Del. Josh Cole

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 antibiotics, 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.

Paid family and medical leave insurance program; notice requirements; civil action. Requires the Virginia Employment Commission to establish and administer a paid family and medical leave insurance program with benefits beginning January 1, 2027. Under the program, benefits are paid to covered individuals, as defined in the bill, for family and medical leave. Funding for the program is provided through premiums assessed to employers and employees beginning January 1, 2026. The bill provides that the amount of a benefit is 80 percent of the employee's average weekly wage, not to exceed 80 percent of the state weekly wage, which amount is required to be adjusted annually to reflect changes in the statewide average weekly wage. The bill caps the duration of paid leave at 12 weeks in any application year and provides self-employed individuals the option of participating in the program.

Celebrating the life of Karen Harrison Jones.

Commending the Suffolk Alumnae Chapter of DeltaSigma Theta Sorority, Inc.

Commending the Virginia Black Chamber of Commerce.

Celebrating the life of Elizabeth PattersonEpps.

Celebrating the life of Richard Carlton Griffin,Sr.

Commending Olive Chamblin Brown.

Presidential electors; National Popular VoteCompact. Enters Virginia into an interstate compact known asthe Agreement Among the States to Elect the President by NationalPopular Vote. Article II of the Constitution of the United Statesgives the states exclusive and plenary authority to decide the mannerof awarding their electoral votes. Under the compact, Virginia agreesto award its electoral votes to the presidential ticket that receivesthe most popular votes in all 50 states and the District of Columbia.The compact goes into effect when states cumulatively possessinga majority of the electoral votes have joined the compact. A statemay withdraw from the compact; however, a withdrawal occurring withinsix months of the end of a President's term shall not become effectiveuntil a President or Vice President has qualified to serve the next term.

Constitutional amendment (first reference);qualifications of voters; right to vote; persons not entitled tovote. Provides that every person who meets the qualificationsof voters set forth in the Constitution of Virginia shall have thefundamental right to vote in the Commonwealth and that such rightshall not be abridged by law, except for persons who have been convictedof a felony and persons who have been adjudicated to lack the capacityto understand the act of voting. A person who has been convictedof a felony shall not be entitled to vote during any period of incarcerationfor such felony conviction, but upon release from incarceration forthat felony conviction and without further action required of him,such person shall be invested with all political rights, includingthe right to vote. Currently, in order to be qualified to vote a personconvicted of a felony must have his civil rights restored by theGovernor or other appropriate authority. The amendment also providesthat a person adjudicated by a court of competent jurisdiction aslacking the capacity to understand the act of voting shall not be entitled to vote during this period of incapacity until his capacityhas been reestablished as prescribed by law. Currently, the Constitutionof Virginia provides that a person who has been adjudicated to bementally incompetent is not qualified to vote until his competencyis reestablished.