{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-138.12.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-138.12.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-138.12.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-138.12.html"}],"law_id":54583,"edition_id":1,"section_id":54583,"structure_id":13616,"section_number":"32.1-138.12","catch_line":"Waiver of requirements of article","history":"1990, c. 826, \u00a7 38.2-5306; 1998, c. 129.","full_text":"The Department shall waive the requirements of this article for a private review agent that operates under contract with the federal government for utilization review of patients eligible for hospital services under Title XVIII of the Social Security Act or under contract with a plan otherwise exempt from operation of this chapter pursuant to the Employee Retirement Income Security Act of 1974.","order_by":null,"text":{"0":{"id":200429,"text":"The Department shall waive the requirements of this article for a private review agent that operates under contract with the federal government for utilization review of patients eligible for hospital services under Title XVIII of the Social Security Act or under contract with a plan otherwise exempt from operation of this chapter pursuant to the Employee Retirement Income Security Act of 1974.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":13616,"edition_id":1,"name":"Private Review Agents","identifier":"2.1","label":"article","depth":3,"order_by":1,"parent_id":12728,"metadata":{},"date_created":"2026-06-26 03:45:23","date_modified":"2026-06-26 03:45:23","permalink":{"id":203197,"object_type":"structure","relational_id":13616,"identifier":"2.1","token":"32.1\/5\/2.1","url":"\/32.1\/5\/2.1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12728,"edition_id":1,"name":"Regulation of Medical Care Facilities and Services","identifier":"5","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":202855,"object_type":"structure","relational_id":12728,"identifier":"5","token":"32.1\/5","url":"\/32.1\/5\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":74883,"structure_id":13616,"section_number":"32.1-138.10","catch_line":"Expiration; renewal","url":"\/32.1-138.10\/","token":"32.1\/5\/2.1\/32.1-138.10","metadata":false},{"id":69661,"structure_id":13616,"section_number":"32.1-138.11","catch_line":"Denial; revocation","url":"\/32.1-138.11\/","token":"32.1\/5\/2.1\/32.1-138.11","metadata":false},{"id":54583,"structure_id":13616,"section_number":"32.1-138.12","catch_line":"Waiver of requirements of article","url":"\/32.1-138.12\/","token":"32.1\/5\/2.1\/32.1-138.12","metadata":false},{"id":73931,"structure_id":13616,"section_number":"32.1-138.13","catch_line":"Access to and confidentiality of patient-specific medical records and information","url":"\/32.1-138.13\/","token":"32.1\/5\/2.1\/32.1-138.13","metadata":false},{"id":63195,"structure_id":13616,"section_number":"32.1-138.14","catch_line":"No private right of action created","url":"\/32.1-138.14\/","token":"32.1\/5\/2.1\/32.1-138.14","metadata":false},{"id":66986,"structure_id":13616,"section_number":"32.1-138.15","catch_line":"Regulations","url":"\/32.1-138.15\/","token":"32.1\/5\/2.1\/32.1-138.15","metadata":false},{"id":63369,"structure_id":13616,"section_number":"32.1-138.6","catch_line":"Definitions","url":"\/32.1-138.6\/","token":"32.1\/5\/2.1\/32.1-138.6","metadata":false},{"id":75335,"structure_id":13616,"section_number":"32.1-138.7","catch_line":"Certificates of registration required; issuance; transferability; regulations","url":"\/32.1-138.7\/","token":"32.1\/5\/2.1\/32.1-138.7","metadata":false},{"id":67769,"structure_id":13616,"section_number":"32.1-138.8","catch_line":"Consultation with health regulatory boards","url":"\/32.1-138.8\/","token":"32.1\/5\/2.1\/32.1-138.8","metadata":false},{"id":56657,"structure_id":13616,"section_number":"32.1-138.9","catch_line":"Standards for approval","url":"\/32.1-138.9\/","token":"32.1\/5\/2.1\/32.1-138.9","metadata":false}],"previous_section":{"id":69661,"structure_id":13616,"section_number":"32.1-138.11","catch_line":"Denial; revocation","url":"\/32.1-138.11\/","token":"32.1\/5\/2.1\/32.1-138.11","metadata":false},"next_section":{"id":73931,"structure_id":13616,"section_number":"32.1-138.13","catch_line":"Access to and confidentiality of patient-specific medical records and information","url":"\/32.1-138.13\/","token":"32.1\/5\/2.1\/32.1-138.13","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-138.12\/","history_text":"<p>This law was first created in 1990. The record of its establishment is cataloged in chapter 826 of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. Unfortunately, the 1990 \u201cActs\u201d aren\u2019t available online. It has been modified 1 time. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. That modification is as follows: in 1998, chapter <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?981+ful+CHAP0129\">129<\/a>.<\/p>","references":false,"refers_to":false,"permalink":{"id":203207,"object_type":"law","relational_id":54583,"identifier":"32.1-138.12","token":"32.1\/5\/2.1\/32.1-138.12","url":"\/32.1-138.12\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-138.12\/","token":"32.1\/5\/2.1\/32.1-138.12","dublin_core":{"Title":"Waiver of requirements of article","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-138.12","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section><p>The <span class=\"dictionary\">Department<\/span> shall <span class=\"dictionary\">waive<\/span> the requirements of this article for a <span class=\"dictionary\">private review agent<\/span> that operates under <span class=\"dictionary\">contract<\/span> with the federal government for <span class=\"dictionary\">utilization review<\/span> of patients eligible for hospital services under Title XVIII of the Social Security Act or under <span class=\"dictionary\">contract<\/span> with a plan otherwise exempt from operation of this chapter pursuant to the Employee Retirement Income Security Act of 1974.<\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nWAIVER OF REQUIREMENTS OF ARTICLE (\u00a7 32.1-138.12)\n\nThe Department shall waive the requirements of this article for a private review\nagent that operates under contract with the federal government for utilization\nreview of patients eligible for hospital services under Title XVIII of the\nSocial Security Act or under contract with a plan otherwise exempt from\noperation of this chapter pursuant to the Employee Retirement Income Security\nAct of 1974.\n\nHISTORY: 1990, c. 826, \u00a7 38.2-5306; 1998, c. 129.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}