Health care provider panels; vertically integrated carriers, public hospitals. (SB474)

Introduced By

Sen. Chap Petersen (D-Fairfax)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


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 the 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 »


Bill Has Failed


01/07/2020Prefiled and ordered printed; offered 01/08/20 20102446D
01/07/2020Referred to Committee on Commerce and Labor
01/22/2020Impact statement from DPB (SB474)
02/09/2020Continued to 2021 in Commerce and Labor (11-Y 3-N 1-A) (see vote tally)