides that a practitioner who provides behavioral health services to a patient located in the Commonwealth through use of telemedicine services may provide such services for a period of no more than one year from the date on which the practitioner began providing such services to such patient.
HB 651 - Kory - Individuals w/ intellectual disabilities; DMAS to report on use of community intermediate care. (H) Committee on Health, Welfare and Institutions(H) Continued to 2023 in Health, Welfare and Institutions02/10/22
notes: Directs the Department of Medical Assistance Services to report annually by December 1 of each year to the Governor and the Chairmen of the Senate Committees on Education and Health and Finance and Appropriations and the House Committees on Health, Welfare and Institutions and Appropriations regarding utilization of community intermediate care facilities for individuals with intellectual disabilities in the Commonwealth and to make such report available to the public on a website maintained by the Department.
HB 680 - Hope - Medical assistance services; state plan, case management service, individuals w/severe brain injury. (H) Committee on Appropriations

(S) Committee on Finance and Appropriations
(H) Continued to 2022 Sp. Sess. 1 pursuant to HJR45503/12/22
notes: Directs the Board of Medical Assistance Services to update the state plan for medical assistance services to include a provision for the payment of medical assistance for targeted case management services for individuals with severe traumatic brain injury.
HB 745 - Bell - Respiratory therapists; practice pending licensure. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0764)04/27/22
notes: Provides that a person who has graduated from an accredited respiratory therapy education program may practice with the title "Respiratory Therapist, License Applicant" or "RT-Applicant" until he has received a failing score on any examination required by the Board for licensure or six months from the date of graduation, whichever occurs sooner.
HB 770 - Hodges - Freestanding emergency departments; Bd. of Health to promulgate regulations related to departments. (H) Committee on Health, Welfare and Institutions(H) Left in Health, Welfare and Institutions02/15/22
notes: Requires the Board of Health to promulgate regulations related to freestanding emergency departments, defined in the bill as facilities located in the Commonwealth that (i) provide emergency services, (ii) are owned and operated by a licensed hospital and operate under the hospital's license, and (iii) are located on separate premises from the primary campus of the hospital. The bill also requires freestanding emergency departments to make certain disclosures to patients, in advertisements, and on any online platforms associated with such emergency department.
HB 773 - Hodges - Health insurance; provider credentialing, receipt of application. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0471)04/11/22
notes: Requires the protocols and procedures for the reimbursement of new provider applicants that are established by a carrier that credentials providers in its network to require that the carrier confirm receipt of such applicant's credentialing application with such applicant within 10 days of receiving the appli
HB 800 - Price - Medical assistance services; eligibility, individuals confined in state correctional facilities. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0300)04/11/22
notes: Requires the Department of Medical Assistance Services to enroll any person who is in the custody of a state correctional facility and who meets the criteria for eligibility for services under the state plan for medical assistance in the Commonwealth's program of medical assistance services; however, no services under the state plan for medical assistance shall be furnished to the person while he is confined in a state correctional facility unless federal financial participation is available to pay for the cost of the services provided. The bill also provides that, upon release from the custody of a state correctional facility, such individual shall continue to be eligible for services under the state plan for medical assistance until such time as the person is determined to no longer be eligible for medical assistance and that, to the extent permitted by federal law, the time during which a person is confined in a state correctional facility shall not be included in any calculation of when the person must recertify his eligibility for medical assistance.
HB 806 - Price - Health insurance; coverage for polycystic ovary syndrome (PCOS). (H) Committee on Commerce and Energy(H) Tabled in Commerce and Energy (15-Y 7-N)01/27/22
notes: Requires health insurers, health maintenance organizations, and corporations providing health care coverage subscription contracts to provide coverage for treatment of PCOS, if diagnosed by a gynecologist, endocrinologist, primary care physician, pediatrician, nurse practitioner, dermatologist, or infertility specialist. The bill specifies which types of treatment will be covered for PCOS. The bill applies to policies, contracts, and plans delivered, issued for delivery, or renewed on and after January 1, 2023.
