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. Adele McClure
Sponsored bills
Registration of aircraft; fees. Increases fees for registrations of aircraft and creates multiyear registrations for aircraft for a period not to exceed three years. This bill is identical to SB 948.
Maddy summaryHJ 511 is a commemorative resolution passed by both the House and Senate in early 2025 to honor the late poet and activist Nikki Giovanni. It does not create new laws or affect any individuals or policies; instead, it formally recognizes her contributions to literature and civil rights. The resolution was adopted without debate or committee action, following standard procedure for symbolic legislative actions. This is a purely ceremonial measure with no substantive policy impact.
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 summaryHJ 503 is a ceremonial resolution commending swimmer Torri Huske for her athletic achievements. It does not create new laws or affect any policies, regulations, or individuals beyond the symbolic recognition of her accomplishments. The bill passed both chambers of the legislature with voice votes and was formally adopted as a commendation. This is purely a non-binding expression of honor with no direct impact on legislation or constituents.
Maddy summaryHJ 490 is a ceremonial resolution commending the life and contributions of John Lee Orrock. It does not create new laws or affect any policies, people, or programs. The resolution simply expresses the legislature's recognition and appreciation for Orrock's life, with no binding effect or implementation requirements. This type of resolution is standard for honoring individuals and has no practical impact beyond the symbolic gesture.
Maddy summaryHJ 471 is a ceremonial joint resolution commending the Animal Welfare League of Arlington for its work in animal care and community service. It does not create new laws, alter policies, or affect any specific group beyond expressing official recognition. The resolution was unanimously agreed to by both the House and Senate in early 2025 and is purely symbolic, with no concrete policy changes or financial obligations. It directly honors the organization but does not impact residents, taxpayers, or legislative procedures.
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.