SB192: Health insurance; physical therapist office visit, cost-sharing requirements.
SENATE BILL NO. 192
Be it enacted by the General Assembly of Virginia:
1. That the Code of Virginia is amended by adding a section numbered 38.2-3407.9:06 as follows:
§ 38.2-3407.9:06. Physical therapists; cost-sharing requirements.
A. No (i) insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; (ii) corporation providing individual or group accident and sickness subscription contracts; or (iii) health maintenance organization providing a health care plan for health care services, whose policies, contracts, or plans, including any certificate or evidence of coverage issued in connection with such policies, contracts, or plans, include coverage for physical therapy shall impose any cost-sharing requirements such as a copayment, coinsurance, or deductible for a physical therapist office visit that exceeds the cost-sharing requirements for a physician or osteopath office visit. For the purposes of this section, "office visit" does not include a preventive visit for which the imposition of any cost-sharing requirements is prohibited pursuant to § 38.2-3442.
B. The provisions of this section shall apply to any policy, contract, or plan delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2021.