State plan for medical assistance services and health insurance; pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance services to include a provision for payment of medical assistance for the prophylaxis, diagnosis, and treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS) that includes payment for treatment using antimicrobials, medication, and behavioral therapies to manage neuropsychiatric symptoms, immunomodulating medicines, plasma exchange, and intravenous immunoglobulin therapy.The bill also requires each 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; each corporation providing individual or group accident and sickness subscription contracts; and each health maintenance organization providing a health care plan for health care services to provide coverage for the prophylaxis, diagnosis, and treatment of PANDAS and PANS. The bill requires such coverage to include coverage for treatment using antimicrobials, medication, and behavioral therapies to manage neuropsychiatric symptoms, immunomodulating medicines, plasma exchange, and intravenous immunoglobulin therapy.The bill prohibits an insurer, corporation, or organization from (i) denying or delaying the coverage of PANDAS or PANS because the enrollee previously received treatment or because the enrollee was diagnosed with or received treatment for his condition under a different diagnostic name, including autoimmune encephalopathy; (ii) limiting coverage of immunomodulating therapies for the treatment of PANDAS or PANS in a manner that is inconsistent with the treatment guidelines developed by a consortium convened for the purposes of researching, identifying, and publishing best practice standards for diagnosis and treatment of PANDAS or PANS that are accessible for medical professionals and are based on evidence of positive patient outcomes; (iii) requiring a trial of therapies that treat only neuropsychiatric symptoms before authorizing coverage of immunomodulating therapies for the treatment of PANDAS or PANS; or (iv) denying coverage for out-of-state treatment if the service is not available within the Commonwealth. This bill is a recommendation of the Health Insurance Reform Commission.
Del. Paul Krizek
Sponsored bills
Maddy summaryHJ 510 is a ceremonial joint resolution commending the Gloucester County Branch of the NAACP for its community work. It does not create new laws or affect any policies, as it is purely a symbolic recognition passed by both the House and Senate via voice vote in early March 2025. The resolution formally acknowledges the organization's contributions without imposing any requirements or changes.
Maddy summaryThis resolution formally commends the American Friends of Lafayette for their work promoting historical connections between the U.S. and France, but contains no policy changes or funding. It is purely ceremonial, expressing legislative appreciation without creating new laws or obligations. The bill passed both chambers unanimously as a symbolic gesture. No specific individuals or groups are directly affected by this resolution beyond the recognition offered.
Maddy summaryHJ 494 is a ceremonial resolution that expresses legislative appreciation for St. John's Church, a historic religious site. It does not create new laws, allocate funds, or affect any policies or individuals. The bill formally commends the church's historical significance through a symbolic gesture by the state legislature. Passed unanimously by both the House and Senate in early 2025, it has no practical impact beyond recognition.
Study; Department of Environmental Quality; tax policy options for reforming the litter tax; report. Requests the Department of Environmental Quality to study tax policy options for reforming the litter tax.
Joint commission to oversee transition of the Commonwealth into a retail cannabis market established; report. Establishes a joint commission to oversee the transition of the Commonwealth into a retail cannabis market. The joint commission shall expire on July 1, 2028.
Amyotrophic Lateral Sclerosis Awareness Month. Designates May, in 2025 and in each succeeding year, as Amyotrophic Lateral Sclerosis Awareness Month in Virginia.
Maddy summaryHR 481 is a House resolution commending Lawrence Douglas Wilder, Virginia's first Black governor and former lieutenant governor. It serves as a formal, symbolic recognition of his contributions to public service and leadership. The bill does not create any policy changes or affect specific groups; it is purely a ceremonial gesture. The resolution passed unanimously by the House on January 16, 2025, and was engrossed for final passage.
Maddy summaryThis is a commemorative resolution honoring Matthew Charles Obenshain. It does not create any new laws or affect policies; it simply expresses legislative recognition of his life. The resolution was passed unanimously by both the Senate and House on February 20-21, 2025. It has no binding effect beyond ceremonial acknowledgment.
Maddy summaryThis bill (SJ 410) is a ceremonial resolution commending the Northern Virginia Chamber of Commerce for its work. It does not create new laws or affect any policies, programs, or individuals. The resolution formally expresses legislative appreciation but has no binding effect or practical impact. It passed both chambers of the legislature by voice vote in early 2025.