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. Lee Ware
Sponsored bills
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 504 is a ceremonial joint resolution that formally expresses appreciation for the National Conference of State Legislatures (NCSL). It does not create new laws or affect any individuals, organizations, or policies. The resolution simply commends NCSL for its work supporting state legislatures and fostering collaboration. Passed unanimously by both the House and Senate in January 2025, it has no binding effect or practical impact beyond the expression of goodwill.
Maddy summaryHJ 502 establishes a committee to commission a portrait of Governor Glenn Youngkin for display in the Virginia Capitol building. The bill creates a specific process for selecting and creating the portrait, with the committee responsible for overseeing the artwork's production. This procedural measure directly affects the Capitol's display arrangements and does not change any laws or impact constituents. It is a commemorative resolution requiring no legislative action beyond the portrait's placement.
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 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 465 is a symbolic resolution commending Shenandoah University for its contributions to education and the community. It does not create new laws or affect any policies, regulations, or individuals. The bill serves solely as a formal expression of recognition from the Virginia General Assembly. As a commemorative resolution, it has no binding effect or practical impact beyond the ceremonial gesture.
Maddy summaryHJ 495 is a commemorative resolution honoring Patricia Buckley Moss. It expresses the legislature's recognition of her life and contributions but does not create any new laws or affect any specific group. The resolution passed both the House and Senate and was formally agreed to in early 2025. As a ceremonial measure, it has no binding policy impact.
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.
Amyotrophic Lateral Sclerosis Awareness Month. Designates May, in 2025 and in each succeeding year, as Amyotrophic Lateral Sclerosis Awareness Month in Virginia.