Commonwealth Health Reinsurance Program; federal risk adjustment program.
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HB 842 — Commonwealth Health Reinsurance Program; federal risk adjustment program.
Last action — Approved by Governor-Chapter 548 (effective 7/1/22)
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed House of Delegates
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 12, 2022. Enacted.
Signed by Governor Glenn Youngkin (Republican) on April 11, 2022.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Cleared a recorded vote
Passed 8 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Commonwealth Health Reinsurance Program; federal risk adjustment program. Eliminates the requirement that the State Corporation Commission consider transfers made under the federal risk adjustment program to eliminate double reimbursement for high-cost cases as a factor when establishing payment parameters for the benefit year under the Commonwealth Health Reinsurance Program. The bill also eliminates the requirement that the Commission factor in transfers received for an enrolled individual under the federal risk adjustment program when calculating each reinsurance payment based on an eligible carrier's incurred claims costs for a covered person's covered benefits in the applicable benefit year. This bill is identical to SB 338.
Bill Text
What changed in the latest version
114 added · 110 removedPlain-language change summary
The recent amendment to HB 842 clarifies definitions related to the Commonwealth Health Reinsurance Program. It specifically updates the term "Affordable Care Act" to clearly reference its latest amendments and provides definitions for terms like "attachment point" and "coinsurance rate." These changes matter because they ensure that the law accurately reflects current healthcare regulations and frameworks, which can help facilitate better understanding and implementation of health insurance policies in Virginia.
SESSION ENROLLED VIRGINIA ACTS OF ASSEMBLY ––-- 2022 SESSION CHAPTER E548 An Act to amend and reenact §§ 38.2-6600 and 38.2-6602 of the Code of Virginia, as they may become program.e,effective, relating to the Commonwealth Health Reinsurance Program;
federal risk adjustment Rprogram. O [H 842] L Approved L Be it enacted by the General Assembly of Virginia:
E[H 1.842] Approved April 11, 2022 Be it enacted by the General Assembly of Virginia:
That1. §§ 38.2-6600 and 38.2-6602, as they may become effective, of the Code of Virginia are D ame§ 38.2-6600.
That §§ 38.2-6600 and 38.2-6602, as they may become effective, of the Code of Virginia are amended and reenacted as follows:
§ 38.2-6600.
111-148, as amendedfurther byamended.ealth the Health Care and Education Reconciliation Act of 2010, P.L.
111-152, and as it may be further"Allowed amended.amount" has the same meaning as provided in § 38.2-3438.
"Allowed"Attachment amount"point" hasmeans the sameamount meaningset asby providedthe Commission for claims costs incurred by an eligible carrier for a covered person's covered benefits in §a 38.2-3438.benefit year, above which the claims costs for benefits are eligible for reinsurance payments under the Program.
"Attachment"Benefit point" means the amount set by the Commission for claims costs incurred by an elHgible carrier for a covered person's covered benefits in a benefit year, above which the claims costs8for ben"Benefit year" means the calendar year for which an eligible carrier provides coverage through an individual health benefit plan.
R "Coinsurance rate" means the rate set by the Commission at which the Program will reimburse an eligible carrier for claims incurred for a covered person's covered benefits in a benefit year, which claims exceed the attachment point but are below the reinsurance cap.
"Covered person" means an individual covered under individual health insurance coverage that (i) is delivered or issued for delivery in the Commonwealth and (ii) is neither a grandfathered plan, student nonenforcement policy.age, nor transitional coverage that the federal government allows under a "Eligible carrier" means a carrier that (i) offers individual health insurance coverage other than a grandfathered plan, student health insurance coverage, ornor transitional coverage that the federal government allows under a nonenforcement policypolicy. and (ii) incurs claims costs for a covered person's covered benefits in the applicable benefit year.
