Health insurance; federal market reforms. (HB1958)

Introduced By

Del. Tom Rust (R-Herndon)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Health insurance; market reforms.  Conforms inconsistent and conflicting requirements of Virginia's health insurance laws to corresponding provisions of the federal Patient Protection and Affordable Care Act that became effective on September 23, 2010. The provisions of the federal act that are implemented by these amendments include (i) requiring employers that offer dependent coverage to provide coverage for dependents of employees who do not have access to other employer-based health care coverage until they reach age 26; (ii) limiting the ability of insurers to impose annual and lifetime dollar limits on essential benefits; (iii) limiting rescission of health insurance policies to cases of fraud or misrepresentation; (iv) requiring nongrandfathered plans to cover preventive health and wellness services without out-of-pocket cost-sharing for the insured; (v) requiring nongrandfathered plans to permit covered persons to designate any participating primary health care professional who is available to accept the covered person and prohibits such plans from requiring authorization or referral for obstetrical or gynecological care by in-network health care professionals specializing in obstetrics or gynecology; (vi) prohibiting nongrandfathered plans from imposing preexisting condition exclusions for enrollees who are under 19 years of age; and (vii) prohibiting nongrandfathered plans from charging higher cost-sharing for emergency services that are obtained out of a plan's network or from requiring preauthorization for emergency services. The measure also requires managed care health insurance plans (MCHIPs) to provide notice of the alleged fraudulent act, practice, or omission, or intentional misrepresentation, and related information, in advance of a rescission of coverage. The length of time that such plans are required to maintain certain records is increased from five to six years. The existing adverse decision procedures applicable to MCHIPs are revised to apply to adverse determinations, which are determinations by a health carrier or its utilization review organization that a health care service does not meet the health carrier's requirement for necessity, appropriateness, health care setting, level of care, or effectiveness, and the requested service or payment of the service is therefore denied, reduced, or terminated. Read the Bill »


Bill Has Passed


01/11/2011Prefiled and ordered printed; offered 01/12/11 11103752D
01/11/2011Referred to Committee on Commerce and Labor
01/31/2011Impact statement from SCC (HB1958)
02/01/2011Reported from Commerce and Labor with substitute (18-Y 1-N) (see vote tally)
02/01/2011Committee substitute printed 11104566D-H1
02/03/2011Read first time
02/04/2011Read second time
02/04/2011Committee substitute agreed to 11104566D-H1
02/04/2011Engrossed by House - committee substitute HB1958H1
02/06/2011Passed by for the day
02/07/2011Read third time and passed House (95-Y 3-N)
02/07/2011VOTE: PASSAGE (95-Y 3-N) (see vote tally)
02/08/2011Constitutional reading dispensed
02/08/2011Referred to Committee on Commerce and Labor
02/14/2011Reported from Commerce and Labor with amendments (15-Y 0-N) (see vote tally)
02/16/2011Constitutional reading dispensed (40-Y 0-N) (see vote tally)
02/17/2011Read third time
02/17/2011Reading of amendments waived
02/17/2011Committee amendments agreed to
02/17/2011Engrossed by Senate as amended
02/17/2011Passed Senate with amendments (39-Y 0-N) (see vote tally)
02/18/2011Placed on Calendar
02/21/2011Senate amendments agreed to by House (93-Y 5-N)
02/21/2011VOTE: ADOPTION (93-Y 5-N) (see vote tally)
02/25/2011Bill text as passed House and Senate (HB1958ER)
02/26/2011Signed by Speaker
02/28/2011Impact statement from SCC (HB1958ER)
02/28/2011Signed by President
03/26/2011Governor's recommendation received by House
04/05/2011Placed on Calendar
04/06/2011Passed by for the day
04/06/2011Communicated to Governor
04/29/2011G Approved by Governor-Chapter 882 (effective 7/1/11)
04/29/2011G Acts of Assembly Chapter text (CHAP0882)


This bill was discussed on the floor of the General Assembly. Below is all of the video that we have of that discussion, 2 clips in all, totaling 4 minutes.