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VA HB656

VA HB656
Mental health and substance abuse disorders; network adequacy standards, comparative analyses.


summary

Introduced
01/13/2026
In Committee
02/17/2026
Crossed Over
02/13/2026
Passed
Dead

Introduced Session

2026 Regular Regular Session

Bill Summary

Mental health and substance abuse disorders; network adequacy standards; comparative analyses; report; emergency regulations. Directs the Department of Health to issue regulations that include quantitative network adequacy standards for timely access to care, travel time, and geographical distance that are at least as stringent as those imposed for qualified health plans and qualified dental plans. The bill amends the definitions of "mental health services" and "substance abuse services" for the purposes of health insurance coverage. The bill requires health carriers to submit all comparative analyses prepared pursuant to federal law to the Bureau of Insurance on the date and frequency as specified by the Bureau and includes additional information to include in such submission. Under the bill, the Bureau may impose a penalty not to exceed $100,000 for a noncompliant or insufficient comparative analysis or require a carrier to remove, revise, or remedy noncompliant treatment limitations. The bill also amends the contents of the annual report submitted by the Bureau to the General Assembly to cover enforcement efforts with respect to the federal Mental Health Parity and Addiction Equity Act of 2008.The bill authorizes the Bureau to promulgate regulations as necessary to implement the provisions of the bill and directs the Department of Health to adopt emergency regulations to implement the provisions of the bill.

AI Summary

This bill aims to improve access to mental health and substance abuse disorder care by strengthening network adequacy standards for health insurance plans. It directs the Department of Health to establish regulations for timely access to care, travel time, and geographical distance that are at least as strict as those for qualified health plans and qualified dental plans. The bill also clarifies the definitions of "mental health services" and "substance abuse services" for insurance coverage purposes. Health carriers will be required to submit comparative analyses, which are reports comparing how they handle medical/surgical benefits versus mental health and substance use disorder benefits, to the Bureau of Insurance. The Bureau can fine carriers up to $100,000 for noncompliant analyses and can require them to fix or remove problematic treatment limitations. Additionally, the Bureau's annual report to the General Assembly will now include information on its enforcement efforts related to the federal Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), which requires equal treatment of mental health and substance use disorder benefits compared to medical and surgical benefits. The Department of Health is also authorized to adopt emergency regulations to implement these changes quickly.

Committee Categories

Health and Social Services

Sponsors (9)

Last Action

Senate Education and Health Hearing (08:30:00 2/26/2026 Senate Room A, Room 305, General Assembly Building) (on 02/26/2026)

bill text


bill summary

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bill summary

Document Type Source Location
State Bill Page https://lis.virginia.gov/bill-details/20261/HB656
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB656) https://lis.blob.core.windows.net/files/1149167.PDF
BillText https://lis.virginia.gov/bill-details/20261/HB656/text/HB656H1
BillText https://lis.virginia.gov/bill-details/20261/HB656/text/HB656HC2
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB656) https://lis.blob.core.windows.net/files/1128884.PDF
BillText https://lis.virginia.gov/bill-details/20261/HB656/text/HB656HC1
BillText https://lis.virginia.gov/bill-details/20261/HB656/text/HB656
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