Virginia

Code of Virginia § 38.2-3400. Application of chapter.

Code of Virginia § 38.2-3401. Forms of insurance authorized.

Code of Virginia § 38.2-3402. Certification to accompany application.

Code of Virginia § 38.2-3403. Fraudulent procurement of policy.

Code of Virginia § 38.2-3404. Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies.

Code of Virginia § 38.2-3405. Certain subrogation provisions and limitations upon recovery in hospital, medical, etc., policies forbidden; limitations on disclosure of medical treatment options prohibited.

Code of Virginia § 38.2-3405.1. Commonwealth's right to certain accident and sickness benefits.

Code of Virginia § 38.2-3406. Accident and sickness benefits not subject to legal process.

Code of Virginia § 38.2-3406.1. Application of requirements that policies offered by small employers include state-mandated health benefits.

Code of Virginia § 38.2-3406.2. Capped benefits under insurance policies and contracts.

Code of Virginia § 38.2-3407. Health benefit programs.

Code of Virginia § 38.2-3407.1. Interest on accident and sickness claim proceeds.

Code of Virginia § 38.2-3407.2. Coverage for medical child support.

Code of Virginia § 38.2-3407.3:1. Premium payment arrearages; order of crediting payments.

Code of Virginia § 38.2-3407.3. Calculation of cost-sharing provisions.

Code of Virginia § 38.2-3407.4:1. Repealed.

Code of Virginia § 38.2-3407.4:2. Requirements for prescription benefit cards.

Code of Virginia § 38.2-3407.4. Explanation of benefits.

Code of Virginia § 38.2-3407.5:2. Reimbursements for dispensing hormonal contraceptives.

Code of Virginia § 38.2-3407.5:1. Coverage for prescription contraceptives.

Code of Virginia § 38.2-3407.5. Denial of benefits for certain prescription drugs prohibited.

Code of Virginia § 38.2-3407.6:1. Denial of benefits for certain prescription drugs prohibited.

Code of Virginia § 38.2-3407.6. Exclusion of podiatrist not permitted under certain circumstances.

Code of Virginia § 38.2-3407.7. Pharmacies; freedom of choice.

Code of Virginia § 38.2-3407.8. Repealed.

Code of Virginia § 38.2-3407.9:01. Prescription drug formularies.

Code of Virginia § 38.2-3407.9:02. Requirement for prescription drug coverage.

Code of Virginia § 38.2-3407.9:03. Payment of clean claims to administrators of pharmacy benefits.

Code of Virginia § 38.2-3407.9:04. Medication synchronization.

Code of Virginia § 38.2-3407.9:05. Step therapy protocols.

Code of Virginia § 38.2-3407.9. Reimbursement for emergency medical services vehicle transportation services.

Code of Virginia § 38.2-3407.10:1. Processing of new provider applications and reimbursement for services rendered during pendency of a participating provider's credentialing application.

Code of Virginia § 38.2-3407.10:2. Credentialing of private mental health agencies.

Code of Virginia § 38.2-3407.10. Health care provider panels.

Code of Virginia § 38.2-3407.11:1. Access to specialists; standing referrals.

Code of Virginia § 38.2-3407.11:2. Standing referral for cancer patients.

Code of Virginia § 38.2-3407.11:3. Breast cancer underwriting and preexisting condition restrictions.

Code of Virginia § 38.2-3407.11:4. Disability arising out of childbirth; minimum benefit.

Code of Virginia § 38.2-3407.11:5. Interhospital transfer for newborn or mother; prior authorization prohibited.

Code of Virginia § 38.2-3407.11. Access to obstetrician-gynecologists.

Code of Virginia § 38.2-3407.12. Patient optional point-of-service benefit.

Code of Virginia § 38.2-3407.13:1. Coordination of benefits; notice of priority of coverage.

Code of Virginia § 38.2-3407.13:2. Claims paid to insureds for services from nonparticipating physicians.

