Introduced in House Passed House Introduced in Senate Passed Senate Became Law
01/07/2020        

Health insurance; short-term limited-duration medical plans.

Prohibits carriers from issuing in the Commonwealth any short-term limited-duration medical plan with a duration that exceeds three months or that can be renewed or extended, or if the plan's issuance would result in a covered person being covered by a short-term limited-duration medical plan for more than three months in any 12-month period. The measure prohibits a carrier from issuing a short-term limited-duration medical plan during an annual open enrollment period. The measure also requires carriers to rebate premiums from short-term limited-duration medical plans when the medical loss ratio for such plans is less than 85 percent.

Date Version PDF TXT
02/04/2020 House: Committee substitute printed 20107200D-H1 Open
01/07/2020 House: Prefiled and ordered printed; offered 01/08/20 20102769D Open

            

2020 SESSION

    20107200D
    HOUSE BILL NO. 1037
    AMENDMENT IN THE NATURE OF A SUBSTITUTE
    (Proposed by the House Committee on Labor and Commerce
    on February 4, 2020)
    (Patron Prior to Substitute--Delegate Rasoul)
    A BILL to amend the Code of Virginia by adding in Article 1 of Chapter 34 of Title 38.2 a section numbered 38.2-3407.21, relating to health insurance; short-term limited-duration medical plans.

    Be it enacted by the General Assembly of Virginia:

    1. That the Code of Virginia is amended by adding in Article 1 of Chapter 34 of Title 38.2 a section numbered 38.2-3407.21 as follows:

    38.2-3407.21. Short-term limited-duration medical plans.

    A. As used in this section:

    "Carrier" means any entity that is authorized to sell, offer, or provide a short-term limited-duration medical plan.

    "Covered person" means a policyholder, subscriber, enrollee, participant, or other individual who is entitled to health care services provided, arranged for, paid for, or reimbursed pursuant to a short-term limited-duration medical plan.

    "PPACA" has the meaning ascribed thereto in � 38.2-3438.

    "Short-term limited-duration medical plan" has the same meaning as short-term limited-duration insurance as used in 26 C.F.R. � 54.9801-2, 29 C.F.R. � 2590.701-2, and 45 C.F.R. � 144.103, except as described in subsection B.

    B. No carrier shall issue, deliver, issue for delivery, reissue, or extend in the Commonwealth on and after July 1, 2021, any short-term limited-duration medical plan:

    1. With a duration that exceeds three months;

    2. That can be renewed or extended, notwithstanding � 38.2-3514.2, except for a one-time nonconsecutive renewal; or

    3. If the issuance, delivery, reissuance, or extension of the short-term limited-duration medical plan would result in a covered person being covered by a short-term limited-duration medical plan for more than six months in any 12-month period.

    C. No carrier shall issue a short-term limited-duration medical plan during an annual open enrollment period.

    D. Any certificate delivered in the Commonwealth that is issued under a short-term limited-duration medical plan in any other jurisdiction shall comply with the requirements of this section.

    2. That the provisions of this act shall become effective on July 1, 2021.

    Picture Name From Date Type
    Sam Rasoul D-Richmond Sponsor
    Ibraheem S. Samirah D-Richmond Cosponsor
    Date Branch Action
    01/30/2020 House House: Subcommittee recommends reporting with substitute (5-Y 3-N)
    01/16/2020 House House: Assigned L & C sub: Subcommittee #2
    01/07/2020 House House: Prefiled and ordered printed; offered 01/08/20 20102769D
    01/07/2020 House House: Referred to Committee on Labor and Commerce
    Summary
    Congress - Bill Number Major Title
    Branch Vote Date Yes No Not Voting
    Wiki





    Start Description.
    Prohibits carriers from issuing in the Commonwealth any short-term limited-duration medical plan with a duration that exceeds three months or that can be renewed or extended, or if the plan's issuance would result in a covered person being covered by a short-term limited-duration medical plan for more than three months in any 12-month period. The measure prohibits a carrier from issuing a short-term limited-duration medical plan during an annual open enrollment period. The measure al
    End Description.

    Bill TEXT Points.
    This Bill has been listed with the following Subjects from Texts:
    Health


    Health insurance



    End Bill TEXT Points.
    Date Bill Major Title
    Committee Name
    Subject Type