Health insurance; authorizes SCC to establish state plan management partnership exchange. (SB1084)

Introduced By

Sen. Mark Herring (D-Leesburg)

Progress

Introduced
Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law

Description


State partnership health benefit exchange. Directs the State Corporation Commission (SCC) to contract with and enter into memoranda of understanding with the U.S. Department of Health and Human Services or any other state or federal agency as may be required in order to establish a state plan management partnership exchange for the Commonwealth. The SCC, with assistance from the Virginia Department of Health, is required to perform any plan management functions consistent with guidelines developed by the Secretary of the U.S. Department of Health and Human Services to support such an exchange in Virginia. The SCC's obligation to perform plan management functions is contingent upon the availability of full funding, technology infrastructure being made available, and there being no other impediments that effectively prevent the SCC from performing any required plan management functions. In addition, the SCC's obligation to perform plan management functions is contingent upon receiving a general fund appropriation sufficient to pay the operating expenses necessary to carry out the functions. The SCC is required to seek full reimbursement from the U.S. Department of Health and Human Services for the expenses and to reimburse the general fund for the amount received. The SCC may contract with and enter into memoranda of understanding to carry out its plan management functions with any state or federal agency. The Department of Health, Department of Medical Assistance Services, and Department of Social Services are authorized to assist the SCC in the establishment, operation, and plan management functions of a state plan management partnership exchange. The SCC may not use special fund revenues dedicated to its other functions and duties to fund plan management functions. The measure also authorizes the SCC to review and approve accident and sickness insurance premium rates applicable to health benefit plans in the individual and small group markets and health benefit plans providing health insurance coverage in the individual market through certain non-employer group plans. The power to review and approve rates is a condition to the SCC being found to be an effective regulator of such rates, which finding is a requirement for its participation in the health benefit exchange partnership model. The measure will take effect upon its passage. Read the Bill »

Status

01/28/2013: Merged into SB922

History

DateAction
01/09/2013Prefiled and ordered printed with emergency clause; offered 01/09/13 13103691D
01/09/2013Referred to Committee on Commerce and Labor
01/15/2013Assigned C&L sub: Health Insurance
01/23/2013Impact statement from SCC (SB1084)
01/28/2013Incorporated by Commerce and Labor (SB922-Watkins) (15-Y 0-N) (see vote tally)
01/31/2013Impact statement from SCC (SB1084)
02/08/2013Impact statement from SCC (SB1084)