Code of Virginia § 38.2-3407.13. Refusal to accept assignments prohibited; dentists and oral surgeons.

Code of Virginia § 38.2-3407.14:1. Standard of clinical evidence for decisions on coverage for proton radiation therapy.

Code of Virginia § 38.2-3407.14. Notice of premium or deductible increases.

Code of Virginia § 38.2-3407.15:1. Carrier contracts with pharmacy providers; required provisions; limit on termination or nonrenewal.

Code of Virginia § 38.2-3407.15:2. (Effective until January 1, 2027) Carrier contracts; required provisions regarding prior authorization. § 38.2-3407.15:2. (Effective January 1, 2027) Carrier contracts; required provisions regarding prior authorization for drug benefits.

Code of Virginia § 38.2-3407.15:3. Carrier and intermediary contracts with pharmacy providers; disclosure and updating of maximum allowable cost of drugs; limit on termination or nonrenewal.

Code of Virginia § 38.2-3407.15:4. Limit on copayment for prescription drugs; permitted disclosures.

Code of Virginia § 38.2-3407.15:5. Limit on cost-sharing payments for prescription insulin drugs.

Code of Virginia § 38.2-3407.15:6. Prescription drug price transparency.

Code of Virginia § 38.2-3407.15:7. Carrier provision of certain information.

Code of Virginia § 38.2-3407.15:8. (Effective January 1, 2027) Carrier contracts; required provisions regarding prior authorization for health care services.

Code of Virginia § 38.2-3407.15. Ethics and fairness in carrier business practices.

Code of Virginia § 38.2-3407.16. Requirements for obstetrical care.

Code of Virginia § 38.2-3407.17:1. Payment and reimbursement practices for dental services; network access.

Code of Virginia § 38.2-3407.17. Payment for services by dentists and oral surgeons.

Code of Virginia § 38.2-3407.18. Requirements for orally administered cancer chemotherapy drugs.

Code of Virginia § 38.2-3407.19. Payment for services by optometrists and ophthalmologists.

Code of Virginia § 38.2-3407.20. Calculation of enrollee's contribution to out-of-pocket maximum or cost-sharing requirement.

Code of Virginia § 38.2-3407.21. Short-term limited-duration medical plans.

Code of Virginia § 38.2-3407.22. Option for rebates to enrollees; protected information.

Code of Virginia § 38.2-3408. Policy providing for reimbursement for services that may be performed by certain practitioners other than physicians.

Code of Virginia § 38.2-3409. Coverage of dependent children.

Code of Virginia § 38.2-3410. Construction of policy generally; words "physician" and "doctor" to include dentist.

Code of Virginia § 38.2-3411. Coverage of newborn children required.

Code of Virginia § 38.2-3411.1. Coverage for child health supervision services.

Code of Virginia § 38.2-3411.2. Coverage of adopted children required.

Code of Virginia § 38.2-3411.3. Coverage for childhood immunizations.

Code of Virginia § 38.2-3411.4. Coverage for infant hearing screening and related diagnostics.

Code of Virginia § 38.2-3412. Repealed.

Code of Virginia § 38.2-3412.1:01. Repealed.

Code of Virginia § 38.2-3412.1. Coverage for mental health and substance use disorders.

Code of Virginia § 38.2-3413. Repealed.

Code of Virginia § 38.2-3414. Optional coverage for obstetrical services.

Code of Virginia § 38.2-3414.1. Obstetrical benefits; coverage for postpartum services.

Code of Virginia § 38.2-3415. Exclusion or reduction of benefits for certain causes prohibited.

Code of Virginia § 38.2-3416. Repealed.

Code of Virginia § 38.2-3417. Deductibles and coinsurance options required.

Code of Virginia § 38.2-3418. Coverage for victims of rape or incest.

Code of Virginia § 38.2-3418.1:3. Cost sharing for breast examinations.

Code of Virginia § 38.2-3418.1:1. Repealed.

