Virginia — Title 38.2 · Chapter 34

• § 38.2-3400 — Application of chapter
• § 38.2-3401 — Forms of insurance authorized
• § 38.2-3402 — Certification to accompany application
• § 38.2-3403 — Fraudulent procurement of policy
• § 38.2-3404 — Commission may establish rules and regulations for simplified and readable accident and sickness insurance policies
• § 38.2-3405 — Certain subrogation provisions and limitations upon recovery in hospital, medical, etc., policies forbidden; limitations on disclosure of medical treatment options prohibited
• § 38.2-3405.1 — Commonwealth's right to certain accident and sickness benefits
• § 38.2-3406 — Accident and sickness benefits not subject to legal process
• § 38.2-3406.1 — Application of requirements that policies offered by small employers include state-mandated health benefits
• § 38.2-3406.2 — Capped benefits under insurance policies and contracts
• § 38.2-3407 — Health benefit programs
• § 38.2-3407.1 — Interest on accident and sickness claim proceeds
• § 38.2-3407.2 — Coverage for medical child support
• § 38.2-3407.3 — Calculation of cost-sharing provisions
• § 38.2-3407.3:1 — Premium payment arrearages; order of crediting payments
• § 38.2-3407.4 — Explanation of benefits
• § 38.2-3407.4:2 — Requirements for prescription benefit cards
• § 38.2-3407.5 — Denial of benefits for certain prescription drugs prohibited
• § 38.2-3407.5:1 — Coverage for contraceptives
• § 38.2-3407.5:2 — Reimbursements for dispensing hormonal contraceptives
• § 38.2-3407.5:3 — Coverage for early refills of prescription eye drops
• § 38.2-3407.6 — Exclusion of podiatrist not permitted under certain circumstances
• § 38.2-3407.6:1 — Denial of benefits for certain prescription drugs prohibited
• § 38.2-3407.7 — Pharmacies; freedom of choice
• § 38.2-3407.9 — Reimbursement for emergency medical services vehicle transportation services
• § 38.2-3407.9:01 — Prescription drug formularies
• § 38.2-3407.9:02 — Requirement for prescription drug coverage
• § 38.2-3407.9:03 — Payment of clean claims to administrators of pharmacy benefits
• § 38.2-3407.9:04 — Medication synchronization
• § 38.2-3407.9:05 — Step therapy protocols
• § 38.2-3407.10 — Health care provider panels
• § 38.2-3407.10:1 — Processing of new provider applications and reimbursement for services rendered during pendency of a participating provider's credentialing application
• § 38.2-3407.10:2 — Credentialing of private mental health agencies
• § 38.2-3407.11 — Access to obstetrician-gynecologists
• § 38.2-3407.11:1 — Access to specialists; standing referrals
• § 38.2-3407.11:2 — Standing referral for cancer patients
• § 38.2-3407.11:3 — Breast cancer underwriting and preexisting condition restrictions
• § 38.2-3407.11:4 — Disability arising out of childbirth; minimum benefit
• § 38.2-3407.11:5 — Interhospital transfer for newborn or mother; prior authorization prohibited
• § 38.2-3407.12 — Patient optional point-of-service benefit
• § 38.2-3407.13 — Refusal to accept assignments prohibited; dentists and oral surgeons
• § 38.2-3407.13:1 — Coordination of benefits; notice of priority of coverage
• § 38.2-3407.13:2 — Claims paid to insureds for services from nonparticipating physicians
• § 38.2-3407.14 — Notice of premium or deductible increases
• § 38.2-3407.14:1 — Standard of clinical evidence for decisions on coverage for proton radiation therapy
• § 38.2-3407.15 — Ethics and fairness in carrier business practices
• § 38.2-3407.15:1 — Carrier contracts with pharmacy providers; required provisions; limit on termination or nonrenewal
• § 38.2-3407.15:2 — Carrier contracts; required provisions regarding prior authorization
• § 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
• § 38.2-3407.15:4 — Limit on copayment for prescription drugs; permitted disclosures
