Fabio
92 lines
5.3 KiB
Markdown
92 lines
5.3 KiB
Markdown
---
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type: "Bill"
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title: "Health care shared savings; incentive programs."
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description: "Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered comparable health care service from a lower-cost provider. Incentive payments are not required for savings of $25 or less. The measure requires health carriers to comply with transparency requirements beginning with health benefit plans offered or renewed on or after July 1, 2020. Programs are required to be approved by the Commissioner of Insurance. This bill is identical to"
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2019"
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identifier: "HB 2639"
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citation: "Virginia HB 2639 (2019)"
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classification: ["bill"]
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subjects: ["Health", "Insurance", "Study Commissions", "Committees and Reports"]
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status: "enacted"
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primary_sponsors: ["Kathy J. Byron"]
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version_count: 6
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action_count: 22
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vote_count: 7
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first_action: "2019-01-10"
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last_action: "2019-03-21"
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source: "openstates"
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source_identifier: "ocd-bill/5c367172-939d-4d17-a5c8-b31a771cc85a"
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source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2639"
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source_hash: "3be25b11d24f0793b4f23c64d93f7d36e0862f27568c102afb1c8c5a4ef6ae8e"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-va"]
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---
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# Virginia HB 2639 (2019) — Health care shared savings; incentive programs.
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Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered comparable health care service from a lower-cost provider. Incentive payments are not required for savings of $25 or less. The measure requires health carriers to comply with transparency requirements beginning with health benefit plans offered or renewed on or after July 1, 2020. Programs are required to be approved by the Commissioner of Insurance. This bill is identical to
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Governor: Acts of Assembly Chapter text (CHAP0666)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0666)
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2. **House subcommittee amendments and substitutes adopted** (committee substitute) — [source](https://committees.lis.virginia.gov/subcommitteeaction.aspx?ses=191&bil=HB2639)
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3. **House: Bill text as passed House and Senate (HB2639ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2639ER)
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4. **House: Committee substitute printed 19105004D-H1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2639H1)
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5. **House: Presented and ordered printed 19103480D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2639)
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6. **Senate amendments engrossed** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+amd+HB2639ASE)
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## Votes
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- Senate amendments agreed to by House — **97–1** (pass) · lower
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- Reported from Commerce and Labor with amendments — **15–0** (pass) · upper
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- Passed Senate with amendments — **40–0** (pass) · upper
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- Subcommittee recommends reporting with substitute — **8–0** (pass) · lower
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- Reported from Commerce and Labor with substitute — **22–0** (pass) · lower
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- Read third time and passed House BLOCK VOTE — **99–0** (pass) · lower
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- Constitutional reading dispensed — **39–0** (pass) · upper
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## Sponsors
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- Kathy J. Byron — primary (person)
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- David J. Toscano — cosponsor (person)
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- Mark H. Levine — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2019-01-10** Presented and ordered printed 19103480D `introduction`
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- **2019-01-10** Referred to Committee on Commerce and Labor `referral-committee`
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- **2019-01-15** Assigned C & L sub: Subcommittee #1 `referral-committee`
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- **2019-01-24** Read first time `reading-1`
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- **2019-01-25** Read second time `reading-2`
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- **2019-01-25** Committee substitute agreed to 19105004D-H1
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- **2019-01-25** Engrossed by House - committee substitute HB2639H1
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- **2019-01-28** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
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- **2019-01-29** Constitutional reading dispensed
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- **2019-01-29** Referred to Committee on Commerce and Labor `referral-committee`
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- **2019-02-14** Read third time `reading-3`
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- **2019-02-14** Reading of amendments waived
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- **2019-02-14** Committee amendments agreed to
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- **2019-02-14** Engrossed by Senate as amended
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- **2019-02-18** Placed on Calendar
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- **2019-02-18** Senate amendments agreed to by House (97-Y 1-N)
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- **2019-02-21** Enrolled
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- **2019-02-21** Signed by Speaker
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- **2019-02-21** Signed by President
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- **2019-02-28** Enrolled Bill communicated to Governor on February 28, 2019
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- **2019-02-28** Governor's Action Deadline Midnight, March 26, 2019
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- **2019-03-21** Approved by Governor-Chapter 666 (effective 7/1/19) `executive-signature`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5c367172-939d-4d17-a5c8-b31a771cc85a`. Confidence: reported (aggregated from official Virginia legislature records).
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