Del. Irene Shin

Department of Medical Assistance Services; annual review of medication and treatment for sickle cell disease; report. Directs the Department of Medical Assistance Services to conduct an annual review of all medications and forms of treatment for sickle cell disease, and services for enrollees with a diagnosis of sickle cell disease, that are eligible for coverage under the state plan for medical assistance services. The bill requires the Department to report its findings and recommendations by November 15 each year to the Chairmen of the House Committee of Health, Welfare and Institutions and the Senate Committee on Education and Health and to the Joint Commission on Health Care.

Elections; precincts and polling places; noticeof changes mailed at least 30 days prior to election. Requiresnotice of any adopted change in an election district, precinct, orpolling place to be mailed to all registered voters subject to suchchange at least 30 days prior to the next election. Currently, suchnotice must be mailed at least 15 days prior.

Cruelty to elephants; pain-inflicting training tools prohibited; actions for attachment; civil penalty. Prohibits using devices such as a bullhook, axe handle, or block and tackle or engaging in certain practices in order to discipline, train, or control the behavior of an elephant. The bill provides that any person who uses such devices or engages in certain practices that inflict fear or pain on or cause physical injury to an elephant is subject to a civil penalty not to exceed $2,500 for the first offense and not to exceed $5,000 for subsequent violations. Finally, the bill provides that an action in equity may be brought to request an attachment for any devices prohibited by the bill against a person violating the provisions of the bill.

Health insurance; prior authorization. Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that require that if a prior authorization request is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, the carrier shall not revoke, limit, condition, modify, or restrict that authorization unless (i) there is evidence that the authorization was obtained based on fraud or misrepresentation; (ii) final actions by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer remove the drug from the market, limit its use in a manner that affects the authorization, or communicate a patient safety issue that would affect the authorization alone or in combination with other authorizations; (iii) a combination of drugs prescribed would cause a drug interaction; or (iv) a generic or biosimilar is added to the prescription drug formulary. The bill provides that such provisions do not require a carrier to cover any benefit not otherwise covered or cover a prescription drug if the enrollee is no longer covered by a health plan on the date the prescription drug was scheduled, provided, or delivered. This bill is identical to SB 98.

Board of Education; Provisional (Career Switcher)License; special education. Requires the Board of Education to amend its relevant regulation to permit any career switcher who seeksa teaching endorsement preK through grade 12, including any careerswitcher who seeks a teaching endorsement in special education, topursue a Provisional (Career Switcher) License through the career switcher alternate route to licensure program in accordance withall of the requirements set forth in such regulation, thereby eliminatingthe prohibition against the pursuit of such a license for any careerswitcher who seeks a teaching endorsement in special education. Thebill also clarifies that such required regulatory amendment createsan additional pathway to provisional license for an individual whoseeks a teaching endorsement in special education and does not supplantthe Provisional (Special Education) License option authorized pursuantto Board regulation.

Adult wellness screening; sickle cell disease or sickle cell trait. Provides that every adult resident of the Commonwealth may be offered screening tests for sickle cell disease or the sickle cell trait and requires that the health care professional in charge of an adult's annual health examination provide education and appropriate counseling regarding the results of any such test that is performed.

Superintendent of Public Instruction; pandemicrecovery task force; report. Requires the Superintendent ofPublic Instruction to establish and appoint such members as he deems necessary or appropriate to a pandemic recovery task force (the taskforce) within the Department of Education, the purpose of which isto examine the negative impacts of the COVID-19 pandemic on publiceducation in the Commonwealth and to provide recommendations, guidance,and resources to each local school division in order to enable allenrolled students to thrive academically, socially, and emotionallyand to meet or exceed pre-pandemic levels on all relevant metricsof student achievement and well-being. The bill requires the taskforce to focus particularly on student learning loss, attendance,and mental health and on vulnerable populations of students and toannually submit a report of its findings and recommendations to theBoard, the Governor, the General Assembly, and each school boardno later than November 1.

Health insurance; coverage for colorectal cancer screening. Requires health insurers to provide coverage for examinations and laboratory tests related to colorectal cancer screening in accordance with the most recently published recommendations established by the U.S. Preventive Services Task Force for colorectal cancer screening for which a rating of A or B is in effect with respect to the individual involved. The bill requires such coverage to include coverage of a follow-up colonoscopy after a positive noninvasive stool-based screening test or direct visualization screening test. The bill prohibits such coverage from being subject to any deductible, coinsurance, or any other cost-sharing requirements for services received from participating providers. The provisions of the bill apply to individual or group accident and sickness insurance policies, individual or group accident and sickness subscription contracts, or health care plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2025.

School building evacuation plans, policies,and protocols; students with mobility impairments. Requires anydivisionwide or public elementary or secondary school-specific schoolbuilding evacuation plan, policy, or protocol to include provisionsthat seek to maximize the opportunity for students with mobilityimpairments to evacuate the school building alongside their non-mobility-impairedpeers.

Public school teachers; daily lunch breaks; data collection; report. Requires the Department of Education to annually collect and present in the Virginia School Survey of Climate and Working Conditions school-level and division-level data on the share of teachers that are provided each working day a lunch break of at least 30 minutes in length and unencumbered by any teaching or supervisory duties.