2008 Regular Session


File Code: Insurance - Health Crossfiled with: SENATE BILL 595
Sponsored By:
Delegates Donoghue, Benson, Bromwell, Costa, Elliott, Hammen, Hubbard, Kach, Kipke, Kullen, McDonough, Mizeur, Montgomery, Morhaim, Oaks, Pena-Melnyk, Pendergrass, Reznik, Riley, Tarrant, V. Turner, and Weldon
Health Insurance - Carrier Credentialing - Reimbursement of Providers of Health Care Services


Requiring specified carriers to reimburse a group practice on the carrier's provider panel at the participating provider rate for covered services provided by a provider who is not a participating provider under specified circumstances; prohibiting a health maintenance organization from denying payment to a provider under specified circumstances; etc.

History by Legislative and Calendar Date

Legislative date is used to record history occuring in the Chambers otherwise Calendar date is used.
House Action
First Reading Health and Government Operations
Hearing 2/14 at 1:00 p.m.
Favorable with Amendments Report by Health and Government Operations
Favorable with Amendments Report Adopted
Second Reading Passed with Amendments
Third Reading Passed (136-0)
Senate Action
First Reading Finance
Hearing 3/26 at 1:00 p.m.
Favorable with Amendments Report by Finance
Favorable with Amendments Report Adopted
Second Reading Passed with Amendments
Third Reading Passed with Amendments (47-0)

Sponsored by:

Delegate John P. Donoghue, District 2C
Delegate Joanne C. Benson, District 24
Delegate Eric M. Bromwell, District 8
Delegate Robert A. Costa, District 33B
Delegate Donald B. Elliott, District 4B
Delegate Peter A. Hammen, District 46
Delegate James W. Hubbard, District 23A
Delegate Wade Kach, District 5B
Delegate Nicholaus R. Kipke, District 31
Delegate Sue Kullen, District 27B
Delegate Pat McDonough, District 7
Delegate Heather R. Mizeur, District 20
Delegate Karen S. Montgomery, District 14
Delegate Dan K. Morhaim, District 11
Delegate Nathaniel T. Oaks, District 41
Delegate Joseline A. Pena-Melnyk, District 21
Delegate Shane E. Pendergrass, District 13
Delegate Kirill Reznik, District 39
Delegate B. Daniel Riley, District 34A
Delegate Shawn Z. Tarrant, District 40
Delegate Veronica Turner, District 26
Delegate Richard B. Weldon, Jr., District 3B

Bill indexed under the following Subjects:

Health Insurance -see also- HMOS; Managed Care Organizations
Health Maintenance Organizations -see also- Manage Care Orgs
Health Occupations -see also- specific health occupations
Physicians -see also- Dentists; Med Exmnrs; Psych; etc
Reimbursement Rates

Bill affects the following Statutes:

( 15-112 , 15-112 , 15-112 )


Bill Text (Displayed in PDF Format): First Reading, Third Reading, Enrolled
Fiscal and Policy Note (Displayed in PDF Format): Available
Amendments (Displayed in PDF Format):
Number: 636882/01     Offered on: March 19, 2008   at: 10:59 a.m.     Status: Adopted
Number: 987075/02     Offered on: April 5, 2008   at: 2:48 p.m.     Status: Adopted
Roll Call Votes (Legislative dates are shown):
March 17, 2008: Third Reading Passed (136-0)
April 3, 2008: Third Reading Passed (47-0)