HB 925 — Health insurance; coverage for prosthetic devices and components.
Last action — Approved by Governor-Chapter 598 (effective 7/1/22)
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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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5 sponsors
1 primary, 4 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
Health insurance; coverage for prosthetic devices. Requires health insurers, corporations providing health care coverage subscription contracts, health maintenance organizations, and the Commonwealth's Medicaid program to provide coverage for medically necessary prosthetic devices, including myoelectric, biomechanical, or microprocessor-controlled prosthetic devices. The provisions of the bill apply only in the large group markets. The provisions of the bill apply to any policies issued or delivered on and after January 1, 2023. This bill is identical to SB 405.
Bill Text
What changed in the latest version
50 added · 49 removedPlain-language change summary
The amended bill now specifies that health insurance must cover medically necessary prosthetic devices and their components, such as repair and fitting, ensuring that individuals who need these devices have better access to necessary care. One notable change is the clearer definition of what constitutes a "medically necessary prosthetic device." This matters because it helps insure that patients receive the support they need during their rehabilitation, improving their quality of life and independence. However, the coverage does not extend to damages resulting from misuse or neglect, maintaining a balance between ensuring access and encouraging responsible use.
SESSION ENROLLED VIRGINIA ACTS OF ASSEMBLY ––-- 2022 SESSION CHAPTER E598 An Act to amend the Code of Virginia by adding a section numbered 38.2-3418.15:1, relating to health insurance;
R O [H 925] Approved LApril L11, 1.2022 Be it enacted by the General Assembly of Virginia:
1.
E A.
D "Component" means the materials and equipment needed to ensure the comfort and functioning of a prosthetic device.
"Medicallymicroprocessor-controlled necessary prosthetic device"device includesthat anypeer-reviewed myoelectric,medical biomechanical,literature orhas determined to be medically appropriate on the basis of the clinical assessment of the enrollee's rehabilitation potential.
H B.
Notwithstanding the provisions of § 38.2-3418.15 or 38.2-3419, each insurer proposing to issue group accident and sickness insurance policies providing hospital, medical and surgical, or maj2rmajor medical coverage on an expense-incurred basis, each corporation providing group accident and siEknesssickness subscription contracts, and each health maintenance organization providing a health care plan for health care services shall provide coverage for medically necessary prosthetic devices and their repair, fitC.fitting, replacement, and components.
C.
The coverage may be made subject to, and no more restrictive than, the3.the provisions of a health insurance policy that apply to other benefits under the policy.
3.
An insurer, corporation, or health maintenance organization shall not impose upon any person receiving benefits pursuant to this section any coinsurance in excess of 30 percent of the carrier's allowable charge for such prosthetic device or service when such device or service is provided by an in-5.in-network provider.
5.
The provisions of this section shall not apply to (i) short-term travel, accident-only, or limited or groupspecified markets;disease policies;
(ii) policies, contracts, or plans issued in the individual market or small group markets;
View plain text versions (5)
- CHAP0598 View text Current pdf April 11, 2022
- HB925ER View text pdf February 28, 2022
- HB925EH1 View text pdf February 14, 2022
- Committee Substitute Committee substitute printed 22105419D-H1 pdf February 08, 2022
- Prefiled Prefiled and ordered printed; offered 01/12/22 22101265D pdf January 12, 2022
Action History
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Approved by Governor-Chapter 598 (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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Signed by President
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Signed by Speaker
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Impact statement from DPB (HB925ER)
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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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Impact statement from DPB (HB925EH1)
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VOTE: Block Vote Passage (100-Y 0-N)
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Read third time and passed House BLOCK VOTE (100-Y 0-N)
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Printed as engrossed 22105419D-EH1
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Engrossed by House - committee substitute with amendments HB925EH1
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Committee amendments agreed to
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Committee substitute agreed to 22105419D-H1
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Read second time
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Read first time
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Impact statement from DPB (HB925H1)
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Reported from Appropriations with amendment(s) (22-Y 0-N)
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Subcommittee recommends reporting with amendments (8-Y 0-N)
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House subcommittee amendments and substitutes offered
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Assigned App. sub: Health & Human Resources
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Referred to Committee on Appropriations
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Committee substitute printed 22105419D-H1
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Reported from Commerce and Energy with substitute (22-Y 0-N)
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Subcommittee recommends referring to Committee on Appropriations
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Subcommittee recommends reporting with substitute (10-Y 0-N)
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Impact statement from DPB (HB925)
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Assigned sub: Subcommittee #2
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Referred to Committee on Commerce and Energy
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Prefiled and ordered printed; offered 01/12/22 22101265D
Sponsors
- Danica A. Roem · Primary
- Dan I. Helmer · Cosponsor
- James W. Morefield · Cosponsor
- Suhas Subramanyam · Cosponsor
- Wendy W. Gooditis · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 4 co-sponsors · 143 not signed on
Sponsors (1)
Co-sponsors (4)
Not signed on (143)
143 members have not signed on to this bill.
Show all 143 →"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 | 99 | 0 | 0 | 0 |
| Total | 99 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
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 | 22 | 0 | 0 | 0 |
| Total | 22 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
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 | — | Yea |
| Tony O. Wilt | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 10 | 0 | 0 | 1 |
| Total | 10 | 0 | 0 | 1 |
| % of votes cast | 91% | 0% | 0% | 9% |
How each member voted (11)
| Member | Party | Vote |
|---|---|---|
| Adams, Les R. | — | Yea |
| Byron, Kathy J. | — | Not Voting |
| Christopher T. Head | — | Yea |
| Gooditis, Wendy W. | — | Yea |
| Jeion A. Ward | — | Yea |
| Joseph P. McNamara | — | Yea |
| Lamont Bagby | — | Yea |
| Michael J. Webert | — | Yea |
| R. Lee Ware | — | Yea |
| Ransone, Margaret B. | — | Yea |
| Richard C. "Rip" Sullivan, Jr. | — | Yea |
Subjects
Frequently asked questions
- What does HB 925 do?
- Health insurance; coverage for prosthetic devices. Requires health insurers, corporations providing health care coverage subscription contracts, health maintenance organizations, and the Commonwealth's Medicaid program to provide coverage for medically necessary prosthetic devices, including myoelectric, biomechanical, or microprocessor-controlled prosthetic devices. The provisions of the bill apply only in the large group markets. The provisions of the bill apply to any policies issued or delivered on and after January 1, 2023. This bill is identical to SB 405.
- Who sponsors HB 925?
- HB 925 is sponsored by Danica A. Roem, Dan I. Helmer, James W. Morefield, Subramanyam, Suhas, and Gooditis, Wendy W..
- What is the current status of HB 925?
- This bill has been enacted into law. Introduced January 12, 2022. Enacted.
- Where can I track HB 925?
- Track HB 925 free on One Click Politics — get push/email alerts when it moves.
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