HB 842 - Sickles - Commonwealth Health Reinsurance Program; federal risk adjustment program. (H) Committee on Appropriations

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0548)04/11/22
notes: Eliminates the requirement that the State Corporation Commission consider transfers made under the federal risk adjustment program to eliminate double reimbursement for high-cost cases as a factor when establishing payment parameters for the benefit year under the Commonwealth Health Reinsurance Program. The bill also eliminates the requirement that the Commission factor in transfers received for an enrolled individual under the federal risk adjustment program when calculating each reinsurance payment based on an eligible carrier's incurred claims costs for a covered person's covered benefits in the applicable benefit year.
HB 877 - Lopez - Public benefits; eligibility of certain aliens. (H) Committee on Health, Welfare and Institutions(H) Left in Health, Welfare and Institutions02/15/22
notes: Repeals provisions prohibiting persons other than United States citizens or persons who are legally present in the United States from receiving certain public benefits.
HB 912 - Orrock - Continuity of care; Bureau of Insurance to convene work group regarding care. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0353)04/11/22
notes: Requires a carrier, when the carrier terminates a provider from the carrier's provider panel, to permit the provider to render health care services to any of the carrier's enrollees who request to continue receiving health care services from the provider for a period of at least 180 days. Under current law, a carrier is required to permit the provider to render health care services to any of the carrier's enrollees who are in an active course of treatment and request to continue receiving health care services from the provider for a period of at least 90 days.
HB 925 - Roem - Health insurance; coverage for prosthetic devices and components. (H) Committee on Appropriations

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0598)04/11/22
notes: Requires health insurers, corporations providing health care coverage subscription contracts, health maintenance organizations, and the Commonwealth's Medicaid program to provide coverage for prosthetic devices, including myoelectric, biomechanical, or microprocessor-controlled prosthetic devices that have a Medicare code. The provisions of the bill apply only in the large group markets. The bill repeals the existing requirement that coverage for prosthetic devices be offered and made available. The bill has a delayed effective date of January 1, 2023.
HB 991 - Runion - Individuals with developmental disabilities; DMAS to amend waivers providing services, etc. (H) Committee on Appropriations(H) Left in Appropriations02/15/22
notes: Directs the Department of Medical Assistance Services to (i) take steps to amend the Family and Individual Supports, Community Living, and Building Independence waivers to combine the maximum annual allowable amount for assistive technology, electronic home-based support services, and environmental modifications for an individual receiving waiver services, for an annual total of $15,000, to provide for greater flexibility and better meet the needs of individuals receiving services and (ii) report on its progress to the Governor and the General Assembly by December 1, 2022.
HB 1075 - Leftwich - Health care provider panels; vertically integrated carriers, reimbursements to providers. (H) Committee on Commerce and Energy(H) Continued to 2023 in Commerce and Energy02/10/22
notes: Requires any vertically integrated carrier, upon written request, to offer participation in each requested provider panel or network established for each of the vertically integrated carrier's policies, products, and plans, including all policies, products, and plans offered to individuals, employers, and enrollees in government benefit programs, to the requesting provider under the same terms and conditions that apply to providers under common control with the vertically integrated carrier. The measure requires that the offered participation (i) be without any adverse tiering or other financial incentives that may discourage enrollees from utilizing the services of the provider, (ii) include all sites and services offered by the provider, and (iii) take into account the different characteristics of different providers with regard to the range, nature, cost, and complexity of services offered. The measure prohibits an officer or director of a vertically integrated carrier from simultaneously serving as an officer or director of an entity that owns, operates, manages, or controls an acute care hospital located, in whole or in part, in the Commonwealth. The measure defines "vertically integrated carrier" as a health insurer or other carrier that owns an interest in, is owned by, or is under common ownership or control with an acute care hospital facility, excluding an entity that is under the ultimate control of or under common control with a public hospital.
