VA SB1734 | 2019 | Regular Session

Status

Completed Legislative Action
Spectrum: Partisan Bill (Democrat 1-0)
Status: Passed on March 18 2019 - 100% progression
Action: 2019-03-18 - Governor: Acts of Assembly Chapter text (CHAP0440)
Text: Latest bill text (Chaptered) [HTML]

Summary

Health policies; variances in area rating factors. Requires a rate filing by a health carrier that proposes area rate factors in the individual or small group market that exceed the weighted average of the proposed area rate factors among all rating areas by more than 15 percent to include, in publicly available and unredacted form, a comparison of the area rate factor for individual and small group plans that utilize the same provider network and provider reimbursement levels of the health benefit plans that are subject to the filing. In addition, to the extent that the health carrier is deriving any area rate factor from experience data, the measure requires the health carrier to provide additional information, including aggregated incurred claims for any provider exceeding 30 percent of total claims for the rating area in that market. The measure requires the State Corporation Commission to hold a public hearing before approving such proposed rates. The measure also bars the Commission from approving such a proposed rate filing if (i) a variance in area rate factors, indexed to the same rating region for both the individual and small group markets, of 15 percent or more exists between health benefit plans a carrier intends to offer in the individual market and health benefit plans intended to be offered in the small group market, when those plans utilize the same provider networks and reimbursement levels and (ii) the methodologies used to calculate the area rate factors are different between the two markets. The measure provides that beginning for plan year 2020, a health carrier with an approved rate filing that contains at least one area rate factor that exceeds by more than 25 percent the weighted average of the area rate factors among all rating areas in a market in which the health carrier offers individual or small group health insurance coverage shall file with the Commission for each calendar quarter during that plan year a report that provides, for each rating area within the market in which the health carrier operates, the plan's enrollment, total premiums, allowed claims, incurred claims excluding anticipated or, if available, actual risk adjustment payments or receipts, incurred claims including anticipated or, if available, actual risk adjustment payments or receipts, loss ratio, and aggregate claims, for each provider exceeding 25 percent of total claims for that rating area. The measure requires the health carrier to make each such quarterly report publicly available, without redaction, not later than 45 days after the end of the calendar quarter. This bill is identical to HB 2770.

Tracking Information

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Title

Accident and sickness insurance; restrictions relating to premium rates.

Sponsors


Roll Calls

2019-02-15 - Senate - Senate: House substitute agreed to by Senate (38-Y 0-N) (Y: 38 N: 0 NV: 2 Abs: 0) [PASS]
2019-02-13 - House - House: VOTE: BLOCK VOTE PASSAGE (98-Y 0-N) (Y: 98 N: 0 NV: 1 Abs: 0) [PASS]
2019-02-12 - House - House: Reported from Commerce and Labor with substitute (22-Y 0-N) (Y: 22 N: 0 NV: 0 Abs: 0) [PASS]
2019-02-04 - Senate - Senate: Passed Senate (40-Y 0-N) (Y: 40 N: 0 NV: 0 Abs: 0) [PASS]
2019-02-04 - Senate - Senate: Constitutional reading dispensed (40-Y 0-N) (Y: 40 N: 0 NV: 0 Abs: 0) [PASS]
2019-02-01 - Senate - Senate: Constitutional reading dispensed (40-Y 0-N) (Y: 40 N: 0 NV: 0 Abs: 0) [PASS]
2019-01-31 - Senate - Senate: Reported from Commerce and Labor with substitute (12-Y 1-N) (Y: 12 N: 1 NV: 0 Abs: 0) [PASS]

History

DateChamberAction
2019-03-18 Governor: Acts of Assembly Chapter text (CHAP0440)
2019-03-18 Governor: Approved by Governor-Chapter 440 (effective 7/1/19)
2019-02-27 Governor: Governor's Action Deadline Midnight, March 26, 2019
2019-02-27SenateEnrolled Bill Communicated to Governor on February 27, 2019
2019-02-20HouseSigned by Speaker
2019-02-20SenateSigned by President
2019-02-20SenateBill text as passed Senate and House (SB1734ER)
2019-02-20SenateEnrolled
2019-02-15SenateTitle replaced 19106485D-H1
2019-02-15SenateHouse substitute agreed to by Senate (38-Y 0-N)
2019-02-13HouseVOTE: BLOCK VOTE PASSAGE (98-Y 0-N)
2019-02-13HousePassed House with substitute BLOCK VOTE (98-Y 0-N)
2019-02-13HouseEngrossed by House - committee substitute SB1734H1
2019-02-13HouseCommittee substitute agreed to 19106485D-H1
2019-02-13HouseRead third time
2019-02-12HouseRead second time
2019-02-12HouseCommittee substitute printed 19106485D-H1
2019-02-12HouseReported from Commerce and Labor with substitute (22-Y 0-N)
2019-02-06HouseReferred to Committee on Commerce and Labor
2019-02-06HouseRead first time
2019-02-06HousePlaced on Calendar
2019-02-04SenatePassed Senate (40-Y 0-N)
2019-02-04SenateConstitutional reading dispensed (40-Y 0-N)
2019-02-04SenateEngrossed by Senate - committee substitute SB1734S1
2019-02-04SenateCommittee substitute agreed to 19106216D-S1
2019-02-04SenateReading of substitute waived
2019-02-04SenateRead second time
2019-02-04SenateFloor substitute printed to LIS only 19106418D-S2 (Deeds)
2019-02-01SenateConstitutional reading dispensed (40-Y 0-N)
2019-01-31SenateCommittee substitute printed 19106216D-S1
2019-01-31SenateReported from Commerce and Labor with substitute (12-Y 1-N)
2019-01-17SenateReferred to Committee on Commerce and Labor
2019-01-17SenatePresented and ordered printed 19101946D

Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823447(n/a)See Bill Text

Virginia State Sources

TypeSource
Summaryhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+SB1734
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+SB1734+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+SB1734S1+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+SB1734S2+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+SB1734H1+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+SB1734ER+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0440+hil
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+S02V0088+SB1734
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+SV0313SB1734+SB1734
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+SV0355SB1734+SB1734
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+SV0382SB1734+SB1734
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+H14V0162+SB1734
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+HV2743+SB1734
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?191+vot+SV0704SB1734+SB1734

Bill Comments

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