VA HB2770 | 2019 | Regular Session

Status

Completed Legislative Action
Spectrum: Partisan Bill (Democrat 2-0)
Status: Passed on March 18 2019 - 100% progression
Action: 2019-03-18 - Governor: Acts of Assembly Chapter text (CHAP0439)
Text: Latest bill text (Chaptered) [HTML]

Summary

Health policies; variances in area rating factors. Requires a rate filing by a health carrier that proposes area rate factors in the individual or small group market that exceed the weighted average of the proposed area rate factors among all rating areas by more than 15 percent to include, in publicly available and unredacted form, a comparison of the area rate factor for individual and small group plans that utilize the same provider network and provider reimbursement levels of the health benefit plans that are subject to the filing. In addition, to the extent that the health carrier is deriving any area rate factor from experience data, the measure requires the health carrier to provide additional information, including aggregated incurred claims for any provider exceeding 30 percent of total claims for the rating area in that market. The measure requires the State Corporation Commission to hold a public hearing before approving such proposed rates. The measure also bars the Commission from approving such a proposed rate filing if (i) a variance in area rate factors, indexed to the same rating region for both the individual and small group markets, of 15 percent or more exists between health benefit plans a carrier intends to offer in the individual market and health benefit plans intended to be offered in the small group market, when those plans utilize the same provider networks and reimbursement levels and (ii) the methodologies used to calculate the area rate factors are different between the two markets. The measure provides that beginning for plan year 2020, a health carrier with an approved rate filing that contains at least one area rate factor that exceeds by more than 25 percent the weighted average of the area rate factors among all rating areas in a market in which the health carrier offers individual or small group health insurance coverage shall file with the Commission for each calendar quarter during that plan year a report that provides, for each rating area within the market in which the health carrier operates, the plan's enrollment, total premiums, allowed claims, incurred claims excluding anticipated or, if available, actual risk adjustment payments or receipts, incurred claims including anticipated or, if available, actual risk adjustment payments or receipts, loss ratio, and aggregate claims, for each provider exceeding 25 percent of total claims for that rating area. The measure requires the health carrier to make each such quarterly report publicly available, without redaction, not later than 45 days after the end of the calendar quarter. This bill is identical to SB 1734.

Tracking Information

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Title

Accident and sickness insurance; restrictions relating to premium rates.

Sponsors


Roll Calls

2019-02-18 - House - House: VOTE: ADOPTION (98-Y 0-N) (Y: 98 N: 0 NV: 1 Abs: 0) [PASS]
2019-02-14 - Senate - Senate: Passed Senate (40-Y 0-N) (Y: 40 N: 0 NV: 0 Abs: 0) [PASS]
2019-02-13 - Senate - Senate: Constitutional reading dispensed (39-Y 0-N) (Y: 39 N: 0 NV: 1 Abs: 0) [PASS]
2019-02-11 - Senate - Senate: Reported from Commerce and Labor with substitute (15-Y 0-N) (Y: 15 N: 0 NV: 0 Abs: 0) [PASS]
2019-02-05 - House - House: VOTE: BLOCK VOTE PASSAGE (99-Y 0-N) (Y: 99 N: 0 NV: 0 Abs: 0) [PASS]
2019-01-31 - House - House: Reported from Commerce and Labor with substitute (18-Y 0-N) (Y: 18 N: 0 NV: 4 Abs: 0) [PASS]

History

DateChamberAction
2019-03-18 Governor: Acts of Assembly Chapter text (CHAP0439)
2019-03-18 Governor: Approved by Governor-Chapter 439 (effective 7/1/19)
2019-02-28 Governor: Governor's Action Deadline Midnight, March 26, 2019
2019-02-28HouseEnrolled Bill communicated to Governor on February 28, 2019
2019-02-21SenateSigned by President
2019-02-21HouseSigned by Speaker
2019-02-21HouseBill text as passed House and Senate (HB2770ER)
2019-02-21HouseEnrolled
2019-02-18HouseVOTE: ADOPTION (98-Y 0-N)
2019-02-18HouseSenate substitute agreed to by House 19106575D-S1 (98-Y 0-N)
2019-02-18HousePlaced on Calendar
2019-02-14SenatePassed Senate with substitute (40-Y 0-N)
2019-02-14SenateEngrossed by Senate - committee substitute HB2770S1
2019-02-14SenateCommittee substitute agreed to 19106575D-S1
2019-02-14SenateReading of substitute waived
2019-02-14SenateRead third time
2019-02-13SenateConstitutional reading dispensed (39-Y 0-N)
2019-02-11SenateCommittee substitute printed 19106575D-S1
2019-02-11SenateReported from Commerce and Labor with substitute (15-Y 0-N)
2019-02-06SenateReferred to Committee on Commerce and Labor
2019-02-06SenateConstitutional reading dispensed
2019-02-05HouseVOTE: BLOCK VOTE PASSAGE (99-Y 0-N)
2019-02-05HouseRead third time and passed House BLOCK VOTE (99-Y 0-N)
2019-02-04HouseEngrossed by House - committee substitute HB2770H1
2019-02-04HouseCommittee substitute agreed to 19106175D-H1
2019-02-04HouseRead second time
2019-02-03HouseRead first time
2019-01-31HouseCommittee substitute printed 19106175D-H1
2019-01-31HouseReported from Commerce and Labor with substitute (18-Y 0-N)
2019-01-18HouseReferred to Committee on Commerce and Labor
2019-01-18HousePresented and ordered printed 19102615D

Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823447(n/a)See Bill Text

Virginia State Sources

TypeSource
Summaryhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2770
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2770+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2770H1+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2770S1+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2770ER+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0439+hil
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+H14V0076+HB2770
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+HV2416+HB2770
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+S02V0143+HB2770
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+SV0547HB2770+HB2770
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+SV0633HB2770+HB2770
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+HV2924+HB2770

Bill Comments

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