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HB 813 Enacted

Health insurance; application of cost-sharing prohibitions.

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CHAPTER 224

An Act to amend and reenact §§ 38.2-3407.20 and 38.2-3418.7 of the Code of Virginia, relating to health insurance; application of cost-sharing prohibitions.

[H 813]

Approved April 6, 2026

Be it enacted by the General Assembly of Virginia:

1. That §§ 38.2-3407.20 and 38.2-3418.7 of the Code of Virginia are amended and reenacted as follows:

§ 38.2-3407.20 . Cost-sharing requirements; application of prohibition; calculation of enrollee's contribution.

A. As used in this section:

"Carrier" shall have the meaning set forth in § 38.2-3407.10 ; however, "carrier" also includes any person required to be licensed under this title that offers or operates a managed care health insurance plan subject to Chapter 58 (§ 38.2-5800 et seq.) or that provides or arranges for the provision of health care services, health plans, networks, or provider panels that are subject to regulation as the business of insurance under this title.

"Cost sharing" "Cost-sharing requirement" means any an enrollee's coinsurance, copayment, or deductible.

"Enrollee" means any person entitled to health care services from a carrier.

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