Health care provider panels; vertically integrated carriers, public hospitals. (HB2202)

Introduced By

Del. Terry Kilgore (R-Gate City) with support from 6 copatrons, whose average partisan position is:

Those copatrons are Del. Cliff Hayes (D-Chesapeake), Del. Jay Leftwich (R-Chesapeake), Del. David Toscano (D-Charlottesville), Sen. Lamont Bagby (D-Richmond), Sen. Emily Brewer (R-Suffolk), Sen. Frank Wagner (R-Virginia Beach)

Description

Health care provider panels; vertically integrated carriers; public hospitals. Requires any vertically integrated carrier to offer to every public hospital participation in each provider panel or network established for each of the vertically integrated carrier's policies, products, and plans, including all policies, products, and plans offered to individuals, employers, and enrollees in state and federal government benefit programs. The measure requires that the offered participation (i) be without any adverse tiering or other financial incentives that may discourage enrollees from utilizing the services of the public hospital and (ii) include all services offered by the public hospital and any other entity owned, operated, or controlled by a public hospital. The bill defines "vertically integrated carrier" as a health insurer or other carrier that owns an interest in, is owned by, or is under common ownership or control with an acute care hospital facility, excluding an entity that is under the ultimate control of or under common control with a public hospital. Read the Bill »

Outcome

History