"Eligible carrier" means a carrier that (i) offers individual health insurance coverage other than a grandfathered plan, student health insurance coverage, or transitional coverage that the federal government allows under a nonenforcement policy and (ii) incurs claims costs for a covered person's covered benefits in the applicable benefit year.
"Group health insurance coverage" has the same meaning as provided in § 38.2-3438.
"Reinsurance cap" means the amount set by the Commission for claims costs incurred by an eligible carrier for a covered person's covered benefits in a benefit year, above which the claims costs forefor benefits are no longer eligible for reinsurance payments under the Program.
established.02.§ 38.2-6602.
established.
The Commission shall implement a reinsurance program, known as the Commonwealth Health of 2 Reinsurance Program.
If the State of 2 Innovation Waiver and federal funding request submitted by the Commission pursuant to § 38.2-6606 are approved, the Commission shall implement and operate the Program in accordance with this section.
View plain text versions (3)
- CHAP0548 View text Current pdf April 11, 2022
- HB842ER View text pdf February 28, 2022
- Prefiled Prefiled and ordered printed; offered 01/12/22 22102093D pdf January 12, 2022
Action History
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Approved by Governor-Chapter 548 (effective 7/1/22)
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Governor's Action Deadline 11:59 p.m., April 11, 2022
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Enrolled Bill communicated to Governor on March 11, 2022
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Impact statement from SCC (HB842ER)
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Signed by President
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Signed by Speaker
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Enrolled
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Passed Senate (40-Y 0-N)
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Read third time
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Constitutional reading dispensed (40-Y 0-N)
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Reported from Commerce and Labor (15-Y 0-N)
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Referred to Committee on Commerce and Labor
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Constitutional reading dispensed
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VOTE: Block Vote Passage #2 (99-Y 0-N)
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Passed House BLOCK VOTE (99-Y 0-N)
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Reconsideration of passage agreed to by House
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VOTE: Block Vote Passage (98-Y 0-N)
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Read third time and passed House BLOCK VOTE (98-Y 0-N)
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Read second time and engrossed
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Read first time
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Reported from Appropriations (22-Y 0-N)
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Subcommittee recommends reporting (8-Y 0-N)
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Assigned App. sub: Health & Human Resources
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Referred to Committee on Appropriations
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Reported from Commerce and Energy (21-Y 0-N)
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Impact statement from SCC (HB842)
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Referred to Committee on Commerce and Energy
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Prefiled and ordered printed; offered 01/12/22 22102093D
Sponsors
- Mark D. Sickles · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 147 not signed on
Sponsors (1)
Co-sponsors (0)
None.
Not signed on (147)
147 members have not signed on to this bill.
Show all 147 →"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 | 40 | 0 | 0 | 0 |
| Total | 40 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 40 | 0 | 0 | 0 |
| Total | 40 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (40)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 15 | 0 | 0 | 0 |