Code of Virginia § 38.2-3418.1:2. Coverage for pap smears.

Code of Virginia § 38.2-3418.1. Coverage for mammograms.

Code of Virginia § 38.2-3418.2. Coverage of procedures involving bones and joints.

Code of Virginia § 38.2-3418.3. Coverage for hemophilia and congenital bleeding disorders.

Code of Virginia § 38.2-3418.4. Coverage for reconstructive breast surgery; notice; eligibility.

Code of Virginia § 38.2-3418.5. Coverage for early intervention services.

Code of Virginia § 38.2-3418.6. Minimum hospital stay for mastectomy and certain lymph node dissection patients.

Code of Virginia § 38.2-3418.7:1. Coverage for colorectal cancer screening.

Code of Virginia § 38.2-3418.7. Coverage for prostate cancer screening.

Code of Virginia § 38.2-3418.8. Coverage for clinical trials for treatment studies on cancer.

Code of Virginia § 38.2-3418.9. Minimum hospital stay for hysterectomy.

Code of Virginia § 38.2-3418.10. Coverage for diabetes.

Code of Virginia § 38.2-3418.11. Coverage for hospice care.

Code of Virginia § 38.2-3418.12. Coverage for hospitalization and anesthesia for dental procedures.

Code of Virginia § 38.2-3418.13. Coverage for the treatment of morbid obesity.

Code of Virginia § 38.2-3418.14. Coverage for lymphedema.

Code of Virginia § 38.2-3418.15:1. Coverage for prosthetic devices and components.

Code of Virginia § 38.2-3418.15. Coverage for prosthetic devices and components.

Code of Virginia § 38.2-3418.16. Coverage for telemedicine services.

Code of Virginia § 38.2-3418.17. Coverage for autism spectrum disorder.

Code of Virginia § 38.2-3418.18. Coverage for formula and enteral nutrition products as medicine.

Code of Virginia § 38.2-3418.19. Coverage for organ, eye or tissue transplant.

Code of Virginia § 38.2-3418.20. Coverage for hearing aids and related services [Not in effect].

Code of Virginia § 38.2-3418.21. Coverage for hearing aids and related services.

Code of Virginia § 38.2-3418.22. Coverage for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome.

Code of Virginia § 38.2-3419. Additional mandated coverage made optional to group policy or contract holder.

Code of Virginia § 38.2-3419.1. Report of costs and utilization of mandated benefits.

Code of Virginia § 38.2-3420. Authority and jurisdiction of Commission; exception.

Code of Virginia § 38.2-3421. How to show jurisdiction of other state agency or federal government.

Code of Virginia § 38.2-3422. Examination.

Code of Virginia § 38.2-3423. When subject to this title.

Code of Virginia § 38.2-3424. Disclosure of extent and elements of coverage.

Code of Virginia § 38.2-3424.1. Applicability.

Code of Virginia §§ 38.2-3425 through 38.2-3430. Expired.

Code of Virginia § 38.2-3430.1:1. Health insurance coverage not required.

Code of Virginia § 38.2-3430.1. Application of article.

Code of Virginia § 38.2-3430.2. Definitions.

Code of Virginia § 38.2-3430.3:1. Expired.

Code of Virginia § 38.2-3430.3. Guaranteed availability of individual health insurance coverage to certain individuals with prior group coverage.

Code of Virginia § 38.2-3430.4. Special rules for network plans.

Code of Virginia § 38.2-3430.5. Application of financial capacity limits.

Code of Virginia § 38.2-3430.6. Market requirements.

Code of Virginia § 38.2-3430.7. Renewability of individual health insurance coverage.

Code of Virginia § 38.2-3430.8. Certification of coverage.

Code of Virginia § 38.2-3430.9. Regulations establishing standards.

Code of Virginia § 38.2-3430.10. Effective date.

Code of Virginia § 38.2-3431. Application of article; definitions.

Code of Virginia § 38.2-3432. Repealed.

