Source: https://vacode.org/38.2-4319/
Timestamp: 2020-01-24 16:50:01
Document Index: 701376214

Matched Legal Cases: ['§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38', '§ 38']

Statutory construction and relationship to other laws (§ 38.2-4319)—Virginia Decoded - Virginia Decoded
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43 Health Maintenance Organizations
§ 38.2-4319 Statutory construction and relationship to other . . .
§ 38.2-4319
A. No provisions of this title except this chapter and, insofar as they are not inconsistent with this chapter, §§ 38.2-100, 38.2-136, 38.2-200, 38.2-203, 38.2-209 through 38.2-213, 38.2-216, 38.2-218 through 38.2-225, 38.2-229, 38.2-232, 38.2-305, 38.2-316, 38.2-316.1, 38.2-322, 38.2-325, 38.2-326, 38.2-400, 38.2-402 through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter 9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023, 38.2-1057, 38.2-1306.1, Article 2 (§ 38.2-1306.2 et seq.), § 38.2-1315.1, Articles 3.1 (§ 38.2-1316.1 et seq.), 4 (§ 38.2-1317 et seq.), 5 (§ 38.2-1322 et seq.), and 5.1 (§ 38.2-1334.3 et seq.) of Chapter 13, Articles 1 (§ 38.2-1400 et seq.), 2 (§ 38.2-1412 et seq.), and 4 (§ 38.2-1446 et seq. ) of Chapter 14, §§ 38.2-1800 through 38.2-1836, 38.2-3401, 38.2-3405, 38.2-3405.1, 38.2-3406.1, 38.2-3407.2 through 38.2-3407.6:1, 38.2-3407.9 through 38.2-3407.19, 38.2-3411, 38.2-3411.2, 38.2-3411.3, 38.2-3411.4, 38.2-3412.1, 38.2-3414.1, 38.2-3418.1 through 38.2-3418.17, 38.2-3419.1, 38.2-3430.1 through 38.2-3454, 38.2-3500, subdivision 13 of § 38.2-3503, subdivision 8 of § 38.2-3504, §§ 38.2-3514.1, 38.2-3514.2, 38.2-3522.1 through 38.2-3523.4, 38.2-3525, 38.2-3540.1, 38.2-3540.2, 38.2-3541.2, 38.2-3542, 38.2-3543.2, Article 5 (§ 38.2-3551 et seq.) of Chapter 35, Chapter 35.1 (§ 38.2-3556 et seq.), Chapter 52 (§ 38.2-5200 et seq.), Chapter 55 (§ 38.2-5500 et seq.), and Chapter 58 (§ 38.2-5800 et seq.) shall be applicable to any health maintenance organization granted a license under this chapter. This chapter shall not apply to an insurer or health services plan licensed and regulated in conformance with the insurance laws or Chapter 42 (§ 38.2-4200 et seq.) except with respect to the activities of its health maintenance organization.
B. For plans administered by the Department of Medical Assistance Services that provide benefits pursuant to Title XIX or Title XXI of the Social Security Act, as amended, no provisions of this title except this chapter and, insofar as they are not inconsistent with this chapter, §§ 38.2-100, 38.2-136, 38.2-200, 38.2-203, 38.2-209 through 38.2-213, 38.2-216, 38.2-218 through 38.2-225, 38.2-229, 38.2-232, 38.2-322, 38.2-325, 38.2-400, 38.2-402 through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter 9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023, 38.2-1057, 38.2-1306.1, Article 2 (§ 38.2-1306.2 et seq.), § 38.2-1315.1, Articles 3.1 (§ 38.2-1316.1 et seq.), 4 (§ 38.2-1317 et seq.), 5 (§ 38.2-1322 et seq.), and 5.1 (§ 38.2-1334.3 et seq.) of Chapter 13, Articles 1 (§ 38.2-1400 et seq.), 2 (§ 38.2-1412 et seq.), and 4 (§ 38.2-1446 et seq.) of Chapter 14, §§ 38.2-3401, 38.2-3405, 38.2-3407.2 through 38.2-3407.5, 38.2-3407.6, 38.2-3407.6:1, 38.2-3407.9, 38.2-3407.9:01, and 38.2-3407.9:02, subdivisions F 1, F 2, and F 3 of § 38.2-3407.10, §§ 38.2-3407.11, 38.2-3407.11:3, 38.2-3407.13, 38.2-3407.13:1, 38.2-3407.14, 38.2-3411.2, 38.2-3418.1, 38.2-3418.2, 38.2-3419.1, 38.2-3430.1 through 38.2-3437, 38.2-3500, subdivision 13 of § 38.2-3503, subdivision 8 of § 38.2-3504, §§ 38.2-3514.1, 38.2-3514.2, 38.2-3522.1 through 38.2-3523.4, 38.2-3525, 38.2-3540.1, 38.2-3540.2, 38.2-3541.2, 38.2-3542, 38.2-3543.2, Chapter 52 (§ 38.2-5200 et seq.), Chapter 55 (§ 38.2-5500 et seq.), and Chapter 58 (§ 38.2-5800 et seq.) shall be applicable to any health maintenance organization granted a license under this chapter. This chapter shall not apply to an insurer or health services plan licensed and regulated in conformance with the insurance laws or Chapter 42 (§ 38.2-4200 et seq.) except with respect to the activities of its health maintenance organization.
