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1996 SESSION

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961043432
HOUSE BILL NO. 1130 Offered January 22, 1996 A BILL to amend the Code of Virginia by adding a section numbered 38.2-226.1, relating to insurance regulation; exemptions for certain health plans. ---------- Patrons-- Robinson and Heilig; Senator: Woods ---------- Referred to Committee on Corporations, Insurance and Banking ----------

Be it enacted by the General Assembly of Virginia:

1. That the Code of Virginia is amended by adding a section numbered 38.2-226.1 as follows:

§ 38.2-226.1. Provisions of title not applicable to certain long-term care prepaid health plans.

A. This title shall not apply to pre-PACE, long-term care prepaid health plans (i) authorized by the United States Health Care Financing Administration pursuant to § 1903 (m) (2) (B) of Title XIX of the United States Social Security Act and the state plan for medical assistance services as established pursuant to Chapter 10 (§ 32.1-323 et seq.) of Title 32.1, and (ii) which have signed agreements with the Department of Medical Assistance Services as long-term care prepaid health plans.

B. The pre-PACE, long-term care prepaid health plans identified in subsection A may include coverage for individuals who have made application for medical assistance services pursuant to Chapter 10 (§ 32.1-323 et seq.) of Title 32.1. Such coverage shall not extend beyond ninety days after the date of such application unless (i) such individuals' applications are approved or (ii) any disapproval thereof is pending appeal conforming to the procedures established for the same by the Department of Medical Assistance Services, and then only for the duration of such appeal.

2. That the provisions of this act shall expire on July 1, 1997.

3. That the Bureau of Insurance of the Virginia State Corporation Commission shall review the regulatory exemptions established by this bill to determine whether such exemptions are beneficial to the delivery of health care to the Commonwealth's elderly population. The Bureau shall report its findings to the Governor and the 1997 Session of the General Assembly as provided in the procedures of the Division of Legislative Automated Systems for processing legislative documents.