Insurance
West Virginia 2017 Regular Session
Requiring provisions for prior authorization of drug benefits by insurers [SB-49]
[Insurance ]
[Healthcare ]
[Pharmaceuticals ]
[Consumer Protection ]
Requiring provisions for prior authorization of drug benefits by insurers
Sponsored by: Sen. Ryan J. Ferns
Filed For Introduction on 02/08/2017
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Requiring BRIM cover volunteer workers and student teachers [SB-39]
[Insurance ]
[Education ]
[Labor, Jobs, Employment ]
[Workers' Compensation ]
Requiring BRIM cover volunteer workers and student teachers
Sponsored by: Sen. Robert H. Plymale
Senator Jeffries Requests To Be Removed As Sponsor Of Bill on 02/13/2017
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Virginia 2017 Regular Session
Direct primary care agreements. [SB-627]
[Healthcare ]
[Insurance ]
[Consumer Protection ]
Direct primary care agreements. Provides that the Commonwealth's insurance laws do not apply to direct primary care agreements. The measure further provides that (i) a direct primary care practice is not be subject to the jurisdiction of the State Corporation Commission (SCC) and is not required to obtain a certificate of authority or license to market, sell, or offer to sell a direct primary care agreement; (ii) entering into a direct primary care agreement shall not be considered to be engaging in the business of insurance; and (iii) a direct
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Sponsored by: Sen. Lynwood W. Lewis
Left In Commerce And Labor on 12/02/2016
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West Virginia 2017 Regular Session
Relating generally to workers’ compensation [HB-2134]
[Workers' Compensation ]
[Labor, Jobs, Employment ]
[Crime ]
[Public Safety ]
[Law Enforcement ]
The purpose of this bill is to provide that unenforceable waivers may not be offered by employers. The bill provides that policies that offer no coverage are against public policy. The bill establishes misdemeanor penalties.
Sponsored by: Sen. Bill Hamilton
Filed For Introduction on 02/08/2017
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Virginia 2017 Regular Session
Health insurance; assignment of benefits. [HB-1251]
[Healthcare ]
[Insurance ]
Health insurance; assignment of benefits. Prohibits health care coverage plan providers from refusing to accept assignments of benefits executed by covered individuals in favor of health care providers and hospitals. The bill is applicable to (i) insurers issuing individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis, (ii) corporations providing individual or group accident and sickness subscription contracts, (iii) health maintenance organizations
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Sponsored by: Rep. James A. Leftwich
Left In Commerce And Labor on 12/01/2016
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Virginia 2017 Regular Session
Health insurance; proton radiation therapy coverage decisions. [HB-978]
[Healthcare ]
[Insurance ]
[Public Health ]
Health insurance; proton radiation therapy coverage decisions. Prohibits health insurance policies and plans from holding proton radiation therapy to a higher standard of clinical evidence for benefit coverage decisions than is applied for other types of radiation therapy treatment. The measure applies to policies and plans that provide coverage for cancer therapy.
Sponsored by: Rep. David E. Yancey
Left In Commerce And Labor on 12/01/2016
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Virginia 2017 Regular Session
Fire Programs Fund; increases rate of assessment for Fund. [HB-1239]
[Insurance ]
[Public Safety ]
[Funding ]
Fire Programs Fund. Increases the rate of the assessment for the Fire Programs Fund from one to 1.4 percent of the total direct gross premium income for fire and related lines of insurance.
Sponsored by: Rep. Terry G. Kilgore
Left In Commerce And Labor on 12/01/2016
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Virginia 2017 Regular Session
Health benefit plans; prescription drugs; tiers. [SB-442]
[Healthcare ]
[Insurance ]
[Pharmaceuticals ]
[Consumer Protection ]
Health benefit plans; prescription drugs; tiers. Prohibits a health carrier offering a health benefit plan that provides coverage for prescription drugs from implementing a formulary that places a prescription drug on the highest cost-sharing tier unless at least one prescription drug that is in the same therapeutic class and is a medically appropriate alternative treatment for a given disease or condition is available at a lower cost-sharing tier under the formulary.
Sponsored by: Sen. Rosalyn R. Dance
Left In Commerce And Labor on 12/02/2016
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West Virginia 2017 Regular Session
Guaranteed Asset Protection Waiver Act [HB-2126]
[Insurance ]
[Consumer Protection ]
[Finance ]
The purpose of this bill is to clarify that guaranteed asset protection waivers are not insurance; to specify terms and conditions under which guaranteed asset protection waiver contracts may be sold in this state; and to provide an exception for commercial transactions. The bill also authorizes the Insurance Commissioner to impose a civil money penalty for all violations of section.
Sponsored by: Rep. Steve Westfall
Filed For Introduction on 02/08/2017
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Virginia 2017 Regular Session
Health insurance; parity of coverage for oral chemotherapy medications. [SB-383]
[Healthcare ]
[Insurance ]
[Pharmaceuticals ]
[Public Health ]
Health insurance; parity of coverage for oral chemotherapy medications. Requires health insurers, health care subscription plans, and health maintenance organizations, whose policies provide coverage for cancer chemotherapy treatment, to provide coverage for a prescribed, orally administered anticancer medication on a basis no less favorable than that on which it provides coverage for intravenously administered or injected anticancer medications. Such a policy, contract, or plan shall not require a higher copayment, deductible, or coinsurance amount
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Sponsored by: Sen. Jill Holtzman Vogel
Left In Commerce And Labor on 12/02/2016
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Virginia 2017 Regular Session
Medicare; supplement policies for individuals under age 65. [SB-696]
[Healthcare ]
[Medicare and Medicaid ]
[Insurance ]
[Disabilities ]
Medicare supplement policies for individuals under age 65. Requires insurers issuing Medicare supplement policies in the Commonwealth to offer the opportunity of enrolling in a Medicare supplement policy to any individual who resides in the Commonwealth, is enrolled in Medicare Part B, and is eligible for Medicare by reason of disability.
Sponsored by: Sen. Creigh Deeds
Left In Commerce And Labor on 12/02/2016
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Virginia 2017 Regular Session
Health insurance; mandated coverage for treatment of inborn errors of metabolism. [HB-601]
[Healthcare ]
[Insurance ]
[Public Health ]
[Pharmaceuticals ]
Health insurance; mandated coverage for treatment of inborn errors of metabolism. Requires health carriers to provide coverage for treatment of inborn errors of metabolism that involve amino acid, carbohydrate, and fat metabolism and for which medically standard methods of diagnosis, treatment, and monitoring exist. Coverage required pursuant to the bill shall include expenses of diagnosing, monitoring and controlling the disorders by nutritional and medical assessment, including clinical visits, biochemical analysis, medical foods, nutritional
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Sponsored by: Rep. Kathleen J. Murphy
Left In Commerce And Labor on 12/01/2016