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Bill > HB2332


VA HB2332

VA HB2332
Commonwealth Health Reinsurance Program; established, report.


summary

Introduced
01/22/2021
In Committee
02/05/2021
Crossed Over
02/04/2021
Passed
Dead
02/08/2021

Introduced Session

2021 Regular Session

Bill Summary

Commonwealth Health Reinsurance Program. Requires the State Corporation Commission (Commission) to establish, upon approval of a state innovation waiver request pursuant to § 1332 of the Affordable Care Act, a reinsurance program, known as the Commonwealth Health Reinsurance Program (the Program). The bill provides that the Program is funded through federal funding provided under the state innovation waiver, an assessment on carriers, and state appropriations. The bill requires that the Commission impose an annual assessment of one percent of a carrier's net written premiums on entities authorized to issue individual and group health insurance overage including grandfathered plans but excluding plans offered in the small group market. The bill provides requirements for payment parameters, data submissions, recordkeeping, reporting, and audits of health carriers. The bill requires the Secretary of Health and Human Resources to convene a work group to develop recommendations for developing a state-based subsidy program to increase affordability of health plans to individuals and to increase enrollment in the Virginia Health Benefit Exchange. The bill requires the Commission to evaluate the program following its second year of operation.The provisions of the bill, other than the requirements that the Commission apply for the state innovation waiver, will become effective 30 days after notice of approval of the waiver request. Commonwealth Health Reinsurance Program. Requires the State Corporation Commission (Commission) to establish, upon approval of a state innovation waiver request pursuant to § 1332 of the Affordable Care Act, a reinsurance program, known as the Commonwealth Health Reinsurance Program (the Program). The bill provides that the Program is funded through federal funding provided under the state innovation waiver, an assessment on carriers, and state appropriations. The bill requires that the Commission impose an annual assessment of one percent of a carrier's net written premiums on entities authorized to issue individual and group health insurance overage including grandfathered plans but excluding plans offered in the small group market. The bill provides requirements for payment parameters, data submissions, recordkeeping, reporting, and audits of health carriers. The bill requires the Secretary of Health and Human Resources to convene a work group to develop recommendations for developing a state-based subsidy program to increase affordability of health plans to individuals and to increase enrollment in the Virginia Health Benefit Exchange. The bill requires the Commission to evaluate the program following its second year of operation.The provisions of the bill, other than the requirements that the Commission apply for the state innovation waiver, will become effective 30 days after notice of approval of the waiver request.

AI Summary

This bill establishes the Commonwealth Health Reinsurance Program, which is a reinsurance program administered by the State Corporation Commission. The program is funded through federal funding from a state innovation waiver, an assessment on health insurance carriers, and state appropriations. The bill sets parameters for the program, including an attachment point, coinsurance rate, and reinsurance cap for claims. It requires carriers to submit data and comply with audits in order to receive reinsurance payments. The bill also requires the Secretary of Health and Human Resources to convene a work group to develop recommendations for a state-based subsidy program to increase affordability and enrollment in the Virginia Health Benefit Exchange. Additionally, the State Corporation Commission must evaluate the effects of the reinsurance program on access to affordable, high-value health insurance after the second year of operation.

Committee Categories

Budget and Finance, Business and Industry

Sponsors (7)

Last Action

Continued to 2021 Sp. Sess. 1 in Commerce and Labor (15-Y 0-N) (on 02/05/2021)

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