Health insurance; association health plans. (SB235)

Introduced By

Sen. George Barker (D-Alexandria) with support from co-patron Sen. Siobhan Dunnavant (R-Henrico)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Health insurance; association health plans. Provides that for policies of group accident and sickness insurance issued to an association, members of such an association may include (i) a self-employed individual and (ii) an employer member with at least one employee that is domiciled in the Commonwealth. The bill provides that for such policies issued to an association that covers at least 51 members and employees of employer members of such association on the first day of the plan year the policies shall be considered a large group market plan and are required to meet various provisions in the bill. The bill provides that to determine the size of an association all of the members and employees of employer members are aggregated and treated as employed by a single employer. The bill requires an insurer issuing a policy to an association to (a) treat all of the members and employees of employer members who are enrolled in coverage under the policy as a single risk pool; (b) set premiums based on the collective group experience of the members and employees of employer members who are enrolled in coverage under the policy; (c) vary premiums by age, except that the rate shall not vary by more than five to one for adults; (d) not vary premiums based on gender; and (e) not establish discriminatory rules based on the health status of an employer member, an individual employee of an employer member, or a self-employed individual for eligibility or contribution. The bill requires the Commissioner of Insurance to initiate proceedings to apply to the U.S. Secretary of Health and Human Services for a state innovation waiver under the federal Patient Protection and Affordable Care Act, P.L. 111-148, to implement the provisions of the bill and within 180 days of a certain judicial order to submit the waiver request to implement the provisions of the bill regarding association health plans. This bill is identical to HB 795. Read the Bill »


03/07/2020: Passed the General Assembly


01/02/2020Prefiled and ordered printed; offered 01/08/20 20101513D
01/02/2020Referred to Committee on Commerce and Labor
01/15/2020Assigned C&L sub: Health Insurance
01/16/2020Impact statement from SCC (SB235)
01/20/2020Reported from Commerce and Labor with substitute (15-Y 0-N) (see vote tally)
01/20/2020Committee substitute printed 20106105D-S1
01/22/2020Constitutional reading dispensed (40-Y 0-N) (see vote tally)
01/23/2020Read second time
01/23/2020Reading of substitute waived
01/23/2020Committee substitute agreed to 20106105D-S1
01/23/2020Engrossed by Senate - committee substitute SB235S1
01/23/2020Impact statement from SCC (SB235S1)
01/24/2020Passed by for the day
01/27/2020Passed by for the day
01/28/2020Engrossment reconsidered by Senate (40-Y 0-N) (see vote tally)
01/28/2020Reading of amendments waived
01/28/2020Amendments by Senator Barker agreed to
01/28/2020Engrossed by Senate - committee substitute with amendments SB235ES1
01/28/2020Constitutional reading dispensed (40-Y 0-N) (see vote tally)
01/28/2020Passed Senate (40-Y 0-N) (see vote tally)
01/28/2020Printed as engrossed 20106105D-ES1
02/03/2020Placed on Calendar
02/03/2020Read first time
02/03/2020Referred to Committee on Labor and Commerce
02/05/2020Impact statement from SCC (SB235ES1)
02/18/2020Reported from Labor and Commerce with substitute (21-Y 0-N) (see vote tally)
02/18/2020Committee substitute printed 20108591D-H1
02/20/2020Read second time
02/21/2020Read third time
02/21/2020Committee substitute agreed to 20108591D-H1
02/21/2020Engrossed by House - committee substitute SB235H1
02/21/2020Passed House with substitute (91-Y 3-N)
02/21/2020VOTE: Passage (91-Y 3-N) (see vote tally)
02/21/2020Impact statement from SCC (SB235H1)
02/25/2020House substitute rejected by Senate (0-Y 40-N) (see vote tally)
02/26/2020House insisted on substitute
02/26/2020House requested conference committee
02/28/2020Senate acceded to request (38-Y 0-N) (see vote tally)
02/28/2020Conferees appointed by Senate
02/28/2020Senators: Barker, Marsden, Newman
03/02/2020Conferees appointed by House
03/02/2020Delegates: Hurst, Guzman, Kilgore
03/03/2020C Amended by conference committee
03/03/2020Conference report agreed to by House (93-Y 3-N)
03/03/2020VOTE: Agree To (93-Y 3-N) (see vote tally)
03/04/2020Conference report agreed to by Senate (40-Y 0-N) (see vote tally)
03/07/2020Bill text as passed Senate and House (SB235ER)
03/07/2020Signed by President
03/08/2020Signed by Speaker
03/10/2020Impact statement from SCC (SB235ER)
03/12/2020Enrolled Bill Communicated to Governor on March 12, 2020
03/12/2020G Governor's Action Deadline 11:59 p.m., April 11, 2020
04/11/2020Governor's recommendation received by Senate
04/22/2020VOTE: (48-Y 45-N)
04/22/2020Senate rejected Governor's recommendation (4-Y 36-N) (see vote tally)
04/22/2020Passed in enrolled form (35-Y 5-N) (see vote tally)
04/22/2020Passed by for the day (48-Y 45-N)
04/22/2020Communicated to Governor
04/22/2020G Governor's Action Deadline 11:59 p.m., May 22, 2020
05/01/2020VOTE: (48-Y 45-N)


Virginia Poverty Law Center, tracking this bill in Photosynthesis, notes:

VPLC opposes