Virginia reviews nonessential health benefit requirements, coverage

Virginia lawmakers are reviewing benefit bills tied to Affordable Care Act implementation as the state’s current law barring nonessential health benefits could soon be deemed discriminatory.

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Currently, Virginia law does not allow qualified health plans to offer benefits outside of essential health benefits, which the state would have to pay for, according to State of Reform

However, should the law be overturned, that may change, and the latest legislative review from the Virginia Health Insurance Reform Commission marks the state bracing for impact. 

Reviews of current bills poise Virginia to pay for diabetes services, mental health and substance use disorders, and hearing aids for minors — which would be delayed until 2022 because of its fiscal impact. The state would not cover pregnant enrollees outside of the open enrollment period.

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