HB 1081 - Byron - Health insurance; calculation of enrollee's contribution, high deductible health plan. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0134)04/07/22
notes: Provides that if the application of the requirement that a carrier, when calculating an enrollee's overall contribution to any out-of-pocket maximum or any cost-sharing requirement under a health plan, include any amounts paid by the enrollee or paid on behalf of the enrollee by another person results in a health plan's ineligibility to qualify as a Health Savings Account-qualified High Deductible Health Plan under the federal Internal Revenue Code, then such requirement shall not apply to such health plan with respect to the deductible of such health plan until the enrollee has satisfied the minimum deductible required by the federal Internal Revenue Code. The bill provides such limitation does not apply with respect to items or services that are considered preventative care.
HB 1095 - Kory - Health care; decision making, end of life, penalties. (H) Committee for Courts of Justice(H) Left in Courts of Justice02/15/22
notes: Allows an adult diagnosed with a terminal condition to request and an attending health care provider to prescribe a self-administered controlled substance for the purpose of ending the patient's life in a humane and dignified manner. The bill requires that a patient's request for a self-administered controlled substance to end his life must be given orally on two occasions and in writing, signed by the patient and one witness, and that the patient be given an express opportunity to rescind his request at any time. The bill makes it a Class 2 felony (i) to willfully and deliberately alter, forge, conceal, or destroy a patient's request, or rescission of request, for a self-administered controlled substance to end his life with the intent and effect of causing the patient's death; (ii) to coerce, intimidate, or exert undue influence on a patient to request a self-administered controlled substance for the purpose of ending his life or to destroy the patient's rescission of such request with the intent and effect of causing the patient's death; or (iii) to coerce, intimidate, or exert undue influence on a patient to forgo a self-administered controlled substance for the purpose of ending the patient's life. The bill also grants immunity from civil or criminal liability and professional disciplinary action to any person who complies with the provisions of the bill and allows health care providers to refuse to participate in the provision of a self-administered controlled substance to a patient for the purpose of ending the patient's life.
HB 1098 - Guzman - Obesity prevention and other obesity-related services; payment of medical assistance. (H) Committee on Health, Welfare and Institutions

(S) Committee on Rules
(G) Acts of Assembly Chapter text (CHAP0460)04/11/22
notes: Directs the Department of Medical Assistance Services (the Department) to study and provide recommendations related to the payment of medical assistance for obesity prevention and other obesity-related services, including (i) the types of obesity prevention and other obesity-related services for which federal matching funds are available, (ii) the cost to the Commonwealth of providing medical assistance for such obesity prevention and other obesity-related services for eligible individuals, and (iii) any federal approvals or other actions necessary to allow for the payment of medical assistance for obesity prevention and other obesity-related services. The bill requires the Department to report its findings and recommendations to the Governor and the Chairmen of the House Committees on Appropriations and Health, Welfare and Institutions and the Senate Committees on Finance and Appropriations and Education and Health by November 1, 2022.
HB 1111 - Cordoza - Health insurance; coverage for proton therapy. (H) Committee on Commerce and Energy(H) Tabled in Commerce and Energy (15-Y 7-N)01/27/22
notes: Requires any health insurer, corporation, or health maintenance organization issuing an insurance policy, subscription contract, or health care plan to provide coverage for physician-prescribed proton therapy for the treatment of cancer if proton radiation therapy is recommended as the preferred radiation therapy treatment by the enrollee's health care provider.
HB 1156 - Byron - Private family leave insurance; definition, establishes as a class of insurance. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0132)04/07/22
notes: Establishes family leave insurance as a class of insurance. The bill defines " family leave insurance" as an insurance policy issued to an employer related to a benefit program provided to an employee to pay for the employee's income loss due to (i) the birth of a child or adoption of a child by the employee; (ii) placement of a child with the employee for foster care; (iii) care of a family member of the employee who has a serious health condition; or (iv) circumstances arising out of the fact that the employee's family member who is a service member is on active duty or has been notified of an impending call or order to active duty. Under the bill, family leave coverage may be written as an amendment to a group disability income policy, included in a group disability income policy, or written as a separate group policy purchased by an employer. The bill prohibits delivery or issue for delivery of a family leave insurance policy unless a copy of the form and the rate manual showing rates, rules, and classification of risks have been filed with the State Corporation Commission. The bill prohibits an individual certificate and enrollment form from being used in connection with a group family leave insurance policy unless the form for the certificate and enrollment form have been filed with the Commission. The bill provides that "life and annuities insurance agent" means an agent licensed in the Commonwealth to sell, solicit, or negotiate, among other types of insurance, family leave insurance, on behalf of insurers licensed in the Commonwealth.
