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2000 SESSION

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HB 1211 Health maintenance organizations; exception to license requirement.

Introduced by: Eric I. Cantor | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED:

Health maintenance organizations; exception to licensing requirement. Exempts an HMO licensed in a state contiguous to Virginia from the requirement that it be licensed in Virginia if the HMO contracts on a limited basis with health care providers in Virginia for the provision of services to enrollees under contracts not delivered or issued for delivery in Virginia, and (i) the number of Virginia residents receiving such services does not exceed 500 enrollees of the HMO and (ii) the contracts with the providers include a hold harmless clause.

SUMMARY AS PASSED HOUSE:

Health maintenance organizations; exception to licensing requirement. Exempts an HMO licensed in a state contiguous to Virginia from the requirement that it be licensed in Virginia if (i) the HMO contracts on a limited basis with health care providers in Virginia for the provision of services to enrollees under contracts not delivered or issued for delivery in Virginia, if the number of Virginia residents receiving such services does not exceed 500 enrollees of the HMO, and the contracts with the providers include a hold harmless clause.

SUMMARY AS INTRODUCED:

Health maintenance organizations; exception to licensing requirement. Allows an HMO to provide or arrange health care services in Virginia without obtaining a license from the State Corporation Commission if (i) the HMO is licensed and regulated as an HMO in a contiguous state; (ii) all enrollees receiving health care services in Virginia are subscribers under group contracts issued in another state to persons who are not Virginia residents; and (iii) contracts with Virginia-based providers produce contractual activity that is neither significant nor material to the health maintenance organization or in its impact on Virginia residents.