A number of well being care payments are slated for consideration when Virginia legislative periods resume on Jan. 13. Among the highlights are listed beneath.
HB188: Well being care service estimates
Well being care providers and fee estimates will likely be thought-about in HB188. The invoice would require hospitals and practitioners licensed by the Board of Medication to permit a affected person to obtain an estimate for a nonemergency process or take a look at no later than per week after scheduling the process. At present, solely hospitals are required to offer these estimates.
HB526 Reproductive well being protection
The HB526 would require well being profit plans to cowl the prices of specified well being care providers, medicine, units, merchandise, and procedures associated to reproductive well being, together with good ladies preventative visits, counseling for sexually transmitted infections, screenings for sure situations, folic acid dietary supplements, breastfeeding assist, breast most cancers chemoprevention counseling, contraception, voluntary sterilization and all different remedies that should be coated beneath federal legislation as of Jan. 1, 2019.
HB530 Well being plans
The Division of Medical Help Providers, in collaboration with the State Company Fee, will likely be required to contract with well being carriers to supply certified well being plans on the well being profit alternate starting Jan. 1, 2022, if HB 530 passes.
HB579 Mammogram protection
Home Invoice 579 would require well being insurers to offer protection for low-dose screening mammograms after Jan. 1, 2021, if the person has a household historical past of breast most cancers. If a person has a household historical past of breast most cancers, insurers must cowl annual mammograms from age 30 to 49 and biannual mammograms beginning at age 50.
HB1036 Preventative psychological well being screenings
Preventative psychological well being screenings will likely be coated for outpatient psychological well being sufferers if HB 1036 passes. It might require a well being service to offer protection as a preventative service for a minimum of six annual remedy or counseling outpatient screenings or visits with a licensed psychological well being skilled for the early detection or prevention of psychological sickness. Well being carriers can be prohibited from imposing cost-sharing necessities for mandated preventative providers.
HB1331 Supplier contract provisions
Home Invoice 1331 would prohibit a well being service that provides a managed care plan from getting into into, extending, or renewing a supplier contract with a facility until the supplier contract accommodates sure provisions. Every well being supplier that gives emergency providers on the facility of an in-network supplier has agreed to have the reimbursement from the well being service included as a part of the well being service’s fee to the power. It additionally requires that the well being service can’t be billed individually for emergency or ancillary providers offered on the facility. This is applicable to any laboratory or diagnostic service offered on the facility which is in-network or for the referral to an in-network supplier.