HB 1160 - Mundon King - Health care providers and grocery store workers, etc.; employers to provide paid sick leave. (H) Committee on Commerce and Energy(H) Left in Commerce and Energy02/15/22
notes: Requires employers to provide paid sick leave to health care providers, grocery store workers, and home health workers who provide agency-directed services. Under current law, employers are only required to provide paid sick leave to home health workers who provide consumer-directed services. The bill removes requirements that workers work on average at least 20 hours per week or 90 hours per month to be eligible for paid sick leave. Additionally the bill provides that certain health care providers may waive their right to accrue and use paid sick leave and provides an exemption for certain other health care providers.
HB 1162 - Wachsmann - Health insurance; discrimination prohibited against covered entities and contract pharmacies. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0319)04/11/22
notes: Prohibits carriers and pharmacy benefits managers from discriminating in the requirements, exclusions, terms, or other conditions imposed on a covered entity or contract pharmacy on the basis that the entity or pharmacy is operating under the 340B Program of the federal Public Health Service Act. The bill also prohibits a carrier or pharmacy benefits manager from interfering in a covered individual's right to choose a contract pharmacy or covered entity.
HB 1169 - Fariss - Health insurance; association health plans. (H) Committee on Commerce and Energy(H) Left in Commerce and Energy02/15/22
notes: Provides that a licensed insurer may issue a policy of group accident and sickness insurance to an association, which association shall be deemed the policyholder, and that such association health plan is not considered to be insurance and is not subject to the existing requirements for insurance if certain requirements are met. The bill requires that (i) all members of the association be eligible for coverage and membership, including employer members with at least one employee that is domiciled in the Commonwealth or self-employed individuals; (ii) membership in the association not be conditioned on any health status%96related factor; (iii) the coverage offered through the association be available to all members regardless of any health status%96related factor; (iv) the association not make health insurance coverage offered through the association available other than in connection with a member of the association; and (v) premiums for the policy be paid from funds contributed by the association or associations, or by employer members, or by both, or from funds contributed by the covered persons or from both the covered persons and the association, associations, or employer members. The bill also requires the association (a) has at the outset a minimum of 100 members; (b) has been organized and maintained in good faith for purposes other than that of obtaining insurance; (c) has been in active existence for at least five years; and (d) has a constitution and bylaws that provide that the association hold regular meetings not less than annually to further purposes of the members, that the association collects dues or solicits contributions from members, and that the members have voting privileges and
HB 1187 - Helmer - Out-of-state health care practitioners; temporary authorization to practice. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0463)04/11/22
HB 1193 - Hope - Medical Assistance Services, Department of; coordinated specialty care, work group established. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0621)04/11/22
notes: Directs the Department of Medical Assistance Services to establish a work group, in coordination with the Department of Behavioral Health and Developmental Services, to evaluate and make recommendations to improve approaches to early psychosis and mood disorder detection approaches, make program funding recommendations, recommend a core set of standardized clinical and outcome measures, and evaluate coordinated specialty care programs in the Commonwealth. The work group is required by the bill to submit a five-year strategic plan annually to the General Assembly beginning November 1, 2022.
HB 1294 - Gooditis - Personal care services; requirements for managed care organizations. (H) Committee on Health, Welfare and Institutions(H) Left in Health, Welfare and Institutions02/15/22
notes: Requires the Department of Medical Assistance Services (the Department) to include in every contract between the Department and a managed care organization a provision that (i) authorizations or reauthorizations of consumer-directed or agency-directed personal care service hours for individuals receiving services through the Commonwealth Coordinated Care Plus waiver shall be required no more frequently than once every 12 months unless warranted by a substantial change in the medical needs of the service recipient and (ii) the managed care organization shall not remove a provider that provides consumer-directed or agency-directed personal care services for individuals receiving services through the Commonwealth Coordinated Care Plus waiver from its provider network without cause, and shall provide a written statement setting forth such cause to the provider prior to such removal.
