SB 735 Virginia Senate · 2025 Regular Session

Health insurance; denial of referral by direct primary care provider prohibited.

Summary
Health insurance; denial of referral by direct primary care provider prohibited. Prohibits a health insurance carrier from (i) denying payment for any health care service covered under an enrollee's health benefit plan based solely on the basis that such enrollee's referral was made by a direct primary care provider or (ii) imposing a cost-sharing requirement greater than the applicable cost-sharing requirement that would apply to the same health care service if the service was referred by a participating provider. The bill provides that a health insurance carrier may require a direct primary care provider to provide information demonstrating that such provider has entered into a direct primary care agreement with the enrollee.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 19, 2024 Last action Nov 18, 2024
Floor votes

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Full legislative history

Actions timeline

Total actions
5
Key actions
0
Committee
1
Jan 19, 2024
Committee
Referred to Committee on Commerce and Labor
upper
Jan 19, 2024
Introduced
Presented and ordered printed 24104904D
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Glen Sturtevant
Glen Sturtevant
RRepublican
VA
12