Bill > HB424

This bill prohibits health insurance carriers from preventing an in-network provider, which is a healthcare provider who has a contract with an insurance company to provide services to its members at a negotiated rate, from referring patients or specimens to any in-network clinical laboratory or in-network pathology service provider, unless such a referral would violate specific laws like the Practitioner Self-Referral Act or federal anti-kickback statutes. The bill defines "carrier" and "health plan" broadly to include entities that administer insurance for state employees and clarifies that the Commission will not handle individual disputes arising from this section.

Budget and Finance, Business and Industry

https://lis.virginia.gov/bill-details/20261/HB424