• § 38.2-3407.15:5 — Limit on cost-sharing payments for prescription insulin drugs
• § 38.2-3407.15:6 — Prescription drug price transparency
• § 38.2-3407.15:7 — Carrier provision of certain information
• § 38.2-3407.15:8 — Carrier contracts; required provisions regarding prior authorization for health care services
• § 38.2-3407.15:9 — Limit on cost-sharing payments for prescription drugs under certain plans
• § 38.2-3407.16 — Requirements for obstetrical care
• § 38.2-3407.17 — Payment for services by dentists and oral surgeons
• § 38.2-3407.17:1 — Payment and reimbursement practices for dental services; network access
• § 38.2-3407.18 — Requirements for orally administered cancer chemotherapy drugs
• § 38.2-3407.18:1 — Requirements for certain opioid antagonists
• § 38.2-3407.19 — Payment for services by optometrists and ophthalmologists
• § 38.2-3407.20 — Cost-sharing requirements; application of prohibition; calculation of enrollee's contribution
• § 38.2-3407.21 — Short-term limited-duration medical plans
• § 38.2-3407.22 — Option for rebates to enrollees; protected information
• § 38.2-3407.23 — Prohibited restrictions on in-network referrals
• § 38.2-3408 — Policy providing for reimbursement for services that may be performed by certain practitioners other than physicians
• § 38.2-3409 — Coverage of dependent children
• § 38.2-3410 — Construction of policy generally; words "physician" and "doctor" to include dentist
• § 38.2-3411 — Coverage of newborn children required
• § 38.2-3411.1 — Coverage for child health supervision services
• § 38.2-3411.2 — Coverage of adopted children required
• § 38.2-3411.3 — Coverage for childhood immunizations
• § 38.2-3411.4 — Coverage for infant hearing screening and related diagnostics
• § 38.2-3412.1 — Coverage for mental health and substance use disorders
• § 38.2-3414 — Optional coverage for obstetrical services
• § 38.2-3414.1 — Obstetrical benefits; coverage for maternal mental health postpartum services
• § 38.2-3415 — Exclusion or reduction of benefits for certain causes prohibited
• § 38.2-3417 — Deductibles and coinsurance options required
• § 38.2-3418 — Coverage for victims of rape or incest
• § 38.2-3418.1 — Coverage for mammograms
• § 38.2-3418.1:2 — Coverage for pap smears
• § 38.2-3418.1:3 — Cost sharing for breast examinations
• § 38.2-3418.2 — Coverage of procedures involving bones and joints
• § 38.2-3418.3 — Coverage for hemophilia and congenital bleeding disorders
• § 38.2-3418.4 — Coverage for reconstructive breast surgery; notice; eligibility
• § 38.2-3418.5 — Coverage for early intervention services
• § 38.2-3418.6 — Minimum hospital stay for mastectomy and certain lymph node dissection patients
• § 38.2-3418.7 — Coverage for prostate cancer screening
• § 38.2-3418.7:1 — Coverage for colorectal cancer screening
• § 38.2-3418.8 — Coverage for clinical trials for treatment studies on cancer
• § 38.2-3418.9 — Minimum hospital stay for hysterectomy
• § 38.2-3418.10 — Coverage for diabetes
• § 38.2-3418.11 — Coverage for hospice care
• § 38.2-3418.12 — Coverage for hospitalization and anesthesia for dental procedures
• § 38.2-3418.13 — Coverage for the treatment of morbid obesity
• § 38.2-3418.14 — Coverage for lymphedema
• § 38.2-3418.15 — Coverage for prosthetic devices and components
• § 38.2-3418.15:1 — Coverage for prosthetic devices and components
• § 38.2-3418.16 — Coverage for telemedicine services
• § 38.2-3418.17 — Coverage for autism spectrum disorder
• § 38.2-3418.18 — Coverage for formula and enteral nutrition products as medicine
• § 38.2-3418.19 — Coverage for organ, eye or tissue transplant
• § 38.2-3418.20 — Coverage for hearing aids and related services [Not in effect]
• § 38.2-3418.21 — Coverage for hearing aids and related services
• § 38.2-3418.22 — Coverage for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome
