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HB 795

  • Virginia House Bill
  • 2020 Regular Session
  • Introduced in House Jan 07, 2020
  • Passed House Feb 03, 2020
  • Passed Senate Feb 20, 2020
  • Governor

Health insurance; association health plans.

Abstract

Health insurance; association health plans. Provides that for policies of group accident and sickness insurance issued to an association, members of such an association may include (i) a self-employed individual and (ii) an employer member with at least one employee that is domiciled in the Commonwealth. The bill provides that for such policies issued to an association that covers at least 51 members and employees of employer members of such association on the first day of the plan year the policies shall be considered a large group market plan and are required to meet various provisions in the bill. The bill provides that to determine the size of an association all of the members and employees of employer members are aggregated and treated as employed by a single employer.The bill requires an insurer issuing a policy to an association to (a) treat all of the members and employees of employer members who are enrolled in coverage under the policy as a single risk pool; (b) set premiums based on the collective group experience of the members and employees of employer members who are enrolled in coverage under the policy; (c) vary premiums by age, except that the rate shall not vary by more than five to one for adults; (d) not vary premiums based on gender; and (e) not establish discriminatory rules based on the health status of an employer member, an individual employee of an employer member, or a self-employed individual for eligibility or contribution.The bill requires the Commissioner of Insurance to initiate proceedings to apply to the U.S. Secretary of Health and Human Services for a state innovation waiver under the federal Patient Protection and Affordable Care Act, P.L. 111-148, to implement the provisions of the bill and within 180 days of a certain judicial order to submit the waiver request to implement the provisions of the bill regarding association health plans. This bill is identical to SB 235.

Health insurance; association health plans. Provides that for policies of group accident and sickness insurance issued to an association, members of such an association may include (i) a self-employed individual and (ii) an employer member (a) with at least one employee that is domiciled in the Commonwealth or (b) that has a principal place of business that does not exceed the boundaries of a metropolitan area that is at least partially in the Commonwealth. The bill provides that for such policies issued to an association that covers at least 51 members and employees of employer members of such association on the first day of the plan year the policies shall be considered a large group market plan and are required to meet various provisions in the bill. The bill provides that to determine the size of an association all of the members and employees of employer members are aggregated and treated as employed by a single employer.The bill requires an insurer issuing a policy to an association to (1) treat all of the members and employees of employer members who are enrolled in coverage under the policy as a single risk pool; (2) set premiums based on the collective group experience of the members and employees of employer members who are enrolled in coverage under the policy; (3) vary premiums by age, except that the rate shall not vary by more than 5 to 1 for adults; (4) not vary premiums based on gender; (5) not establish discriminatory rules based on the health status of an employer member, an individual employee of an employer member, or a self-employed individual for eligibility or contribution.The bill requires the Commissioner of Insurance to initiate proceedings to apply to the U.S. Secretary of Health and Human Services for a state innovation waiver under the federal Patient Protection and Affordable Care Act, P.L. 111-148, to implement the provisions of the bill and within 180 days of a certain judicial order to submit the waiver request to implement the provisions of the bill regarding association health plans.

Health insurance; association health plans. Providesthat for policies of group accident and sickness insurance issued to anassociation, members of such an association may include (i) a self-employedindividual and (ii) an employer member (a) with at least one employee that isdomiciled in the Commonwealth or (b) that has a principal place of businessthat does not exceed the boundaries of a metropolitan area that is at leastpartially in the Commonwealth. The bill provides that for such policies issuedto an association that covers at least 51 members and employees of employermembers of such association on the first day of the plan year the policiesshall be considered a large group market plan and are required to meet variousprovisions in the bill. The bill provides that to determine the size of anassociation all of the members and employees of employer members are aggregatedand treated as employed by a single employer.The bill requires an insurer issuing a policy to anassociation to (1) treat all of the members and employees of employer memberswho are enrolled in coverage under the policy as a single risk pool; (2) setpremiums based on the collective group experience of the members and employeesof employer members who are enrolled in coverage under the policy; (3) varypremiums by age, except that the rate shall not vary by more than 5 to 1 foradults; (4) not vary premiums based on gender; (5) not establish discriminatoryrules based on the health status of an employer member, an individual employeeof an employer member, or a self-employed individual for eligibility orcontribution.The bill requires the Commissioner of Insurance to, within 90days of the enactment of the bill, apply to the U.S. Secretary of Health andHuman Services for a state innovation waiver under the federal PatientProtection and Affordable Care Act, P.L. 111-148, to implement the provisionsof the bill. The provisions of the bill regarding association health plans willbecome effective 30 days following the date the Commissioner of Insurancenotifies the Governor and the Chairs of the House and Senate Committees onCommerce and Labor of federal approval of such waiver.

