republic-os/legislation/us/states/va/2024/hb-218.md

---
type: "Bill"
title: "Health insurance; health care provider panels, continuity of care."
description: "Health insurance; health care provider panels; continuity of care. Requires a provider to continue to render health care services to any of the carrier's enrollees who have an existing provider-patient relationship with the provider for a period of at least 90 days from the date of a provider's termination from the carrier's provider panel, except when a provider is terminated for cause. The bill provides that for an enrollee who has an existing provider-patient relationship with a provider, and, at the time of the provider's termination, (i) has been medically confirmed to be pregnant, the provider is required to continue care through the postpartum period; (ii) is determined to be terminally ill, the provider is required to continue care for the remainder of the enrollee's life; (iii) has been determined by a medical professional to have a life-threatening condition, the provider is required to continue care for up to 180 days; and (iv) is admitted to and receiving treatment in an inpatient facility, the provider is required to continue care until the enrollee is discharged from the inpatient facility. Under current law, the carrier is required to permit the provider to provide such continuity of care. The bill provides that the continuity of care provisions also apply to plans administered by the Department of Medical Assistance Services that provide benefits pursuant to Title XIX or Title XXI of the Social Security Act."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2024"
identifier: "HB 218"
citation: "Virginia HB 218 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Robert D. Orrock, Sr."]
version_count: 4
action_count: 35
vote_count: 9
first_action: "2024-01-04"
last_action: "2024-04-04"
source: "openstates"
source_identifier: "ocd-bill/1fad04d1-9a68-416a-a157-95955327b927"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB218"
source_hash: "a8d991f2cb8400c4d233136811d252b87626c8f13f9c6e23a1b7aaa192a18485"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-va"]
---

# Virginia HB 218 (2024) — Health insurance; health care provider panels, continuity of care.

Health insurance; health care provider panels; continuity of care. Requires a provider to continue to render health care services to any of the carrier's enrollees who have an existing provider-patient relationship with the provider for a period of at least 90 days from the date of a provider's termination from the carrier's provider panel, except when a provider is terminated for cause. The bill provides that for an enrollee who has an existing provider-patient relationship with a provider, and, at the time of the provider's termination, (i) has been medically confirmed to be pregnant, the provider is required to continue care through the postpartum period; (ii) is determined to be terminally ill, the provider is required to continue care for the remainder of the enrollee's life; (iii) has been determined by a medical professional to have a life-threatening condition, the provider is required to continue care for up to 180 days; and (iv) is admitted to and receiving treatment in an inpatient facility, the provider is required to continue care until the enrollee is discharged from the inpatient facility. Under current law, the carrier is required to permit the provider to provide such continuity of care. The bill provides that the continuity of care provisions also apply to plans administered by the Department of Medical Assistance Services that provide benefits pursuant to Title XIX or Title XXI of the Social Security Act.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **CHAP0377** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0377)
2. **Committee substitute printed 24107076D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB218H1)
3. **HB218ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB218ER)
4. **Prefiled and ordered printed; offered 01/10/24 24102083D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB218)

## Votes

- VOTE: Block Vote Passage (99-Y 0-N) — **98–0** (pass) · lower
- Subcommittee recommends reporting with substitute (7-Y 0-N) — **7–0** (pass) · lower
- Referred from Health and Human Services — **0–0** (fail) · lower
- Reported from Commerce and Labor (15-Y 0-N) — **15–0** (pass) · upper
- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
- Reported from Appropriations (20-Y 0-N) — **20–0** (pass) · lower
- Subcommittee recommends reporting (7-Y 0-N) — **7–0** (pass) · lower
- Reported from Labor and Commerce with substitute (22-Y 0-N) — **22–0** (pass) · lower
- Passed Senate (39-Y 0-N) — **39–0** (pass) · upper

## Sponsors

- Robert D. Orrock, Sr. — primary (person)
- Mark D. Sickles — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2024-01-04** Prefiled and ordered printed; offered 01/10/24 24102083D `filing, introduction`
- **2024-01-04** Referred to Committee on Health and Human Services `referral-committee`
- **2024-01-16** Referred from Health and Human Services `referral-committee`
- **2024-01-16** Referred to Committee on Labor and Commerce `referral-committee`
- **2024-01-18** Assigned L & C sub: Subcommittee #1 `referral-committee`
- **2024-02-05** Impact statement from SCC (HB218)
- **2024-02-06** House subcommittee amendments and substitutes offered
- **2024-02-06** Subcommittee recommends reporting with substitute (7-Y 0-N) `substitution`
- **2024-02-08** Reported from Labor and Commerce with substitute (22-Y 0-N) `committee-passage`
- **2024-02-08** Committee substitute printed 24107076D-H1 `substitution`
- **2024-02-08** Referred to Committee on Appropriations `referral-committee`
- **2024-02-09** Subcommittee recommends reporting (7-Y 0-N)
- **2024-02-09** Reported from Appropriations (20-Y 0-N) `committee-passage`
- **2024-02-11** Read first time `reading-1`
- **2024-02-12** Read second time `reading-2`
- **2024-02-12** Committee substitute agreed to 24107076D-H1 `substitution`
- **2024-02-12** Engrossed by House - committee substitute HB218H1 `substitution`
- **2024-02-13** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
- **2024-02-13** VOTE: Block Vote Passage (99-Y 0-N) `passage`
- **2024-02-14** Constitutional reading dispensed
- **2024-02-14** Referred to Committee on Commerce and Labor `referral-committee`
- **2024-02-16** Impact statement from SCC (HB218H1)
- **2024-02-26** Reported from Commerce and Labor (15-Y 0-N) `committee-passage`
- **2024-02-28** Constitutional reading dispensed (39-Y 0-N)
- **2024-02-29** Read third time `reading-3`
- **2024-02-29** Passed Senate (39-Y 0-N) `passage`
- **2024-03-06** Enrolled `enrolled`
- **2024-03-06** Bill text as passed House and Senate (HB218ER) `passage`
- **2024-03-06** Signed by Speaker `passage`
- **2024-03-07** Signed by President `passage`
- **2024-03-08** Impact statement from SCC (HB218ER)
- **2024-03-11** Enrolled Bill communicated to Governor on March 11, 2024 `enrolled, executive-receipt`
- **2024-03-11** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
- **2024-04-04** Approved by Governor-Chapter 377 (effective 7/1/24) `executive-signature`
- **2024-04-04** Acts of Assembly Chapter text (CHAP0377)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1fad04d1-9a68-416a-a157-95955327b927`. Confidence: reported (aggregated from official Virginia legislature records).