Department of Medical Assistance Services; expedited review process for Medicaid service authorization requests; report. Directs the Department of Medical Assistance Services to (i) implement expedited review of Medicaid service authorization requests consistent with applicable federal law and (ii) annually transmit the prior authorization report required by the Centers for Medicare and Medicaid Services to the Chairs of the House Committees on Appropriations and Health and Human Services and the Senate Committees on Finance and Appropriations and Education and Health.
Hospitals; reports of threats or acts of violence against health care providers; expansion of reporting requirements. Expands the reporting requirements for incidents of workplace violence in hospitals with an emergency department by requiring additional descriptors of incidents, requiring hospitals to report collected data to additional parties, and directing the Department of Health to publish a report containing an annual summary of such data. The bill directs the Board of Health to promulgate regulations implementing the provisions of the bill by January 1, 2027, and directs the Department of Health to publish its first report by December 31, 2027.
Nursing homes and assisted living facilities; licensure; automated external defibrillators. Requires nursing homes and assisted living facilities to have and maintain an automated external defibrillator and have staff trained to use such automated external defibrillator.
Department of Fire Programs; mental health awareness training. Provides that the Department of Fire Programs shall develop a standardized, two-hour virtual asynchronous training program on mental health awareness tailored to firefighters that includes training on each subject matter set forth in current law. The bill provides the option for each fire department to use such standardized training program as guidance in developing its own mental health awareness training for its personnel. This bill is identical to HB 325.
Health insurance; carrier business practices; electronic attachments. Provides that, in the following contexts, information may be submitted by a provider to a health insurance carrier through electronic attachment, as defined in the bill: (i) information related to services rendered as required by the carrier in its provider contract; (ii) information related to any defect or impropriety that prevents the carrier from deeming a health insurance claim a clean claim, as defined in existing law; and (iii) information required to establish medical necessity, benefit coverage, or prior authorization of services, or to conduct reconsideration activities. The bill has a delayed effective date of January 1, 2027. This bill is identical to HB 676.
Health insurance; reporting requirements. Amends various reporting requirements related to health insurance, including by requiring the State Corporation Commission to maintain and publicly post an inventory of mandated benefits and providers, requiring health carriers to report annually on provider terminations and reinstatements, and consolidating reports related to balance billing and arbitration. The bill repeals reporting requirements related to the Comparable Health Care Service Incentive Program and Virginia Health Savings Account Plan.
Temporary detention; certified evaluators; sunset extended. Extends from July 1, 2026, to July 1, 2027, the sunset date on the current provisions of law authorizing hospitals with a psychiatric emergency department located in the City of Hampton to employ certain trained individuals to perform evaluations to determine whether a person meets the criteria for temporary detention for behavioral health treatment. The current law also requires participating hospitals with psychiatric emergency departments in the City of Hampton to submit monthly and annual reports on temporary detentions and crisis evaluations. This bill is identical to HB 1292.
Department of Medical Assistance Services; Autism Competencies Checklist; positive behavior support facilitators; training. Directs the Department of Medical Assistance Services to amend its regulations relating to the Autism Competencies Checklist to allow positive behavior support facilitators to conduct training sessions on such competencies for direct support professionals and direct support professional supervisors who provide support for individuals with developmental disabilities.
Department of Fire Programs; mental health awareness training. Provides that the Department of Fire Programs shall develop a standardized, two-hour virtual asynchronous training program on mental health awareness tailored to firefighters that includes training on each subject matter set forth in current law. The bill provides the option for each fire department to use such standardized training program as guidance in developing its own mental health awareness training for its personnel. This bill is identical to SB 140.
Temporary detention; certified evaluators; sunset extended. Extends from July 1, 2026, to July 1, 2027, the sunset date on the current provisions of law authorizing hospitals with a psychiatric emergency department located in the City of Hampton to employ certain trained individuals to perform evaluations to determine whether a person meets the criteria for temporary detention for behavioral health treatment. The current law also requires participating hospitals with psychiatric emergency departments in the City of Hampton to submit monthly and annual reports on temporary detentions and crisis evaluations. This bill is identical to SB 735.