Bill Sponsors (7)

Chris L. Hurst

  • Democratic
  • lower
  • 12
Primary

Elizabeth R. Guzman

  • Democratic
  • lower
  • 31
Cosponsor

Terry G. Kilgore

  • Republican
  • lower
  • 1
Cosponsor

Tony O. Wilt

  • Republican
  • lower
  • 26
Cosponsor

Lashrecse D. Aird

  • Democratic
  • lower
  • 63
Cosponsor

Roxann L. Robinson

  • Republican
  • lower
  • 27
Cosponsor

Don L. Scott

  • Democratic
  • lower
  • 80
Cosponsor

Votes


Actions


May 21, 2020

Office of the Governor

Vetoed by Governor

Apr 29, 2020

Office of the Governor

Governor's Action Deadline 11:59 p.m., May 22, 2020

House

Communicated to Governor on April 29, 2020

Apr 22, 2020

House

Placed on Calendar

House

(Requires affirmative vote of 2/3 of members present)

House

VOTE: Agree to (50-Y 43-N)

House

Motion by Delegate Gilbert to pass in erolled form rejected (50-Y 43-N)

House

Pending question ordered

House

VOTE: (26-Y 68-N)

House

House rejected Governor's recommendation (26-Y 68-N)

House

Pending question ordered

Apr 11, 2020

House

Governor's recommendation received by House

Mar 12, 2020

Office of the Governor

Governor's Action Deadline 11:59 p.m., April 11, 2020

House

Enrolled Bill communicated to Governor on March 12, 2020

Mar 10, 2020

House

Impact statement from SCC (HB795ER)

Mar 08, 2020

House

Signed by Speaker

Mar 07, 2020

House

Enrolled

Senate

Signed by President

Mar 04, 2020

Senate

Conference report agreed to by Senate (39-Y 0-N)

Mar 03, 2020

Virginia General Assembly

Amended by conference committee

House

VOTE: Agree To (93-Y 3-N)

House

Conference report agreed to by House (93-Y 3-N)

Mar 02, 2020

Senate

Conferees appointed by Senate

Feb 27, 2020

House

Conferees appointed by House

House

House acceded to request

Feb 26, 2020

Senate

Senate insisted on substitute (40-Y 0-N)

Senate

Senate requested conference committee

Feb 24, 2020

House

VOTE: REJECTED (0-Y 99-N)

House

Placed on Calendar

House

Senate substitute rejected by House 20108498D-S1 (0-Y 99-N)

Feb 21, 2020

House

Impact statement from SCC (HB795S1)

Feb 20, 2020

Senate

Passed Senate with substitute (40-Y 0-N)

Senate

Engrossed by Senate - committee substitute HB795S1

Senate

Read third time

Senate

Committee substitute agreed to 20108498D-S1

Senate

Reading of substitute waived

Feb 19, 2020

Senate

Constitutional reading dispensed (39-Y 0-N)

Feb 17, 2020

Senate

Reported from Commerce and Labor with substitute (15-Y 0-N)

Senate

Committee substitute printed 20108498D-S1

Feb 05, 2020

House

Impact statement from SCC (HB795H1)

Feb 04, 2020

Senate

Referred to Committee on Commerce and Labor

Senate

Constitutional reading dispensed

Feb 03, 2020

House

VOTE: Block Vote Passage (99-Y 0-N)

House

Read third time and passed House BLOCK VOTE (99-Y 0-N)

Jan 31, 2020

House

Read second time

House

Engrossed by House - committee substitute HB795H1

House

Committee substitute agreed to 20106947D-H1

Jan 30, 2020

House

Read first time

Jan 28, 2020

House

Committee substitute printed 20106947D-H1

House

Reported from Labor and Commerce with substitute (18-Y 0-N)

House

House committee, floor amendments and substitutes offered

Jan 23, 2020

House

Impact statement from SCC (HB795)

House

Subcommittee recommends reporting (7-Y 1-N)

Jan 16, 2020

House

Assigned L & C sub: Subcommittee #2

Jan 07, 2020

House

Referred to Committee on Labor and Commerce

House

Prefiled and ordered printed; offered 01/08/20 20102732D

Bill Text

Bill Text Versions Format
Impact statement from SCC (HB795) HTML
Engrossed by House - committee substitute HB795H1 HTML
Engrossed by Senate - committee substitute HB795S1 HTML
Bill text as passed House and Senate (HB795ER) HTML

Related Documents

Document Format
Amendment: HB795AG HTML
Amendment: HB795AC HTML

Sources

Data on Open States is updated nightly from the official website of the Virginia General Assembly.

If you notice any inconsistencies with these official sources, feel free to file an issue.