|Introduced in House||Passed House||Introduced in Senate||Passed Senate||Became Law|
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.
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.
|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|