FLOOR AMENDMENTS (DAVIES) AGREED TO BY HOUSE OF DELEGATES

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and

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the remainder of line 19, all of line 20 and through claims on line 21

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fifteen

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five working

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five

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three

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twenty

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ten

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D. The Commissioner of Insurance, upon good cause shown, may provide an extension of time for the covered person, the treating health care provider, the utilization review entity and the Commission to meet the established time requirements set forth in § 38.2-5901.

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sixty

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thirty working

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final adverse decision

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issues which the impartial review entity may examine when reviewing a final adverse decision under this section

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and

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the remainder of line 45, all of line 46 and through review on line 47

FLOOR AMENDMENTS (RUST) AGREED TO BY HOUSE OF DELEGATES

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a section numbered 38.2-3418.8

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sections numbered 38.2-3418.8 and 38.2-3418.9

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a section numbered 38.2-3418.8

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sections numbered 38.2-3418.8 and 38.2-3418.9

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17. Include coverage providing a minimum stay in the hospital of not less than twenty-three hours for a covered employee following a laparoscopy-assisted vaginal hysterectomy and forty-eight hours for a covered employee following a vaginal hysterectomy, as outlined in Milliman & Robertson's nationally recognized guidelines. Nothing in this subdivision shall be construed as requiring the provision of the total hours referenced when the attending physician, in consultation with the covered employee, determines that a shorter hospital stay is appropriate.

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§ 38.2-3418.9. Minimum hospital stay for hysterectomy.

A. Notwithstanding the provisions of § 38.2-3418.9, each insurer proposing to issue an individual or group hospital policy or major medical policy in this Commonwealth, each corporation proposing to issue an individual or group hospital, medical or major medical subscription contract, and each health maintenance organization providing a health care plan for health care shall provide coverage of laparoscopy-assisted vaginal hysterectomy and vaginal hysterectomy as provided in this section.

B. Such coverage shall include benefits for a minimum stay in the hospital of not less than twenty-three hours for a laparoscopy-assisted vaginal hysterectomy and forty-eight hours for a vaginal hysterectomy, as outlined in Milliman & Robertson's nationally recognized guidelines. Nothing in this subdivision shall be construed as requiring the provision of the total hours referenced when the attending physician, in consultation with the covered employee, determines that a shorter hospital stay is appropriate.

C. The requirements of this section shall apply to all insurance policies, contracts and plans delivered, issued for delivery, reissued, or extended on and after July 1, 1999, or at any time thereafter when any term of the policy, contract or plan is changed or any premium adjustment is made.

D. This section shall not apply to short-term travel, accident only, limited or specified disease, or individual conversion policies or contracts, nor to policies or contracts designed for issuance to persons eligible for coverage under Title XVIII of the Social Security Act, known as Medicare, or any other similar coverage under state or federal governmental plans.

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38.2-3418.8

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38.2-3418.9

FLOOR AMENDMENTS (WILLIAMS) AGREED TO BY HOUSE OF DELEGATES

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reductions

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changes

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reductions

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changes