SEARCH SITE
VIRGINIA LAW PORTAL
- Code of Virginia
- Virginia Administrative Code
- Constitution of Virginia
- Charters
- Authorities
- Compacts
- Uncodified Acts
- RIS Users (account required)
SEARCHABLE DATABASES
- Bills & Resolutions
session legislation - Bill Summaries
session summaries - Reports to the General Assembly
House and Senate documents - Legislative Liaisons
State agency contacts
ACROSS SESSIONS
- Subject Index: Since 1995
- Bills & Resolutions: Since 1994
- Summaries: Since 1994
Developed and maintained by the Division of Legislative Automated Systems.
2018 SESSION
HB 1433 Health care provider panels; vertically integrated carriers, public hospitals.
Introduced by: James A. "Jay" Leftwich | all patrons ... notes | add to my profiles
SUMMARY AS INTRODUCED:
Health care provider panels; vertically integrated carriers; public hospitals. Requires any vertically integrated carrier, which is a health insurer or other carrier that owns an interest in an acute care hospital facility, to offer to every public hospital the ability to participate in the provider panels or networks established for each of the carrier's policies, products, and plans. The measure also requires any contract by which a public hospital participates in a vertically integrated carrier's provider panel or network to obligate the carrier to reimburse the public hospital for a covered health care service at a rate that is not less than the fair and nondiscriminatory rate. The measure establishes the methodology for determining a fair and nondiscriminatory rate, which is based on the same percentage in excess of the Medicare rate that the carrier pays to the acute care hospital facilities in which it owns an interest. The measure provides a procedure by which a public hospital may dispute a vertically integrated carrier's calculation of a fair and nondiscriminatory rate and authorizes a public hospital to bring a civil action against such a carrier to recover any underpayment or for injunctive or declaratory relief.
FULL TEXT
HISTORY
- 01/16/18 House: Presented and ordered printed 18104440D
- 01/16/18 House: Referred to Committee on Commerce and Labor
- 01/23/18 House: Assigned C & L sub: Subcommittee #2
- 02/06/18 House: Subcommittee recommends laying on the table (7-Y 0-N)
- 02/13/18 House: Left in Commerce and Labor