Health care shared savings; incentive programs. (HB1001)

Introduced By

Del. Kathy Byron (R-Lynchburg) with support from co-patron Del. Michael Webert (R-Marshall)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Health care shared savings; incentive programs. Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered health care service from a lower-cost provider. Incentive payments shall be at least 50 percent of the saved cost compared to the average cost. Incentive payments are not required for savings of $25 or less. Programs are required to be approved by the Commissioner of Insurance. The measure also requires health carriers to make available an interactive mechanism on their website that enables a covered person to compare costs between providers in-network, calculate estimated out-of-pocket costs, and obtain quality data for those providers, to the extent available. The measure authorizes covered persons to obtain health care services from out-of-network providers if their costs are below the average of in-network providers. The measure requires health care facilities and practitioners to provide a covered person an estimate of charges prior to an admission, procedure, or service. All health care providers are required to post in a visible area notification of the patient's ability to obtain information in order to get an estimate of out-of-pocket costs from his health carrier and to compare providers. Read the Bill »


01/23/2018: passed committee


01/09/2018Prefiled and ordered printed; offered 01/10/18 18104615D
01/09/2018Referred to Committee on Commerce and Labor
01/22/2018Impact statement from SCC (HB1001)
01/23/2018Reported from Commerce and Labor with substitute (12-Y 9-N) (see vote tally)
01/23/2018Committee substitute printed 18105707D-H1
01/25/2018Read first time
01/26/2018Passed by for the day
01/29/2018Read second time
01/29/2018Committee substitute agreed to 18105707D-H1
01/29/2018Engrossed by House - committee substitute HB1001H1
01/30/2018Passed by for the day
01/31/2018Read third time and defeated by House (49-Y 49-N)
01/31/2018VOTE: DEFEATED (49-Y 49-N) (see vote tally)
02/12/2018Impact statement from SCC (HB1001H1)


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 3 minutes.