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    Virginia MGMA State Chapter Legislative Update

    Prepared By: Justin Truitt, Virginia MGMA State Chapter Legislative Liaison

    Date: 1/27/2025

    1. 2024 Legislative Updates

    ● New Legislation: New legislation enacted in 2024

        ○ 2024 VA H 1279: An Act to require the Department of Education and the

      Department of Health to streamline the school health entrance form.

    ■ The Department of Health, in conjunction with the Department of

    Education, shall examine the Department of Health's COMMONWEALTH

    OF VIRGINIA SCHOOL HEALTH ENTRANCE FORM: Health Information

    Form/Comprehensive Physical Examination Report/Certification of

    Immunization and make such changes as they deem necessary to

    streamline such form, make it available in both digital and print formats,

    and make it more user-friendly for families, physicians, and other health

    care professionals while continuing to gather all of the information that is

    necessary to comply with relevant state laws relating to student health

    and immunization and school attendance. Approved: 4/4/2024


    ● Regulatory Changes: Updates to existing regulations or new compliance requirements.

      ○ 2024 VA S 543: An Act to amend and reenact Sections 38.2-3412.1, 38.2-3438,

      and 38.2-3445 of the Code of Virginia, relating to health insurance; emergency

      services; mobile crisis response services.

    ■ Defined “crisis receiving center”

    ■ Updated definition for “mobile crisis response services”

    ■ Updated definition for “residential crisis stabilization unit”

    ■ Defined “behavioral health crisis service provider”

    ■ Updated definition of “emergency services”



    2. 2025 Legislative Updates

    New laws or regulations that officially went into effect on January 1, 2025:

    ● HB 238 Health Insurance Coverage; coverage for colorectal cancer screening

      ○ Requires health insurers to provide coverage for examinations and laboratory

      tests related to colorectal cancer screening in accordance with the most recently

      published recommendations established by the U.S. Preventive Services Task

      Force for colorectal cancer screening for which a rating of A or B is in effect with

      respect to the individual involved. The bill requires such coverage to include

      coverage of a follow-up colonoscopy after a positive noninvasive stool-based

      screening test or direct visualization screening test. The bill prohibits such

      coverage from being subject to any deductible, coinsurance, or any other cost-

      sharing requirements for services received from participating providers. The

      provisions of the bill apply to individual or group accident and sickness insurance

      policies, individual or group accident and sickness subscription contracts, or

      health care plans delivered, issued for delivery, or renewed in the

      Commonwealth on and after January 1, 2025.

    ● HB 93 Alpha-gal syndrome reportable disease list

      ○ Directs the Board of Health to adopt regulations to include alpha-gal syndrome

      on the list of diseases that shall be required to be reported in accordance with the

      Code of Virginia. The bill has a delayed effective date of July 1, 2025.

    3. What to Watch for in 2025

    ● New or Pending Legislation: Bills under consideration or policies expected to roll out

    later in 2025.

      ○ 2024 VA H 2189

    ■ A bill to amend and reenact § 32.1-48 of the Code of Virginia, relating to

    immunizations; authority of the Commissioner of Health; religious

    exception.

    ■ Introduced: 1/7/2025

    ■ Status: Pending, Health House and Human Services Committee

      ○ 2025 HB1725: Medical Debt Protection Act; created, prohibited practices;

    penalties

    ■ Creates the Medical Debt Protection Act to prohibit a large health care

    facility or medical debt buyer, as those terms are defined in the bill, from

    charging interest or late fees on medical debt. The bill requires a large

    health facility or medical debt buyer to offer a payment plan to any patient

    with medical debt and sets required time frames for certain extraordinary

    collection actions, as defined in the bill. The bill provides that a violation of

    its provisions constitutes a prohibited practice under the Virginia

    Consumer Protection Act.

    ■ Introduced: 1/4/2025

    ■ Status: Passed House

      ○ 2025 HB1596: DMAS state plan for medical assistance services; telemedicine

      services.

    ■ Changes the definition of "telemedicine services" as it is used in the state

    plan for medical assistance services to include two-way, real-time, audio-

    only communication technology for any telehealth service furnished to a

    patient in his home.

    ■ Introduced: 1/3/2025

    ■ Status: In committee

      ○ 2025 SB892: Medical malpractice; certification of expert witness, written opinion.

    ■ Provides that at the time of service of process of every motion for

    judgment, counter claim, third party claim, or warrant in debt in a medical

    malpractice action or every motion for judgment, counter claim, or third

    party claim in an action for wrongful death against a health care provider,

    the plaintiff shall be deemed to have obtained a written opinion signed by

    an expert witness stating that the defendant in the action deviated from

    the applicable standard of care and the deviation was a proximate cause

    of the injuries claimed. The bill also provides that a plaintiff may have

    separate certifications for standard of care and causation.

    ■ Introduced: 1/4/2025

    ■ Status: Passed Senate

      ○ 2025 SB904: Medical malpractice; limitation on recovery; certain actions

    ■ Eliminates the cap on the recovery in actions against health care

    providers for medical malpractice where the act or acts of malpractice

    occurred on or after July 1, 2025, and occurred against a patient age 10

    or younger.

    ■ Introduced: 1/5/2025

    ■ Status: Failed


    ● Industry Trends:

      ○ Prior Authorization fixes earn majority support in Congress

    ■ Introduction of H.R.8702 - Improving Seniors’ Timely Access to Care Act

    of 2024

       ○ Healthcare affordability

    ■ VA introduced CoPN reform (HB 2119, HB 2698, SB1203)

    ■ Other states are looking to address gaps in surprise billing, enhancing

    billing and cost transparency, limiting use of facility fees

      ○ Prescription drug pricing and 340B

    ■ In 2024 20 states introduced and 6 states passed 340B legislation

    4. Resources and Next Steps

    ● Virginia Legislative Information System (LIS): https://lis.virginia.gov/home


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