Virginia SB 192: Health insurance; physical therapist office visit, cost-sharing requirements.

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2020 SESSION

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20104256D

SENATE BILL NO. 192 

Offered January 8, 2020 

Prefiled December 29, 2019 

A BILL to amend the Code of Virginia by adding a section 
 numbered 38.2-3407.9:06, relating to health insurance; physical therapist 
 office visit; cost-sharing requirements. 
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Patron-- Peake 

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Referred to Committee on Commerce and Labor 

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Be it enacted by the General Assembly of Virginia:

1. That the Code of Virginia is amended by adding a section 
 numbered 38.2-3407.9:06 as follows:

� 38.2-3407.9:06. 
 Physical therapists; cost-sharing requirements.

A. No 
 (i) insurer proposing to issue individual or group 
 accident and sickness insurance policies providing hospital, medical and 
 surgical, or major medical coverage on an expense-incurred basis; (ii) 
 corporation providing individual or group accident and sickness subscription 
 contracts; or (iii) health 
 maintenance organization providing a health care plan for health care services, 
 whose policies, contracts, or plans, including any certificate or evidence of 
 coverage issued in connection with such policies, contracts, or plans, include 
 coverage for physical therapy shall impose any 
 cost-sharing requirements such as a copayment, coinsurance, or deductible for 
 a physical therapist office 
 visit that exceeds 
 the cost-sharing requirements for a physician or osteopath office 
 visit. For the purposes of this section, "office 
 visit" does not include a 
 preventive visit for which the imposition of 
 any cost-sharing 
 requirements is prohibited 
 pursuant to � 38.2-3442.

B. The provisions of 
 this section shall apply to any policy, 
 contract, or plan delivered, issued for delivery, or renewed in the 
 Commonwealth on and after January 1, 2021.