HB 1323 - Orrock - Pharmacists; initiation of treatment with and dispensing and administration of vaccines. (H) Committee on Health, Welfare and Institutions

(S) Committee on Finance and Appropriations
(G) Acts of Assembly Chapter text (CHAP0791)05/27/22
notes: Provides that a pharmacist may initiate treatment with, dispense, or administer to persons three years of age or older in accordance with a statewide protocol developed by the Board of Pharmacy in collaboration with the Board of Medicine and the Department of Health vaccines included on the Immunization Schedule published by the Centers for Disease Control and Prevention or that have a current emergency use authorization from the U.S. Food and Drug Administration, and provides that the pharmacist may cause such vaccines to be administered by a pharmacy technician or pharmacy intern under the direct supervision of the pharmacist. The bill also requires the Department of Medical Assistance Services and accident and sickness insurance providers to provide reimbursement for such service in an amount that is no less than the reimbursement amount for such service by a health care provider licensed by the Board of Medicine.
HB 1324 - Hodges - Pharmacy, Board of; pharmacy work environment requirements. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0628)04/11/22
notes: Directs the Board of Pharmacy to promulgate regulations related to work environment requirements for pharmacy personnel that protect the health, safety, and welfare of patients. The bill requires the Board to promulgate such regulations by September 1, 2022. The bill contains an emergency clause.
HB 1359 - Byron - Health care; consent to disclosure of records. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0784)04/27/22
notes: Eliminates authority of a minor to consent to medical or health services needed in the case of outpatient care, treatment, or rehabilitation for medical illness or emotional disturbance and the disclosure of medical records related thereto. The bill also provides that an authorization for the disclosure of health records shall remain in effect until such time as it is revoked in writing to the person in possession of the health record subject to the authorization; shall include authorization for the release of all health records of the person created by the health care entity to whom permission to release health records was granted from the date on which the authorization was executed; and shall include authorization for the person named in the authorization to assist the person who is the subject of the health record in accessing health care services, including scheduling appointments for the person who is the subject of the health record and attending appointments together with the person who is the subject of the health record. The bill also provides that every health care provider shall make health records of a patient available to any person designated by a patient in an authorization to release medical records and that a health care provider shall allow a person to make an appointment for medical services on behalf of another person, regardless of whether the other person has executed an authorization to release medical records, provided that such health care provider shall not release protected health information to the person making the appointment for medical services on behalf of another person unless such person has executed an authorization to release medical records to the person making the appointment.
HJ 5 - Fariss - Health-related social need; Jt. Com. on Health Care to study benefit of hospitals, etc., addressing. (H) Committee on Rules(H) Left in Rules02/15/22
notes: Directs the Joint Commission on Health Care to study the benefits of hospitals, health systems, and other providers in addressing the health-related social needs of Virginians. The study shall identify opportunities for policy making to make health care in Virginia more affordable and effective through innovations in care coordination, workforce development, payment options, and improved data collection.
HJ 85 - Shin - Community Living, Family & Individual Support, and Building Independence waivers; DMAS to study, etc (H) Committee on Rules(H) Left in Rules02/15/22
notes: Requests the Department of Medical Assistance Services to study the feasibility of implementing a spend down provision for the Community Living, Family and Individual Support, and Building Independence waivers. The Department shall complete its work by November 30, 2022.
SB 195 - Mason - Group health benefit plans; sponsoring associations, formation of benefits consortium, definitions. (H) Committee on Commerce and Energy

(S) Committee on Finance and Appropriations
(G) Acts of Assembly Chapter text (CHAP0405)04/11/22
notes: Provides that certain trusts constitute a benefits consortium and are authorized to sell health benefits plans to members of a sponsoring association that (i) has been formed and maintained in good faith for purposes other than obtaining or providing health benefits; (ii) does not condition membership in the sponsoring association on any factor relating to the health status of an individual, including an employee of a member of the sponsoring association or a dependent of such an employee; (iii) makes any health benefit plan available to all members regardless of any factor relating to the health status of such members or individuals eligible for coverage through a member; (iv) does not make any health benefit plan available to any person who is not a member of the association; (v) makes available health plans or health benefit plans that meet requirements provided for in the bill; (vi) operates as a nonprofit entity under 501(c)(5) or 501(c)(6) of the Internal Revenue Code; and (vii) has been in active existence for at least five years. The bill replaces references to "bona fide association," as used in provisions applicable to health care plans in the small employer market, with the term "sponsoring association."
