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2024 Session

Budget Amendments - SB30 (Committee Approved)

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Guidance on Essential Health Benefits (language only)

Item 479 #1s

Item 479 #1s

Independent Agencies
State Corporation Commission

Language

Page 527, after line 30, insert:

"E. The Bureau of Insurance shall request guidance from the Centers for Medicare and Medicaid Services on: (i) how nutritional counseling is defined as a preventive care benefit under the Patient Protection and Affordable Care Act and review whether the current definition of nutritional counseling in Virginia's Essential Health Benefit benchmark plan meets federal guidelines; and (ii) whether removing prior authorization for eating disorder services would be considered an expansion of services that would warrant a state-funded cost defrayal under the Patient Protection and Affordable Care Act. The Bureau of Insurance shall report its findings to the Joint Commission on Health Care and the Health Insurance Reform Commission by September 1, 2024."



Explanation

(This amendment directs the Bureau of Insurance to seek clarity from the Centers for Medicare and Medicaid Services on two service provisions related to nutritional counseling and eating disorder services within Virginia’s essential health benefits benchmark plan and report back its findings. This is a recommendation of the Joint Commission on Health Care.)