Health care coverage; qualified health plans.
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HB 5083 — Health care coverage; qualified health plans.
Last action — Tabled in Health, Welfare and Institutions (19-Y 3-N)
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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2In Committee
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3Passed House of Delegates
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 2020, 1st Special Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Health care coverage; qualified health plans.Requires the Department of Medical Assistance Services, in collaborationwith the State Corporation Commission, to contract with health carriersto offer qualified health plans on the health benefit exchange beginningJanuary 1, 2022. The bill provides that such qualified health plansare designed to reduce deductibles, make more services availablebefore the deductible is met, provide predictable cost sharing, maximizesubsidies, limit adverse premium impacts, reduce barriers to maintainingand improving health, encourage choice based on value, and limitadverse premium impacts and increases in premium rates. The billrequires that any health carrier contracted with the Department tooffer such qualified health plans (i) is licensed and in good standingto offer health insurance coverage in the Commonwealth and (ii) offersat least one qualified health plan at a silver level of coverageand one qualified health plan at a gold level of coverage. The billprovides that any fee-for-service rates for providers and facilitiesunder any such qualified health plan cannot exceed the Medicare ratesfor the same or similar covered services, and for reimbursement otherthan fee-for-service, the aggregate amount the qualified health planpays to providers and facilities cannot exceed the equivalent ofthe aggregate amount the qualified health plan would have reimbursedproviders using fee-for-service Medicare rates.
Bill Text
- Impact statement from DPB (HB5083) View text Current html August 18, 2020
Action History
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Tabled in Health, Welfare and Institutions (19-Y 3-N)
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Impact statement from DPB (HB5083)
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Referred to Committee on Health, Welfare and Institutions
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Presented and ordered printed 20200116D
Sponsorship breakdown
Export CSV (upgrade) →0 sponsors · 0 co-sponsors · 148 not signed on · 2 voted No
Sponsors (0)
None.
Co-sponsors (0)
None.
Not signed on (148)
148 members have not signed on to this bill.
Show all 148 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 19 | 3 | 0 | 0 |
| Total | 19 | 3 | 0 | 0 |
| % of votes cast | 86% | 14% | 0% | 0% |
How each member voted (22)
| Member | Party | Vote |
|---|---|---|
| Levine, Mark H. | — | Yea |
| Samirah, Ibraheem S. | — | Nay |
| Orrock, Robert D., Sr. | — | Yea |
| Bell, Robert B. | — | Yea |
| Edmunds, James E., II | — | Yea |
| Robinson, Roxann L. | — | Yea |
| Avoli, G. "John" | — | Yea |
| C.E. Cliff Hayes, Jr. | — | Yea |
| Christopher T. Head | — | Yea |
| Elizabeth R. Guzman | — | Nay |
| Hyland F. "Buddy" Fowler, Jr. | — | Yea |
| Karrie K. Delaney | — | Yea |
| Kathy K.L. Tran | — | Yea |
| Kimberly Pope Adams | — | Yea |
| Lashrecse D. Aird | — | Yea |
| M. Keith Hodges | — | Yea |
| Marcia S. "Cia" Price | — | Yea |
| Mark D. Sickles | — | Yea |
| Patrick A. Hope | — | Yea |
| Rodney T. Willett | — | Yea |
| Sam Rasoul | — | Nay |
| Wendell S. Walker | — | Yea |
Subjects
Frequently asked questions
- What does HB 5083 do?
- Health care coverage; qualified health plans.Requires the Department of Medical Assistance Services, in collaborationwith the State Corporation Commission, to contract with health carriersto offer qualified health plans on the health benefit exchange beginningJanuary 1, 2022. The bill provides that such qualified health plansare designed to reduce deductibles, make more services availablebefore the deductible is met, provide predictable cost sharing, maximizesubsidies, limit adverse premium impacts, reduce barriers to maintainingand improving health, encourage choice based on value, and limitadverse premium impacts and increases in premium rates. The billrequires that any health carrier contracted with the Department tooffer such qualified health plans (i) is licensed and in good standingto offer health insurance coverage in the Commonwealth and (ii) offersat least one qualified health plan at a silver level of coverageand one qualified health plan at a gold level of coverage. The billprovides that any fee-for-service rates for providers and facilitiesunder any such qualified health plan cannot exceed the Medicare ratesfor the same or similar covered services, and for reimbursement otherthan fee-for-service, the aggregate amount the qualified health planpays to providers and facilities cannot exceed the equivalent ofthe aggregate amount the qualified health plan would have reimbursedproviders using fee-for-service Medicare rates.
- What is the current status of HB 5083?
- This bill died with 2020, 1st Special Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track HB 5083?
- Track HB 5083 free on One Click Politics — get push/email alerts when it moves.
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