CHAPTER 743
An Act to amend and reenact § 54.1-2413 of the Code of
Virginia, relating to practitioner self-referral.
[H 143]
Approved April 13, 2010
Be it enacted by the General Assembly of Virginia:
1. That § 54.1-2413 of the Code of Virginia is amended
and reenacted as follows:
§54.1-2413. Additional conditions related to
practitioner-investors.
A. No hospital licensed in the Commonwealth shall discriminate
against or otherwise penalize any practitioner for compliance with the
provisions of this chapter.
B. No practitioner, other health care worker, or entity shall
enter into any agreement, arrangement, or scheme intended to evade the
provisions of this chapter by inducing patient referrals in a manner which
would be prohibited by this chapter if the practitioner made the referrals
directly.
C. No group practice shall be formed for the purpose of
facilitating referrals that would otherwise be prohibited by this chapter.
D. Notwithstanding the provisions of this chapter, a
practitioner may refer a patient who is a member of a health maintenance
organization to an entity in which the practitioner is an investor if the
referral is made pursuant to a contract with the health maintenance
organization.
E. Notwithstanding the provisions of this chapter, a referral
to an entity with in which the referring practitioner or his
immediate family member has an arrangement that would qualify for an
exception under federal practitioner self-referral law, 42 U.S.C. §1395nn,
as amended, or any regulations adopted pursuant thereto, permitting a
practitioner or an immediate family member of a practitioner to maintain an
ownership or investment interest in an entity that provides designated health
services, shall not be in violation of this chapter, regardless of the type of
health service provided or the source of payment for such service is an
investor shall not be in violation of this chapter if (i) the health service to
be provided is a designated health service as defined in 42 U.S.C. §
1395nn(h)(6), as amended, and an exception authorized by 42 U.S.C. §1395nn, as
amended, or any regulations adopted pursuant thereto, applies, or (ii) the
health service to be provided is not a designated health service as defined in 42
U.S.C. §1395nn(h)(6), as amended, but would qualify for an exception
authorized by 42 U.S.C. §1395nn, as amended, or any regulations adopted
pursuant thereto, if the health service were a designated health service.
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