VA HB139 | 2018 | Regular Session

Status

Completed Legislative Action
Spectrum: Partisan Bill (Republican 1-0)
Status: Passed on March 30 2018 - 100% progression
Action: 2018-03-30 - Governor: Acts of Assembly Chapter text (CHAP0703)
Text: Latest bill text (Chaptered) [HTML]

Summary

Health insurance; physician reimbursements; credentialing. Requires health insurers and other carriers that credential the physicians in their provider networks to establish reasonable protocols and procedures for reimbursing a physician who has submitted a completed credentialing application to a carrier, after being credentialed by the carrier, for health care services provided to covered persons during the period in which the applicant's completed credentialing application is pending. The measure establishes minimum requirements for such protocols and procedures. The measure also (i) provides that a carrier is not required to pay reimbursement at the contracted in-network rate for any covered medical services provided by the new provider applicant if the new provider applicant's credentialing application is not approved or the carrier is otherwise not willing to contract with the new provider applicant; (ii) specifies that if a payment is made by the carrier to a physician or any entity that employs or engages the physician for a covered service, the patient is only responsible for any coinsurance, copayments, or deductibles permitted under the insurance contract with the carrier or participating provider agreement with the physician; and (iii) requires new provider applicants to provide notice to covered persons in advance of treatment. Finally, the measure requires the Virginia Department of Health to revise and reenact the regulations regarding managed care health insurance plans.

Tracking Information

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Title

Health insurance; physician reimbursements, credentialing.

Sponsors


Roll Calls

2018-03-05 - House - House: VOTE: ADOPTION (99-Y 0-N) (Y: 99 N: 0 NV: 1 Abs: 0) [PASS]
2018-03-01 - Senate - Senate: Passed Senate with substitute (37-Y 3-N) (Y: 37 N: 3 NV: 0 Abs: 0) [PASS]
2018-02-28 - Senate - Senate: Constitutional reading dispensed (40-Y 0-N) (Y: 40 N: 0 NV: 0 Abs: 0) [PASS]
2018-02-26 - Senate - Senate: Reported from Commerce and Labor with substitute (7-Y 5-N) (Y: 7 N: 5 NV: 0 Abs: 0) [PASS]
2018-01-31 - House - House: VOTE: BLOCK VOTE PASSAGE (99-Y 0-N) (Y: 99 N: 0 NV: 1 Abs: 0) [PASS]
2018-01-25 - House - House: Reported from Commerce and Labor (21-Y 0-N) (Y: 21 N: 0 NV: 1 Abs: 0) [PASS]
2018-01-23 - House - House: Subcommittee recommends reporting (6-Y 1-N) (Y: 6 N: 1 NV: 1 Abs: 0) [PASS]

History

DateChamberAction
2018-03-30 Governor: Acts of Assembly Chapter text (CHAP0703)
2018-03-30 Governor: Approved by Governor-Chapter 703 (effective 7/1/18)
2018-03-15 Governor: Governor's Action Deadline Midnight, April 9, 2018
2018-03-15HouseEnrolled Bill communicated to Governor on March 15, 2018
2018-03-09SenateSigned by President
2018-03-07HouseSigned by Speaker
2018-03-07HouseBill text as passed House and Senate (HB139ER)
2018-03-07HouseEnrolled
2018-03-05HouseVOTE: ADOPTION (99-Y 0-N)
2018-03-05HouseSenate substitute agreed to by House 18107647D-S1 (99-Y 0-N)
2018-03-05HousePlaced on Calendar
2018-03-01SenatePassed Senate with substitute (37-Y 3-N)
2018-03-01SenateEngrossed by Senate - committee substitute HB139S1
2018-03-01SenateCommittee substitute agreed to 18107647D-S1
2018-03-01SenateReading of substitute waived
2018-03-01SenateRead third time
2018-02-28SenateConstitutional reading dispensed (40-Y 0-N)
2018-02-26SenateCommittee substitute printed 18107647D-S1
2018-02-26SenateReported from Commerce and Labor with substitute (7-Y 5-N)
2018-02-01SenateReferred to Committee on Commerce and Labor
2018-02-01SenateConstitutional reading dispensed
2018-01-31HouseVOTE: BLOCK VOTE PASSAGE (99-Y 0-N)
2018-01-31HouseRead third time and passed House BLOCK VOTE (99-Y 0-N)
2018-01-30HouseRead second time and engrossed
2018-01-29HouseRead first time
2018-01-25HouseReported from Commerce and Labor (21-Y 0-N)
2018-01-23HouseSubcommittee recommends reporting (6-Y 1-N)
2018-01-17HouseAssigned C & L sub: Subcommittee #2
2017-12-19HouseReferred to Committee on Commerce and Labor
2017-12-19HousePrefiled and ordered printed; offered 01/10/18 18100678D

Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823407.10:1(n/a)See Bill Text

Virginia State Sources

TypeSource
Summaryhttps://lis.virginia.gov/cgi-bin/legp604.exe?181+sum+HB139
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB139+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB139S1+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB139ER+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+CHAP0703+hil
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+H1402V0002+HB0139
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+H14V0024+HB0139
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+HV0144+HB0139
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+S02V0154+HB0139
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+SV0749HB0139+HB0139
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+SV0814HB0139+HB0139
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+HV1277+HB0139

Bill Comments

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