E. Notwithstanding the definition of an eligible employee as set forth in § 38.2-3431, a health maintenance organization providing health care plans pursuant to § 38.2-3431 shall not be required to offer coverage to or accept applications from an employee who does not reside within the health maintenance organization’s service area.
F. For purposes of applying this section, “insurer” when used in a section cited in subsections A and B shall be construed to mean and include “health maintenance organizations” unless the section cited clearly applies to health maintenance organizations without such construction.
1980, c. 720, § 38.1-887; 1985, c. 588; 1986, c. 562; 1989, cc. 646, 653; 1990, cc. 301, 393, 439, 531, 826; 1991, cc. 103, 369; 1992, cc. 14, 23, 800; 1993, cc. 148, 158, 306, 307; 1994, cc. 213, 320, 374, 522, 699; 1995, cc. 80, 420, 522, 537; 1996, cc. 22, 155, 201, 550, 611, 776, 967; 1997, cc. 688, 807, 913; 1998, cc. 42, 43, 56, 120, 154, 625, 631, 709, 858, 891, 908; 1999, cc. 35, 643, 649, 709, 739, 856, 857, 858, 923, 941; 2000, cc. 50, 157, 187, 460, 465, 496, 503, 532, 922; 2001, c. 663; 2002, c. 153; 2003, c. 243; 2004, cc. 156, 315, 772; 2006, cc. 427, 866; 2007, cc. 488, 579; 2009, cc. 796, 839; 2010, cc. 222, 272, 504, 515, 583, 687, 734; 2011, cc. 788, 876, 878, 882; 2012, cc. 634, 641; 2013, cc. 653, 670, 679, 751; 2014, cc. 248, 814; 2015, cc. 14, 649, 723; 2016, c. 475.
If you’re reading this for anything important, you should double-check its accuracy—read § 38.2-4319 on the official Code of Virginia website.
HB1405: Health insurance; mandated coverage for treatment by intensity modulated radiation therapy. (failed)
HB623: Health insurance; mandated coverage for treatment of malignant brain tumors. (failed)
HB894: Health insurance; mandated coverage for treatment of inborn errors of metabolism. (failed)
HB1975: Health insurance; mandated coverage for CyberKnife procedures. (failed)
HB2156: Health insurance; mandated coverage for evaluations of brain tumors. (failed)
HB2394: Insurance companies; confidentiality of analyses.
HB2447: Health insurance; mandated coverage for enteral formulas necessitated by inborn metabolic disorders. (failed)
HB2562: Health insurance claims; joint payment thereof. (failed)
HB2877: Human papillomavirus vaccinations; requires health insurers to provide coverage thereof. (failed)
HB2949: Health insurance; mandated coverage for treatment by intensity modulated radiation therapy. (failed)
HB3160: Health insurance; policies to protect uninsured. (failed)
HB657: Health insurance; mandated coverage for habilitative services for children. (failed)
SB931: Health insurance; mandated coverage for prosthetic devices and components. (failed)
HB237: Health insurance; mandated coverage for hearing aids for minors. (failed)
HB252: Health insurance; mandated coverage for evaluations of brain tumors. (failed)
HB615: Health insurance; mandated coverage for medically necessary amino acid-based elemental formulas. (failed)
HB668: Health insurance, individual; statements regarding grounds for refusal to cover. (failed)
HB669: Health insurance; mandated coverage for medically necessary amino acid-based elemental formulas. (failed)
HB83: Children; insurance companies to provide coverage for habilitative services. (failed)
SB631: Accident and sickness insurance; coverage for the treatment of infertility. (failed)
HB1588: Autism spectrum disorder; mandated health insurance coverage therefor. (failed)
HB1650: Pharmacy contracts; establishes requirements for audit procedures and claims review process. (failed)
HB2024: Health insurance, basic; increasing availability thereof in State. (passed)
HB2191: Health insurance; mandated coverage for telehealth services. (failed)
HB2209: Health insurance; policy offered to small employer with 50 or less employees to protect uninsured. (failed)
HB2337: Health insurance; mandated coverage for amino acid based elemental formulas. (failed)
SB1116: Health insurance; mandated coverage for prosthetic devices and components. (passed)
SB1458: Health insurance; mandated coverage for telehealth services. (failed)
HB1182: Health insurance; mandated coverage for telemedicine services. (failed)
HB1294: Health insurers; efficiency information. (failed)
HB198: Pharmacy contracts; establishes requirements for audit procedures. (failed)
HB303: Health insurance; mandated coverage for autism spectrum disorder. (failed)
HB317: Group health insurance; enrollment opportunities. (passed)
HB34: Health insurance; mandated coverage for autism spectrum disorder. (failed)
