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.
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 summaryThis resolution formally commends Barry Eugene DuVal for his contributions. It is a ceremonial gesture with no policy impact or effect on legislation, as it does not create new laws, alter regulations, or affect any group or individual. The bill passed both chambers by voice vote with no substantive changes.
Maddy summaryThis is a ceremonial resolution (SR 316) honoring William Denman Zirkle. It does not create new laws or affect any policies, people, or programs. The resolution simply expresses the Senate's recognition of Zirkle's life and contributions through a formal statement. It was passed by the Senate on March 5, 2025, as a non-binding commemorative measure.
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.
Maddy summaryThis bill (SJ 406) is a ceremonial resolution that formally commends the Virginia Wing of the Civil Air Patrol for its service. It does not create new laws or affect any individuals, organizations, or policies - it is purely symbolic recognition. The resolution passed unanimously in both the Virginia Senate and House in February 2025. It expresses legislative appreciation for the Civil Air Patrol's contributions but has no binding effect or practical impact beyond the statement itself.
Maddy summarySJ 408 is a ceremonial resolution formally honoring the United States Army for its service. It does not create new laws or affect specific individuals or policies; instead, it expresses legislative recognition through a symbolic gesture. The bill passed unanimously in both the Senate and House in February 2025, with no substantive policy changes or implementation mechanisms. As a commemorative resolution, it has no legal effect beyond the expression of praise.
Maddy summaryThis bill (SJ 387) is a ceremonial resolution commending Colonel Gary T. Settle for his service. It does not create new laws or affect any policies or individuals beyond the formal recognition. The resolution was unanimously agreed to by both the Senate and House in February 2025, becoming an official legislative expression of appreciation. It directly honors Colonel Settle but has no binding effect or practical impact on government operations.
Maddy summarySJ 443 is a ceremonial resolution commending Tara Dower for her contributions, likely in a community or professional capacity. It has no policy provisions, funding, or regulatory impact - it serves only as a formal expression of recognition. The resolution passed unanimously in both the Senate and House via voice vote in early March 2025. Such resolutions are standard procedural measures with no effect on laws or constituents.
Maddy summaryThis bill (SJ 437) is a non-substantive resolution commending Anthony Guy Bennett for his contributions. It does not create new laws or affect any policies, programs, or individuals beyond expressing formal appreciation. The resolution passed both the Senate and House by voice vote in early March 2025. As a commemorative measure, it has no practical impact beyond the ceremonial recognition stated in its title.