HB 2662 Virginia House of Delegates · 2025 Regular Session

Hospital Oversight Fund, etc.; established, health care credentialing and billing oversight.

Summary

Health care credentialing and billing oversight; Hospital Oversight Fund established; Independent Credentialing Review Board established; Medicaid Billing Oversight Task Force established; reports. Establishes a Hospital Oversight Fund, Independent Credentialing Review Board, and Medicaid Billing Oversight Task Force to fund and carry out oversight of credentialing, as that term is defined in the bill, for health care providers and Medicaid billing. The bill establishes protections for whistleblowers that report unsafe medical practices, fraudulent billing, or noncompliance with credentialing standards to the Department of Health; directs the Department to establish and maintain a statewide database for health care provider credentialing; and authorizes the Department to enter into public-private partnerships to conduct compliance audits.

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 15, 2025 Last action Feb 5, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → HHS Sub: Behavioral Health Substitute · 8 edits

MODERATE

The bill was amended to expand its scope from 6 new sections to 8 sections, adding new provisions for technology-driven solutions, public-private partnership grants, and additional whistleblower protections. The amendment also clarifies definitions, extends fee exemptions to medically underserved hospitals, and adds specific implementation phases for the credentialing database.

Scope change

The bill's scope expanded from 6 sections (32.1-137.18 through 32.1-137.24) to 8 sections (32.1-137.18 through 32.1-137.25), adding new content related to technology solutions and grants.

DEFINITION

Expanded the definition of 'credentialing' to explicitly include validation through third-party systems and evaluation by internal hospital credentialing committees.

Revised the definition of 'high-risk credentialing application' to specify 'verified patterns of malpractice' and 'criminal convictions directly related to medical practice' as risk factors.

FISCAL

Added new funding allocation for technology-driven solutions and prioritized use for rural or underserved hospitals within the Hospital Oversight Fund.

ELIGIBILITY

Extended hospital oversight fee exemptions to include hospitals located in medically underserved areas, not just critical access hospitals and those with fewer than 100 beds.

ENFORCEMENT

Added new provision allowing the Department to issue public-private partnership grants to assist hospitals in achieving compliance with credentials and billing standards.

Enhanced whistleblower protections by explicitly referencing federal whistleblower laws and clarifying the scope of protected activities.

REQUIREMENT

Added new section 32.1-137.25 (referenced but not fully shown in diff) for technology-driven solutions and streamlined initiatives.

TIMELINE

Added phased implementation timeline for the health care provider credentialing database, with high-risk providers due by July 1, 2026, and full implementation by July 1, 2028.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jan 28, 2025

Lower · Passed

Subcommittee recommends laying on the table (8-Y 0-N)

lower

Jan 21, 2025

Committee

Assigned sub: Behavioral Health

lower

Jan 15, 2025

Committee

Referred to Committee on Health and Human Services

lower

Jan 15, 2025

Introduced

Presented and ordered printed 25104798D

lower

1 primary · 0 co-sponsors