Virginia Senate Bill 867 (Prior Session Legislation)

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Spectrum: Slight Partisan Bill (Democrat 2-1)
Status: Introduced on January 8 2020 - 25% progression, died in committee
Action: 2020-12-04 - Left in Commerce and Labor
Pending: Senate Commerce and Labor Committee
Text: Latest bill text (Prefiled) [HTML]

Health care provider panels; vertically integrated carriers; providers. Requires any vertically integrated carrier to offer participation in each provider panel or network established for each of the vertically integrated carrier's policies, products, and plans, including all policies, products, and plans offered to individuals, employers, and enrollees in state and federal government benefit programs, to every provider in the Commonwealth under the same terms and conditions that apply to providers under common control with the vertically integrated carrier. The measure requires that the offered participation (i) be without any adverse tiering or other financial incentives that may discourage enrollees from utilizing the services of the provider, (ii) include all sites and services offered by the provider, and (iii) take into account the different characteristics of different providers with regard to the range, nature, cost, and complexity of services offered. The measure prohibits an officer or director of a vertically integrated carrier from simultaneously serving as an officer or director of an entity that owns, operates, manages, or controls an acute care hospital located, in whole or in part, in the Commonwealth. The measure defines "vertically integrated carrier" as a health insurer or other carrier that owns an interest in, is owned by, or is under common ownership or control with an acute care hospital facility, excluding an entity that is under the ultimate control of or under common control with a public hospital. Health care provider panels; vertically integrated carriers; providers. Requires any vertically integrated carrier to offer participation in each provider panel or network established for each of the vertically integrated carrier's policies, products, and plans, including all policies, products, and plans offered to individuals, employers, and enrollees in state and federal government benefit programs, to every provider in the Commonwealth under the same terms and conditions that apply to providers under common control with the vertically integrated carrier. The measure requires that the offered participation (i) be without any adverse tiering or other financial incentives that may discourage enrollees from utilizing the services of the provider, (ii) include all sites and services offered by the provider, and (iii) take into account the different characteristics of different providers with regard to the range, nature, cost, and complexity of services offered. The measure prohibits an officer or director of a vertically integrated carrier from simultaneously serving as an officer or director of an entity that owns, operates, manages, or controls an acute care hospital located, in whole or in part, in the Commonwealth. The measure defines "vertically integrated carrier" as a health insurer or other carrier that owns an interest in, is owned by, or is under common ownership or control with an acute care hospital facility, excluding an entity that is under the ultimate control of or under common control with a public hospital.

Health care provider panels; vertically integrated carriers, providers.

Sen. John Petersen [D]

Sen. John Bell [D]

Sen. Benton Chafin [R]

2020-02-09 - Senate - Senate: Continued to 2021 in Commerce and Labor (11-Y 3-N 1-A) (Y: 11 N: 3 NV: 1 Abs: 0) [PASS]

Date	Chamber	Action
2020-12-04	Senate	Left in Commerce and Labor
2020-02-09	Senate	Continued to 2021 in Commerce and Labor (11-Y 3-N 1-A)
2020-01-08	Senate	Referred to Committee on Commerce and Labor
2020-01-08	Senate	Prefiled and ordered printed; offered 01/08/20 20104856D

SB867 (Carry Over) 2020-02-09 - Continued to 2021 in Commerce and Labor (11-Y 3-N 1-A)

Chapter	Article	Section	Citation Type	Statute Text
38	2	3407.10	(n/a)	See Bill Text
38	2	4319	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?211+sum+SB867
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?211+ful+SB867+hil
Supplement	https://lis.virginia.gov/cgi-bin/legp604.exe?211+oth+SB867F171+PDF
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+S02C0113+SB0867