Department of Fire Programs; mental health awareness training. Provides that the Department of Fire Programs shall develop a standardized, two-hour virtual asynchronous training program on mental health awareness tailored to firefighters that includes training on each subject matter set forth in current law. The bill provides the option for each fire department to use such standardized training program as guidance in developing its own mental health awareness training for its personnel. This bill is identical to HB 325.
Health insurance; carrier business practices; electronic attachments. Provides that, in the following contexts, information may be submitted by a provider to a health insurance carrier through electronic attachment, as defined in the bill: (i) information related to services rendered as required by the carrier in its provider contract; (ii) information related to any defect or impropriety that prevents the carrier from deeming a health insurance claim a clean claim, as defined in existing law; and (iii) information required to establish medical necessity, benefit coverage, or prior authorization of services, or to conduct reconsideration activities. The bill has a delayed effective date of January 1, 2027. This bill is identical to HB 676.
Health insurance; reporting requirements. Amends various reporting requirements related to health insurance, including by requiring the State Corporation Commission to maintain and publicly post an inventory of mandated benefits and providers, requiring health carriers to report annually on provider terminations and reinstatements, and consolidating reports related to balance billing and arbitration. The bill repeals reporting requirements related to the Comparable Health Care Service Incentive Program and Virginia Health Savings Account Plan.
Temporary detention; certified evaluators; sunset extended. Extends from July 1, 2026, to July 1, 2027, the sunset date on the current provisions of law authorizing hospitals with a psychiatric emergency department located in the City of Hampton to employ certain trained individuals to perform evaluations to determine whether a person meets the criteria for temporary detention for behavioral health treatment. The current law also requires participating hospitals with psychiatric emergency departments in the City of Hampton to submit monthly and annual reports on temporary detentions and crisis evaluations. This bill is identical to HB 1292.
Department of Fire Programs; mental health awareness training. Provides that the Department of Fire Programs shall develop a standardized, two-hour virtual asynchronous training program on mental health awareness tailored to firefighters that includes training on each subject matter set forth in current law. The bill provides the option for each fire department to use such standardized training program as guidance in developing its own mental health awareness training for its personnel. This bill is identical to SB 140.
Temporary detention; certified evaluators; sunset extended. Extends from July 1, 2026, to July 1, 2027, the sunset date on the current provisions of law authorizing hospitals with a psychiatric emergency department located in the City of Hampton to employ certain trained individuals to perform evaluations to determine whether a person meets the criteria for temporary detention for behavioral health treatment. The current law also requires participating hospitals with psychiatric emergency departments in the City of Hampton to submit monthly and annual reports on temporary detentions and crisis evaluations. This bill is identical to SB 735.
Developmental disability waivers; financial eligibility standards; sunset repeal. Repeals the July 1, 2026, sunset on provisions directing the Department of Medical Assistance Services to disregard Social Security Disability Insurance income above the maximum monthly Supplemental Security Income when determining financial eligibility for developmental disability waivers.
Programs for at-risk students; permissible uses of funding. Includes as covered programs that are eligible for funding under the At-Risk Program initiatives to support both the physical and mental health of students in public schools, including the hiring of licensed practical nurses, registered nurses, and advanced practice registered nurses. This bill is a recommendation of the School Health Services Committee and is identical to SB 33.
Programs for at-risk students; permissible uses of funding. Includes as covered programs that are eligible for funding under the At-Risk Program initiatives to support both the physical and mental health of students in public schools, including the hiring of licensed practical nurses, registered nurses, and advanced practice registered nurses. This bill is a recommendation of the School Health Services Committee and is identical to HB 195.
Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill incorporates SB 410 and SB 413 and is identical to HB 830.