HB548: Group health insurance policies; provide a discount to employers who institute wellness programs. (passed)
HB556: Health insurance, basic; HMOs to offer plans that do not include state-mandated benefits. (passed)
SB464: Health insurance; mandated coverage for autism spectrum disorder. (failed)
SB642: Health insurance, basic; HMOs to offer plans that do not include state-mandated benefits. (passed)
SB649: Autism Tuition Assistance Grant Program; established. (failed)
HB2467: Health insurance; mandated coverage for autism spectrum disorder. (passed)
HB1273: Chemotherapy; requirements for orally administered cancer drugs. (passed)
SB450: Chemotherapy; requirements for orally administered cancer drugs. (passed)
SB477: Health benefit plans; exception for certain plans previously approved, waiver for navigator program. (failed)
SB88: Risk management by insurance companies; Own Risk and Solvency Assessments. (passed)
HB1387: Health insurance; coverage for renewals of Schedule IV prescription eyedrops. (failed)
HB2156: Health insurance; coverage for hearing aids and related professional services. (failed)
HB837: Medicare; supplement policies for individuals under age 65. (failed)
SB639: Health insurance; proton radiation therapy coverage decisions. (failed)
HB2102: Insurance regulation; corporate governance annual disclosures. (passed)
HB601: Health insurance; mandated coverage for treatment of inborn errors of metabolism. (failed)
HB978: Health insurance; proton radiation therapy coverage decisions. (failed)
SB1326: Medicare; supplement policies for individuals under age 65. (failed)
SB1351: Medicare; supplement policies for individuals under age 65. (failed)
SB696: Medicare; supplement policies for individuals under age 65. (failed)
HB131: Health insurance; coverage for alternative pain management prescription drugs. (failed)
HB21: Reproductive health services; health benefit plans to cover costs of certain services. (failed)
HB434: Health insurance; coverage for proton therapy. (failed)
HB573: Health insurance rate reviews; pharmacy benefit price spread. (failed)
HB583: Premium Security Plan; created, report. (failed)
SB161: Medicare; supplement policies for individuals under age 65. (failed)
HB1967: Physicians; allowing for competition and additional entities. (failed)
HB2049: Health insurance; coverage for donated human breast milk. (failed)
HB2177: Health insurance; formula and enteral nutrition products. (failed)
HB2345: Individual and certain group health benefit plans; rates for plans, minimum loss ratios. (passed)
HB2378: Reproductive health services; health benefit plans required to cover costs. (failed)
HB2515: Health plans; calculation of enrollee's contribution. (passed)
HB2516: Health insurance rate reviews; pharmacy benefit price spread. (failed)
HB2601: Health insurance; coverage for hearing aids for minors. (failed)
HB2639: Health care shared savings; incentive programs. (passed)
SB1010: Health insurance; coverage for Lyme disease therapy. (failed)
SB1132: Reproductive health services; health benefit plans to cover costs of specified health care services. (failed)
SB1359: Facilities providing imaging services; shared savings, exemption from certificate of public need. (failed)
SB1518: Non-opioid pharmacological therapy and non-pharmacological therapy; health insurance coverage. (failed)
SB1596: Health plans; calculation of enrollee's contribution. (passed)
SB1611: Health care shared savings; incentive programs. (passed)
SB1650: Health insurance; coverage for donated human breast milk. (failed)
SB639: Health care shared savings; incentive programs. (failed)
SB845: Premium Security Plan; created, a state-based reinsurance program. (failed)
HB1445: Reproductive health services; health benefit plans to cover costs of specified health care services.
HB1449: Physicians; medical specialty board certification options.
HB1567: Health insurance; coverage for certain infertility treatments.
HB1704: Health insurance; coverage for case management services and peer support services.
HB442: Health insurance; coverage for donated human breast milk.
SB1086: Health insurance; coverage for infertility treatment.
SB250: Medicare; supplement policies for certain individuals under age 65.
SB423: Health insurance; mandated coverage for hearing aids for minors.
SB654: Health insurance; formula and enteral nutrition products.
SB917: Reproductive health services; health benefit plans to cover costs of specified health care services.
SB982: Physicians; medical specialty board certification options.