SB 201 - Favola - Hospitals; financial assistance for uninsured patient, payment plans. (H) Committee on Appropriations

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0679)04/11/22
notes: Requires hospitals to screen every uninsured patient, defined in the bill, to determine the patient's household income and whether the individual is eligible for financial assistance under the hospital's financial assistance plan; provides that no hospital shall require any uninsured patient who is eligible for financial assistance under the hospital's financial assistance plan and determined to have a household income that is less than or equal to 200 percent of the federal poverty level to pay any amount for emergency medical care; requires every hospital to make a payment plan available for every uninsured patient who is determined to be eligible for financial assistance pursuant to the hospital's financial assistance plan and caps such payment at four percent of the patient's monthly household income; prohibits hospitals from engaging in extraordinary collection actions against an uninsured patient who owes a debt for medical services or the estate of a deceased person; and requires hospitals to report data and information regarding charity care, discounted care, and financial assistance provided under the hospital's financial assistance policy to the nonprofit organization with which the Department of Health has entered into a contract for the compilation, storage, analysis, and evaluation of data
SB 271 - Ebbin - Insurance; discrimination based on status as living organ donor prohibited. (H) Committee on Appropriations

(S) Committee on Finance and Appropriations
(S) Senate sustained Governor's veto04/27/22
notes: Prohibits any person from refusing to insure, refusing to continue to insure, or limiting the amount or extent of life insurance, disability insurance, or long-term care insurance coverage available to an individual or to charge an individual a different rate for the same coverage based solely and without any additional actuarial risks upon the status of such individual as a living organ donor. The bill requires that an employer that employs 15 or more employees provide eligible employees with (i) up to 60 business days of unpaid organ donation leave in any 12-month period to serve as an organ donor and (ii) up to 30 business days of unpaid organ donation leave in any 12-month period to serve as a bone marrow donor. The bill requires the employer to restore the employee's position following the leave, to continue to provide coverage for the employee under any health benefit plan, and to pay the employee any commission earned prior to the leave. The bill prohibits the employer from taking retaliatory action against the employee for taking organ donation leave. The bill requires the Commissioner of Labor and Industry to enforce its provisions and provides for civil penalties for violations of its requirements.
SB 293 - Deeds - Certificate of public need; conditions related to inpatient psychiatric services and facilities. (S) Committee on Education and Health(S) Continued to 2023 in Education and Health (15-Y 0-N)02/10/22
notes: Requires the Commissioner of Health (the Commissioner) to impose conditions related to the provision of care to individuals who are the subject of a temporary detention order on certificates of public need for projects involving inpatient psychiatric services and facilities and provides that when determining the public need for a proposed project involving an inpatient psychiatric service or facility, the Commissioner shall not take into consideration existing inpatient psychiatric services or facilities or the impact of approving the application and issuing the certificate of public need for the proposed project on an existing inpatient psychiatric service or facility if the existing inpatient psychiatric service or facility does not provide an adequate amount of service to individuals who are subject to a temporary detention order, as determined by the Commissioner in accordance with regulations of the Board of Health (the Board). The bill directs the Board to adopt regulations establishing a process by which the Commissioner shall annually establish the amount of services for individuals who are subject to a temporary detention order that an existing inpatient psychiatric service or facility must provide.
