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2018 SESSION
HB 139 Health insurance; physician reimbursements, credentialing.
Introduced by: Christopher T. Head | all patrons ... notes | add to my profiles
SUMMARY AS PASSED: (all summaries)
Health insurance; physician reimbursements; credentialing. Requires health insurers and other carriers that credential the physicians in their provider networks to establish reasonable protocols and procedures for reimbursing a physician who has submitted a completed credentialing application to a carrier, after being credentialed by the carrier, for health care services provided to covered persons during the period in which the applicant's completed credentialing application is pending. The measure establishes minimum requirements for such protocols and procedures. The measure also (i) provides that a carrier is not required to pay reimbursement at the contracted in-network rate for any covered medical services provided by the new provider applicant if the new provider applicant's credentialing application is not approved or the carrier is otherwise not willing to contract with the new provider applicant; (ii) specifies that if a payment is made by the carrier to a physician or any entity that employs or engages the physician for a covered service, the patient is only responsible for any coinsurance, copayments, or deductibles permitted under the insurance contract with the carrier or participating provider agreement with the physician; and (iii) requires new provider applicants to provide notice to covered persons in advance of treatment. Finally, the measure requires the Virginia Department of Health to revise and reenact the regulations regarding managed care health insurance plans.
FULL TEXT
- 12/19/17 House: Prefiled and ordered printed; offered 01/10/18 18100678D pdf | impact statement
- 02/26/18 Senate: Committee substitute printed 18107647D-S1 pdf | impact statement
- 03/07/18 House: Bill text as passed House and Senate (HB139ER) pdf | impact statement
- 03/30/18 Governor: Acts of Assembly Chapter text (CHAP0703) pdf
HISTORY
- 12/19/17 House: Prefiled and ordered printed; offered 01/10/18 18100678D
- 12/19/17 House: Referred to Committee on Commerce and Labor
- 01/17/18 House: Assigned C & L sub: Subcommittee #2
- 01/23/18 House: Subcommittee recommends reporting (6-Y 1-N)
- 01/25/18 House: Reported from Commerce and Labor (21-Y 0-N)
- 01/29/18 House: Read first time
- 01/30/18 House: Read second time and engrossed
- 01/31/18 House: Read third time and passed House BLOCK VOTE (99-Y 0-N)
- 01/31/18 House: VOTE: BLOCK VOTE PASSAGE (99-Y 0-N)
- 02/01/18 Senate: Constitutional reading dispensed
- 02/01/18 Senate: Referred to Committee on Commerce and Labor
- 02/26/18 Senate: Reported from Commerce and Labor with substitute (7-Y 5-N)
- 02/26/18 Senate: Committee substitute printed 18107647D-S1
- 02/28/18 Senate: Constitutional reading dispensed (40-Y 0-N)
- 03/01/18 Senate: Read third time
- 03/01/18 Senate: Reading of substitute waived
- 03/01/18 Senate: Committee substitute agreed to 18107647D-S1
- 03/01/18 Senate: Engrossed by Senate - committee substitute HB139S1
- 03/01/18 Senate: Passed Senate with substitute (37-Y 3-N)
- 03/05/18 House: Placed on Calendar
- 03/05/18 House: Senate substitute agreed to by House 18107647D-S1 (99-Y 0-N)
- 03/05/18 House: VOTE: ADOPTION (99-Y 0-N)
- 03/07/18 House: Enrolled
- 03/07/18 House: Bill text as passed House and Senate (HB139ER)
- 03/07/18 House: Signed by Speaker
- 03/09/18 Senate: Signed by President
- 03/15/18 House: Enrolled Bill communicated to Governor on March 15, 2018
- 03/15/18 Governor: Governor's Action Deadline Midnight, April 9, 2018
- 03/30/18 Governor: Approved by Governor-Chapter 703 (effective 7/1/18)
- 03/30/18 Governor: Acts of Assembly Chapter text (CHAP0703)