Health care shared savings; incentive programs. (SB639)

Introduced By

Sen. Siobhan Dunnavant (R-Henrico) with support from co-patrons Sen. Dick Black (R-Leesburg), Sen. Amanda Chase (R-Midlothian), Sen. Glen Sturtevant (R-Midlothian), and Sen. Frank Wagner (R-Virginia Beach)


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 »


Bill Has Failed


01/10/2018Prefiled and ordered printed; offered 01/10/18 18104607D
01/10/2018Referred to Committee on Commerce and Labor
01/22/2018Impact statement from SCC (SB639)
02/05/2018Reported from Commerce and Labor with substitute (13-Y 1-N) (see vote tally)
02/05/2018Committee substitute printed 18106135D-S1
02/05/2018Rereferred to Finance
02/08/2018Continued to 2019 in Finance (16-Y 0-N) (see vote tally)
02/11/2018Impact statement from SCC (SB639S1)
11/30/2018Left in Finance