SB 321 - Vogel - Health insurance; definition of autism spectrum disorder. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0102)04/06/22
notes: Provides that for the purposes of required health insurance coverage for the diagnosis and treatment of autism spectrum disorder, "autism spectrum disorder" means any pervasive developmental disorder or autism spectrum disorder, as defined in the most recent edition or the most recent edition at the time of diagnosis of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association and "medically necessary" means in accordance with the generally accepted standards of mental disorder or condition care and clinically appropriate in terms of type, frequency, site, and duration, based upon evidence and reasonably expected to do any of the following: (i) prevent the onset of an illness, condition, injury, or disability; (ii) reduce or ameliorate the physical, mental, or developmental effects of an illness, condition, injury, or disability; or (iii) assist to achieve or maintain maximum functional capacity in performing daily activities, taking into account both the functional capacity of the individual and the functional capacities that are appropriate for individuals of the same age.
SB 337 - Barker - Accident and sickness insurance; minimum standards. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0531)04/11/22
notes: Authorizes the State Corporation Commission to issue rules and regulations related to accident and sickness insurance minimum standards and excepted benefits and provides that the purpose of such rules and regulations is to establish (i) the minimum standards for filing of policy forms for individual and small group health benefit plans, (ii) the minimum standards, terms, and coverages for individual and group accident and sickness policies known as excepted benefits, and (iii) the minimum standards for short-term limited-duration insurance. The bill directs the Commission to ensure that such standards are simple and understandable and are not misleading or unreasonably confusing, and that the sale of such policies provides for full disclosure.
SB 338 - Barker - Commonwealth Health Reinsurance Program; federal risk adjustment program. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0547)04/11/22
notes: Eliminates the requirement that the State Corporation Commission consider transfers made under the federal risk adjustment program to eliminate double reimbursement for high-cost cases as a factor when establishing payment parameters for the benefit year under the Commonwealth Health Reinsurance Program. The bill also eliminates the requirement that the Commission factor in transfers received for an enrolled individual under the federal risk adjustment program when calculating each reinsurance payment based on an eligible carrier's incurred claims costs for a covered person's covered benefits in the applicable benefit year.
SB 340 - Barker - Freestanding emergency departments; Bd. of Health to promulgate regulations related to departments. (S) Committee on Education and Health(S) Continued to 2023 in Education and Health (11-Y 0-N)02/10/22
notes: Requires the Board of Health to promulgate regulations related to freestanding emergency departments, defined in the bill as facilities located in the Commonwealth that (i) provide emergency services, (ii) are owned and operated by a licensed hospital and operate under the hospital's license, and (iii) are located on separate premises from the primary campus of the hospital. The bill also requires freestanding emergency departments to make certain disclosures to patients, in advertisements, and on any online platforms associated with such emergency department.
SB 352 - Surovell - Health care providers and grocery store workers, etc.; employers to provide paid sick leave, clause. (H) Committee on Commerce and Energy

(S) Committee on Finance and Appropriations
(H) Left in Commerce and Energy03/08/22
notes: Requires employers to provide paid sick leave to health care providers, grocery store workers, and home health workers who provide agency-directed services. Under current law, employers are only required to provide paid sick leave to home health workers who provide consumer-directed services. The bill removes requirements that workers work on average at least 20 hours per week or 90 hours per month to be eligible for paid sick leave. Additionally the bill provides that certain health care providers may waive their right to accrue and use paid sick leave and provides an exemption for certain other health care providers.
SB 369 - Stuart - Public health emergency; out-of-state licenses, deemed licensure. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0720)04/27/22
notes: Allows a practitioner of a profession regulated by the Board of Medicine who is licensed in another state, the District of Columbia, or a United States territory or possession and who is in good standing with the applicable regulatory agency in that state, the District of Columbia, or that United States territory or possession to engage in the practice of that profession in the Commonwealth with a patient located in the Commonwealth when (i) such practice is for the purpose of providing continuity of care through the use of telemedicine services and (ii) the patient is a current patient of the practitioner with whom the practitioner has previously established a practitioner-patient relationship.
