Virginia House Bill 1075 (Prior Session Legislation)

---

Spectrum: Partisan Bill (Republican 1-0)
Status: Introduced on January 12 2022 - 25% progression, died in committee
Action: 2022-11-22 - Left in Commerce and Energy
Pending: House Commerce and Energy Committee
Text: Latest bill text (Prefiled) [HTML]

Health care provider panels; vertically integrated carriers; reimbursements to providers. 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. Health care provider panels; vertically integrated carriers; reimbursements to providers. 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.

Health care provider panels; vertically integrated carriers, reimbursements to providers.

Del. James Leftwich [R]

Date	Chamber	Action
2022-11-22	House	Left in Commerce and Energy
2022-02-10	House	Continued to 2023 in Commerce and Energy by voice vote
2022-01-12	House	Referred to Committee on Commerce and Energy
2022-01-12	House	Prefiled and ordered printed; offered 01/12/22 22102199D

HB1075 (Carry Over) 2022-02-10 - Continued to 2023 in Commerce and Energy by voice vote

Chapter	Article	Section	Citation Type	Statute Text
38	2	3407.10	(n/a)	See Bill Text
38	2	4319	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?231+sum+HB1075
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB1075+hil
Supplement	https://lis.virginia.gov/cgi-bin/legp604.exe?231+oth+HB1075F122+PDF