Virginia 2022 Regular Session

Virginia Senate Bill SB338

Introduced
1/11/22  
Refer
1/11/22  
Report Pass
2/7/22  
Engrossed
2/9/22  
Refer
2/21/22  
Report Pass
3/3/22  
Enrolled
3/10/22  
Chaptered
4/11/22  

Caption

Commonwealth Health Reinsurance Program; federal risk adjustment program.

Impact

The bill will amend existing sections of the Virginia Code concerning health insurance, specifically adding provisions for the establishment and operation of a reinsurance program. This change aims to alleviate insurance costs for high-risk individuals and supports the sustainability of the individual health insurance market by ensuring that carriers can recoup a portion of their large claims through reinsurance payments. The expectation is that reduced financial burden on carriers will translate into lower premiums for consumers, thereby enhancing overall market participation.

Summary

SB338 establishes the Commonwealth Health Reinsurance Program, designed to provide reinsurance payments to eligible health insurance carriers in Virginia. This program is intended to reduce costs associated with high claims in the individual health insurance market, thereby stabilizing premiums and increasing access to health care services. The legislation sets forth definitions and framework for the program, contingent upon the approval of a federal State Innovation Waiver, which is necessary for the program's full implementation and funding from federal sources.

Sentiment

The sentiment around SB338 appears to be generally positive among supporters who argue that it is a crucial step in ensuring the affordability and accessibility of healthcare in Virginia. Proponents view the reinsurance strategy as a means to mitigate the adverse effects of high-risk claims on insurance premiums. However, there are concerns from some stakeholders about the reliance on federal approval for the State Innovation Waiver, which raises questions about the viability of the program once implemented.

Contention

Notably, one point of contention expressed during discussions revolves around funding and the reliance on federal support for the program's implementation. Should the waiver not be approved or if federal funding is insufficient, the program's objectives may not be met, leading to potential market instability. Critics argue that the bill might not address systemic issues in healthcare funding and insurance coverage, thereby necessitating further reforms beyond reinsurance strategies.

Companion Bills

VA HB842

Same As Commonwealth Health Reinsurance Program; federal risk adjustment program.

Previously Filed As

VA HB842

Commonwealth Health Reinsurance Program; federal risk adjustment program.

VA HB591

Commonwealth Health Reinsurance Program; payment parameters.

VA SB1807

Relating to the creation of the Texas Health Insurance Exchange and an exchange reinsurance program.

VA SF1024

MNsure premium subsidy program establishment, providing a sunset for the Minnesota premium security plan, and appropriation

VA HF2506

Premium subsidy program administered by MNsure established, sunset for Minnesota premium security plan provided, and money appropriated.

VA HB601

Health insurance; patient access to emergency services, mobile crisis response services.

VA SB543

Health insurance; patient access to emergency services, mobile crisis response services.

VA S2769

Comprehensive Health Insurance Program

VA H8119

Comprehensive Health Insurance Program

VA S0572

Comprehensive Health Insurance Program

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