SB 375 - Petersen - Optometrists; allowed to perform laser surgery if certified by Board of Optometry. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0016)03/09/22
notes: Allows an optometrist who has received a certification to perform laser surgery from the Board of Optometry (the Board) to perform certain types of laser surgery of the eye and directs the Board to issue a certification to perform laser surgery to any optometrist who submits evidence satisfactory to the Board that he (i) is certified by the Board to prescribe for and treat diseases or abnormal conditions of the human eye and its adnexa with therapeutic pharmaceutical agents pursuant to Code requirements and (ii) has satisfactorily completed such didactic and clinical training programs provided by an accredited school or college of optometry that includes training in the use of lasers for the medically appropriate and recognized treatment of the human eye as the Board may require.
SB 624 - Favola - Home health workers providing agency-directed services; employer to provide paid sick leave, clause. (H) Committee on Commerce and Energy

(S) Committee on Finance and Appropriations
(H) Tabled in Commerce and Energy (12-Y 10-N)03/03/22
notes: Requires employers to provide paid sick leave to home health workers who provide agency-directed services. Under current law, employers are only required to provide paid sick leave to home health workers who provide consumer-directed services. The bill provides that "employer" includes the Commonwealth, any of its agencies, institutions, or political subdivisions, and any public body.
SB 636 - Cosgrove - Hyperbaric oxygen therapy; data collection. (S) Committee on General Laws and Technology(S) Continued to 2023 in General Laws and Technology (14-Y 0-N)02/09/22
notes: Allows the Department of Veterans Services (the Department) to contract with any hospital in the Commonwealth that furnishes the treatment option of hyperbaric oxygen therapy to provide hyperbaric oxygen therapy to any veteran in the Commonwealth who has been certified by the U.S. Department of Veterans Affairs or any branch of the United States Armed Forces as having post-traumatic stress disorder or traumatic brain injury. The Department shall include in any contract with such hospital to furnish hyperbaric oxygen therapy the requirement that data be collected to assess the efficacy of hyperbaric oxygen therapy for veterans and any other information deemed relevant by the Department.
SB 672 - Dunnavant - Pharmacists; initiation of treatment with and dispensing and administration of vaccines. (H) Committee on Health, Welfare and Institutions

(S) Committee on Education and Health
(G) Acts of Assembly Chapter text (CHAP0790)05/27/22
notes: Allows pharmacists and pharmacy technicians under the supervision of a pharmacist to initiate treatment with and dispense and administer certain drugs devices, and tests in accordance with a statewide protocol developed by the Board of Pharmacy in collaboration with the Board of Medicine and the Department of Health. The bill directs the Board of Pharmacy to establish such protocol by November 1, 2022, and to promulgate regulations to implement the provisions of the bill within 280 days of its enactment.
SB 676 - DeSteph - Associate physicians; licensure and practice. (S) Committee on Education and Health(S) Continued to 2023 in Education and Health (15-Y 0-N)02/10/22
notes: Authorizes the Board of Medicine to issue a two-year license to practice as an associate physician to an applicant who is 18 years of age or older, is of good moral character, has graduated from an accredited medical school, has successfully completed Step 1 and Step 2 of the United States Medical Licensing Examination, and has not completed a medical internship or residency program. The bill requires all associate physicians to practice in accordance with a practice agreement entered into between the associate physician and a physician licensed by the Board and provides for prescriptive authority of associate physicians in accordance with regulations of the Board.
SB 681 - Obenshain - Health insurers; duty of in-network providers to submit claims, prohibited practices. (H) Committee on Commerce and Energy

(S) Committee on Commerce and Labor
(G) Acts of Assembly Chapter text (CHAP0351)04/11/22
notes: Provides that any in-network provider that provides health care services to a covered patient that does not submit its claim to the health insurer for the health care services in accordance with the terms of the applicable provider agreement or as permitted under applicable federal or state laws or regulations shall be subject to a civil penalty of $1,000 per violation.
SB 751 - Dunnavant - Standardized Health Care Academy Program; established. (S) Committee on Finance and Appropriations(S) Continued to 2023 in Finance and Appropriations (12-Y 4-N)02/10/22
notes: Establishes the Standardized Health Care Academy Program for the purpose of providing training and opportunities to high school students in health care professional programs that are offered by associate-degree-granting public institutions of higher education. The bill directs the State Board for Community Colleges to establish the Program and work with the Department of Education in setting out parameters for the Program.