Health insurance; definitions, prohibited restrictions on in-network referrals.

Added a new section prohibiting carriers from banning in-network providers from referring patients to in-network clinical laboratories or pathology services.

Updated formatting in section 38.2-4319 to include the new section number in the list of related statutes.

Changed the bill header from 'House Substitute' to 'Enrolled' and updated the associated bill number and status.

The bill changed from adding a new section to amending and reenacting an existing statutory construction section (§ 38.2-4319), which broadens the legislative impact to cover how the new rules interact with other laws.

A new subsection was added stating that the Commission has no authority to adjudicate individual disputes arising from the new referral restrictions.

Definitions for 'Carrier' and 'Health plan' were updated to explicitly include policies providing coverage to state employees.

A new provision was added exempting health maintenance organizations from requiring coverage for employees who do not live within the organization's service area.

The document layout was changed from a standard left-aligned format to a wide-column format with line numbers and page headers, while the legal content and wording remained identical.