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2011 SESSION

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HB 1958 Health insurance; federal market reforms.

Introduced by: Thomas Davis Rust | all patrons    ...    notes | add to my profiles

SUMMARY AS PASSED HOUSE: (all summaries)

Health insurance; market reforms. Conforms inconsistent and conflicting requirements of Virginia's health insurance laws to corresponding provisions of the federal Patient Protection and Affordable Care Act that became effective on September 23, 2010. The provisions of the federal act that are implemented by these amendments include (i) requirements that employers offering dependent coverage provide coverage for dependents of employees until they reach age 26; (ii) limits on the ability of insurers to impose annual and lifetime dollar limits on essential benefits; (iii) limits on rescission of health insurance policies except in cases of fraud or misrepresentation; (iv) requirements that nongrandfathered plans cover preventive services without out-of-pocket cost-sharing for the insured; (v) requirements that nongrandfathered plans permit covered persons to designate any participating primary health care professional who is available to accept the covered person and prohibits such plans from requiring authorization or referral for obstetrical or gynecological care by in-network health care professionals specializing in obstetrics or gynecology; (vi) prohibitions on nongrandfathered plans imposing preexisting condition exclusions for enrollees who are under 19 years of age; and (vii) prohibitions on nongrandfathered plans charging higher cost-sharing for emergency services that are obtained out of a plan's network or from requiring preauthorization for emergency services. The measure expires July 1, 2014.


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