| Total | 15 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (15)
| Member | Party | Vote |
|---|---|---|
| Spruill, Lionell, Sr. | — | Yea |
| Barker, George L. | — | Yea |
| Bell, John J. | — | Yea |
| David W. Marsden | — | Yea |
| Ebbin, Adam P. | — | Yea |
| Edwards, John S. | — | Yea |
| L. Louise Lucas | — | Yea |
| Lewis, Lynwood W., Jr. | — | Yea |
| Mark D. Obenshain | — | Yea |
| Mason, T. Montgomery "Monty" | — | Yea |
| Newman, Stephen D. | — | Yea |
| Norment, Thomas K., Jr. | — | Yea |
| R. Creigh Deeds | — | Yea |
| Saslaw, Richard L. | — | Yea |
| Scott A. Surovell | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 97 | 0 | 0 | 2 |
| Total | 97 | 0 | 0 | 2 |
| % of votes cast | 98% | 0% | 0% | 2% |
How each member voted (99)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 98 | 0 | 0 | 1 |
| Total | 98 | 0 | 0 | 1 |
| % of votes cast | 99% | 0% | 0% | 1% |
How each member voted (99)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 22 | 0 | 0 | 0 |
| Total | 22 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (22)
| Member | Party | Vote |
|---|---|---|
| Betsy B. Carr | — | Yea |
| Bulova, David L. | — | Yea |
| C.E. Cliff Hayes, Jr. | — | Yea |
| Coyner, Carrie E. | — | Yea |
| David A. Reid | — | Yea |
| Davis, Glenn R. | — | Yea |
| Delores L. McQuinn | — | Yea |
| Emily M. Jordan | — | Yea |
| Fariss, C. Matthew | — | Yea |
| James W. Morefield | — | Yea |
| Knight, Barry D. | — | Yea |
| Luke E. Torian | — | Yea |
| M. Keith Hodges | — | Yea |
| Marshall, Daniel W., III | — | Yea |
| Paul E. Krizek | — | Yea |
| Plum, Kenneth R. | — | Yea |
| Robert S. Bloxom, Jr. | — | Yea |
| Sam Rasoul | — | Yea |
| Scott A. Wyatt | — | Yea |
| Sickles, Mark D. | — | Yea |
| Terry L. Austin | — | Yea |
| Wampler, William C., III | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 8 | 0 | 0 | 1 |
| Total | 8 | 0 | 0 | 1 |
| % of votes cast | 89% | 0% | 0% | 11% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Betsy B. Carr | — | Yea |
| Coyner, Carrie E. | — | Yea |
| Emily M. Jordan | — | Yea |
| Fariss, C. Matthew | — | Yea |
| Knight, Barry D. | — | Not Voting |
| M. Keith Hodges | — | Yea |
| Sam Rasoul | — | Yea |
| Sickles, Mark D. | — | Yea |
| Wampler, William C., III | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 21 | 0 | 0 | 1 |
| Total | 21 | 0 | 0 | 1 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (22)
| Member | Party | Vote |
|---|---|---|
| Adams, Les R. | — | Yea |
| Alfonso H. Lopez | — | Yea |
| Batten, Amanda E. | — | Yea |
| Byron, Kathy J. | — | Yea |
| Christopher T. Head | — | Yea |
| Don Scott | — | Yea |
| Gooditis, Wendy W. | — | Yea |
| Guzman, Elizabeth R. | — | Yea |
| Israel D. O'Quinn | — | Yea |
| Jeion A. Ward | — | Yea |
| Joseph P. McNamara | — | Yea |
| Keam, Mark L. | — | Yea |
| Kory, Kaye | — | Yea |
| Lamont Bagby | — | Yea |
| Marshall, Daniel W., III | — | Yea |
| Michael J. Webert | — | Yea |
| Mullin, Michael P. | — | Yea |
| R. Lee Ware | — | Yea |
| Ransone, Margaret B. | — | Yea |
| Richard C. "Rip" Sullivan, Jr. | — | Yea |
| Terry G. Kilgore | — | Not Voting |
| Tony O. Wilt | — | Yea |
Subjects
Frequently asked questions
- What does HB 842 do?
- Commonwealth Health Reinsurance Program; federal risk adjustment program. Eliminates the requirement that the State Corporation Commission consider transfers made under the federal risk adjustment program to eliminate double reimbursement for high-cost cases as a factor when establishing payment parameters for the benefit year under the Commonwealth Health Reinsurance Program. The bill also eliminates the requirement that the Commission factor in transfers received for an enrolled individual under the federal risk adjustment program when calculating each reinsurance payment based on an eligible carrier's incurred claims costs for a covered person's covered benefits in the applicable benefit year. This bill is identical to SB 338.
- Who sponsors HB 842?
- HB 842 is sponsored by Mark D. Sickles.
- What is the current status of HB 842?
- This bill has been enacted into law. Introduced January 12, 2022. Enacted.
- Where can I track HB 842?
- Track HB 842 free on One Click Politics — get push/email alerts when it moves.
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