Virginia House Bill 1445 (Prior Session Legislation)

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Spectrum: Partisan Bill (Democrat 1-0)
Status: Introduced on January 16 2018 - 25% progression, died in committee
Action: 2018-02-13 - Left in Commerce and Labor
Pending: House Commerce and Labor Committee
Text: Latest bill text (Introduced) [HTML]

Health insurance; coverage decisions; medically necessary services. Prohibits any health carrier from denying services as not medically necessary or requiring prior authorization for services to be considered covered services, using criteria that (i) relate to any financial benefit inuring to the health carrier; (ii) are not related to the appropriateness of the evaluation or treatment of a disease, condition, illness, or injury, taking into account the applicable standard of care and the medical needs of the insured; or (iii) are based on whether the services are performed in a particular class or type of setting or whether the allowable costs for the services are greater than the allowable costs that would be paid to another provider in a different class or type of setting for the same services. The measure also limits a health carrier's ability to deny emergency medical services as not medically necessary on the basis of a retrospective determination. The measure applies to policies, contracts, and plans delivered, issued for delivery, reissued, or extended on and after January 1, 2019, or at any time thereafter when any term of the policy, contract, or plan is changed or any premium adjustment is made.

Health insurance; coverage decisions, medically necessary services.

Del. Patrick Hope [D]

2018-01-25 - House - House: Subcommittee failed to recommend reporting (3-Y 5-N) (Y: 3 N: 5 NV: 1 Abs: 0) [FAIL]

Date	Chamber	Action
2018-02-13	House	Left in Commerce and Labor
2018-01-25	House	Subcommittee failed to recommend reporting (3-Y 5-N)
2018-01-18	House	Assigned C & L sub: Subcommittee #1
2018-01-16	House	Referred to Committee on Commerce and Labor
2018-01-16	House	Presented and ordered printed 18104642D

Chapter	Article	Section	Citation Type	Statute Text
38	2	3407.14:2	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?181+sum+HB1445
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB1445+hil
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?181+vot+H1401V0013+HB1445