• § 38.2-3418.23 — Coverage for treatment of menopause and perimenopause
• § 38.2-3419 — Additional mandated coverage made optional to group policy or contract holder
• § 38.2-3419.2 — Inventory of mandated benefits and providers
• § 38.2-3420 — Authority and jurisdiction of Commission; exception
• § 38.2-3421 — How to show jurisdiction of other state agency or federal government
• § 38.2-3422 — Examination
• § 38.2-3423 — When subject to this title
• § 38.2-3424 — Disclosure of extent and elements of coverage
• § 38.2-3424.1 — Applicability
• § 38.2-3430.1 — Application of article
• § 38.2-3430.1:1 — Health insurance coverage not required
• § 38.2-3430.2 — Definitions
• § 38.2-3430.3 — Guaranteed availability of individual health insurance coverage to certain individuals with prior group coverage
• § 38.2-3430.3:1 — Expired
• § 38.2-3430.4 — Special rules for network plans
• § 38.2-3430.5 — Application of financial capacity limits
• § 38.2-3430.6 — Market requirements
• § 38.2-3430.7 — Renewability of individual health insurance coverage
• § 38.2-3430.8 — Certification of coverage
• § 38.2-3430.9 — Regulations establishing standards
• § 38.2-3430.10 — Effective date
• § 38.2-3431 — Application of article; definitions
• § 38.2-3432.1 — Renewability
• § 38.2-3432.2 — Availability
• § 38.2-3432.3 — Limitation on preexisting condition exclusion period
• § 38.2-3434 — Disclosure of information
• § 38.2-3435 — Exclusions
• § 38.2-3436 — Eligibility to enroll
• § 38.2-3437 — Rules used to determine group size
• § 38.2-3438 — Definitions
• § 38.2-3439 — Dependent coverage for individuals to age 26
• § 38.2-3440 — Lifetime and annual limits
• § 38.2-3441 — Rescissions
• § 38.2-3442 — Preventive services
• § 38.2-3443 — Choice of a health care professional
• § 38.2-3444 — Preexisting condition exclusions
• § 38.2-3445 — Patient access to emergency services
• § 38.2-3445.01 — Balance billing for certain services; prohibited
• § 38.2-3445.02 — Arbitration
• § 38.2-3445.03 — Data sets for determining commercially reasonable payments
• § 38.2-3445.04 — Transparency
• § 38.2-3445.05 — Enforcement
• § 38.2-3445.06 — Applicability of certain sections
• § 38.2-3445.07 — Rules and regulations
• § 38.2-3446 — Applicability of federal law
• § 38.2-3447 — Restrictions relating to premium rates
• § 38.2-3448 — Guaranteed availability
• § 38.2-3449 — Prohibiting discrimination based on health status
• § 38.2-3449.1 — Prohibited discrimination based on gender identity or status as a transgender individual
• § 38.2-3450 — Genetic information and testing
• § 38.2-3451 — Essential health benefits
• § 38.2-3452 — Waiting periods
• § 38.2-3453 — Clinical trials
• § 38.2-3454 — Wellness programs
• § 38.2-3454.1 — Renewal of health benefit plans; special exception
• § 38.2-3455 — Definitions
• § 38.2-3456 — Prohibited activities
• § 38.2-3457 — Application for registration
• § 38.2-3458 — Power of Commission to investigate navigators
• § 38.2-3459 — Grounds for termination, placing on probation, revocation, or suspension of registration
• § 38.2-3460 — Sufficiency of federal requirements; additional standards and qualifications for navigators
• § 38.2-3461 — Definitions
• § 38.2-3462 — Comparable Health Care Service Incentive Program
• § 38.2-3463 — Health care price transparency tools
• § 38.2-3464 — Rules and regulations; orders
• § 38.2-3465 — Definitions
• § 38.2-3466 — License required to provide pharmacy benefits management services; requirements for a license, renewal, and revocation or suspension; civil penalty
• § 38.2-3467 — Prohibited conduct by carriers and pharmacy benefits managers
• § 38.2-3468 — Examination of books and records; reports; access to records
• § 38.2-3469 — Enforcement; regulations
• § 38.2-3470 — Scope of article