CHAPTER 138
An Act to amend and reenact § 38.2-4319 of the Code of Virginia and to amend the Code of Virginia by adding in Article 1 of Chapter 34 of Title 38.2 a section numbered 38.2-3407.23 , relating to health insurance; prohibited restrictions on in-network referrals.
[H 424]
Approved April 6, 2026
Be it enacted by the General Assembly of Virginia:
1. That § 38.2-4319 of the Code of Virginia is amended and reenacted and the Code of Virginia is amended by adding in Article 1 of Chapter 34 of Title 38.2 a section numbered 38.2-3407.23 as follows:
§ 38.2-3407.23 . Prohibited restrictions on in-network referrals.
A. As used in this section:
"Carrier" has the same meaning as provided in § 38.2-3407.15 . "Carrier" includes any entity administering a policy or plan providing health insurance coverage to state employees pursuant to § 2.2-2818 .
"Health plan" has the same meaning as provided in § 38.2-3407.15 . "Health plan" includes any policy or plan providing health insurance coverage to state employees pursuant to § 2.2-2818 .
"In-network" means a provider that has contracted with a carrier or a carrier's contractor or subcontractor to provide health care services to enrollees and be reimbursed by the carrier at a contracted rate as payment in full for the health care services, including applicable cost-sharing requirements.