Code of Virginia § 38.2-3432.1. Renewability.

Code of Virginia § 38.2-3432.2. Availability.

Code of Virginia § 38.2-3432.3. Limitation on preexisting condition exclusion period.

Code of Virginia § 38.2-3433. Repealed.

Code of Virginia § 38.2-3434. Disclosure of information.

Code of Virginia § 38.2-3435. Exclusions.

Code of Virginia § 38.2-3436. Eligibility to enroll.

Code of Virginia § 38.2-3437. Rules used to determine group size.

Code of Virginia § 38.2-3438. Definitions.

Code of Virginia § 38.2-3439. Dependent coverage for individuals to age 26.

Code of Virginia § 38.2-3440. Lifetime and annual limits.

Code of Virginia § 38.2-3441. Rescissions.

Code of Virginia § 38.2-3442. Preventive services.

Code of Virginia § 38.2-3443. Choice of a health care professional.

Code of Virginia § 38.2-3444. Preexisting condition exclusions.

Code of Virginia § 38.2-3445. Patient access to emergency services.

Code of Virginia § 38.2-3445.01. Balance billing for certain services; prohibited.

Code of Virginia § 38.2-3445.1. Repealed.

Code of Virginia § 38.2-3445.02. Arbitration.

Code of Virginia § 38.2-3445.2. Out-of-network claims; reporting requirements.

Code of Virginia § 38.2-3445.03. Data sets for determining commercially reasonable payments.

Code of Virginia § 38.2-3445.04. Transparency.

Code of Virginia § 38.2-3445.05. Enforcement.

Code of Virginia § 38.2-3445.06. Applicability of certain sections.

Code of Virginia § 38.2-3445.07. Rules and regulations.

Code of Virginia § 38.2-3446. Applicability of federal law.

Code of Virginia § 38.2-3447. (Effective until January 1, 2026) Restrictions relating to premium rates. § 38.2-3447. (Effective January 1, 2026) Restrictions relating to premium rates.

Code of Virginia § 38.2-3448. Guaranteed availability.

Code of Virginia § 38.2-3449. Prohibiting discrimination based on health status.

Code of Virginia § 38.2-3449.1. Prohibited discrimination based on gender identity or status as a transgender individual.

Code of Virginia § 38.2-3450. Genetic information and testing.

Code of Virginia § 38.2-3451. Essential health benefits.

Code of Virginia § 38.2-3452. Waiting periods.

Code of Virginia § 38.2-3453. Clinical trials.

Code of Virginia § 38.2-3454. Wellness programs.

Code of Virginia § 38.2-3454.1. Renewal of health benefit plans; special exception.

Code of Virginia § 38.2-3455. Definitions.

Code of Virginia § 38.2-3456. Prohibited activities.

Code of Virginia § 38.2-3457. Application for registration.

Code of Virginia § 38.2-3458. Power of Commission to investigate navigators.

Code of Virginia § 38.2-3459. Grounds for termination, placing on probation, revocation, or suspension of registration.

Code of Virginia § 38.2-3460. Sufficiency of federal requirements; additional standards and qualifications for navigators.

Code of Virginia § 38.2-3461. Definitions.

Code of Virginia § 38.2-3462. Comparable Health Care Service Incentive Program.

Code of Virginia § 38.2-3463. Health care price transparency tools.

Code of Virginia § 38.2-3464. Rules and regulations; orders.

Code of Virginia § 38.2-3465. Definitions.

Code of Virginia § 38.2-3466. License required to provide pharmacy benefits management services; requirements for a license, renewal, and revocation or suspension; civil penalty.

Code of Virginia § 38.2-3467. Prohibited conduct by carriers and pharmacy benefits managers.

Code of Virginia § 38.2-3468. Examination of books and records; reports; access to records.

Code of Virginia § 38.2-3469. Enforcement; regulations.

Code of Virginia § 38.2-3470. Scope of article.