{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-276.8.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-276.8.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-276.8.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-276.8.html"}],"law_id":73124,"edition_id":1,"section_id":73124,"structure_id":14841,"section_number":"32.1-276.8","catch_line":"Fees for processing, verification, and dissemination of data","history":"1996, c. 902; 1999, c. 764; 2000, c. 897; 2001, c. 341; 2003, c. 472; 2009, cc. 813, 840.","full_text":"A\n\nThe Board shall prescribe a reasonable fee for each affected health care provider to cover the costs of the reasonable expenses of establishing and administering the methodology developed pursuant to § 32.1-276.7. The payment of such fees shall be at such time as the Board designates. The Board may assess a late charge on any fees paid after their due date.\n\t\t\tIn addition, the Board shall prescribe a tiered-fee structure based on the number of enrollees for each health maintenance organization to cover the costs of collecting and making available such data. Such fees shall not exceed $3,000 for each health maintenance organization required to provide information pursuant to this chapter. The payment of such fees shall also be at such time as the Board designates. The Board may also assess a late charge on any fees paid by health maintenance organizations after their due dates.B\n\nExcept for the fees assessed pursuant to subsection A, the nonprofit organization providing services pursuant to an agreement or contract as provided in § 32.1-276.4 shall not assess any fee against any health care provider that submits data under this chapter that is processed, verified, and timely in accordance with standards established by the Board. The Board shall establish penalties for submission of data in a manner that is inconsistent with such standards.C\n\nState agencies shall not be assessed fees for the submission of patient level data required by subsection C of § 32.1-276.6. Individual employers, insurers, and other organizations may voluntarily provide the nonprofit organization with outpatient data for processing, storage, and comparative analysis and shall be subject to fees negotiated with and charged by the nonprofit organization for services provided.D\n\nThe nonprofit organization providing services pursuant to an agreement or contract with the Commissioner of Health shall be authorized to charge and collect reasonable fees for the dissemination of patient level data and Health Employer Data and Information Set (HEDIS) data or other approved quality of care or performance information set data; however, the Commissioner of Health, the State Corporation Commission, and the Commissioner of Behavioral Health and Developmental Services shall be entitled to receive relevant and appropriate data from the nonprofit organization at no charge.E\n\nThe Board shall (i) maintain records of its activities; (ii) collect and account for all fees and deposit the moneys so collected into a special fund from which the expenses attributed to this chapter shall be paid; and (iii) enforce all regulations promulgated by it pursuant to this chapter.","order_by":null,"text":{"0":{"id":263293,"text":"The Board shall prescribe a reasonable fee for each affected health care provider to cover the costs of the reasonable expenses of establishing and administering the methodology developed pursuant to § 32.1-276.7. The payment of such fees shall be at such time as the Board designates. The Board may assess a late charge on any fees paid after their due date.\n\t\t\tIn addition, the Board shall prescribe a tiered-fee structure based on the number of enrollees for each health maintenance organization to cover the costs of collecting and making available such data. Such fees shall not exceed $3,000 for each health maintenance organization required to provide information pursuant to this chapter. The payment of such fees shall also be at such time as the Board designates. The Board may also assess a late charge on any fees paid by health maintenance organizations after their due dates.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":263294,"text":"Except for the fees assessed pursuant to subsection A, the nonprofit organization providing services pursuant to an agreement or contract as provided in § 32.1-276.4 shall not assess any fee against any health care provider that submits data under this chapter that is processed, verified, and timely in accordance with standards established by the Board. The Board shall establish penalties for submission of data in a manner that is inconsistent with such standards.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":263295,"text":"State agencies shall not be assessed fees for the submission of patient level data required by subsection C of § 32.1-276.6. Individual employers, insurers, and other organizations may voluntarily provide the nonprofit organization with outpatient data for processing, storage, and comparative analysis and shall be subject to fees negotiated with and charged by the nonprofit organization for services provided.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"3":{"id":263296,"text":"The nonprofit organization providing services pursuant to an agreement or contract with the Commissioner of Health shall be authorized to charge and collect reasonable fees for the dissemination of patient level data and Health Employer Data and Information Set (HEDIS) data or other approved quality of care or performance information set data; however, the Commissioner of Health, the State Corporation Commission, and the Commissioner of Behavioral Health and Developmental Services shall be entitled to receive relevant and appropriate data from the nonprofit organization at no charge.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C","next_prefix":"E"},"4":{"id":263297,"text":"The Board shall (i) maintain records of its activities; (ii) collect and account for all fees and deposit the moneys so collected into a special fund from which the expenses attributed to this chapter shall be paid; and (iii) enforce all regulations promulgated by it pursuant to this chapter.","type":"section","prefixes":["E"],"prefix":"E","entire_prefix":"E","prefix_anchor":"E","level":1,"prior_prefix":"D"}},"ancestry":[{"id":14841,"edition_id":1,"name":"Health Care Data Reporting","identifier":"7.2","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:50:19","date_modified":"2026-06-26 03:50:19","permalink":{"id":204329,"object_type":"structure","relational_id":14841,"identifier":"7.2","token":"32.1\/7.2","url":"\/32.1\/7.2\/","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":79337,"structure_id":14841,"section_number":"32.1-276.10","catch_line":"Chapter and actions thereunder not to be construed as approval of charges or costs","url":"\/32.1-276.10\/","token":"32.1\/7.2\/32.1-276.10","metadata":false},{"id":68729,"structure_id":14841,"section_number":"32.1-276.11","catch_line":"Violations","url":"\/32.1-276.11\/","token":"32.1\/7.2\/32.1-276.11","metadata":false},{"id":71744,"structure_id":14841,"section_number":"32.1-276.2","catch_line":"Health care data reporting; purpose","url":"\/32.1-276.2\/","token":"32.1\/7.2\/32.1-276.2","metadata":false},{"id":67276,"structure_id":14841,"section_number":"32.1-276.3","catch_line":"Definitions","url":"\/32.1-276.3\/","token":"32.1\/7.2\/32.1-276.3","metadata":false},{"id":56739,"structure_id":14841,"section_number":"32.1-276.4","catch_line":"Agreements for certain data services","url":"\/32.1-276.4\/","token":"32.1\/7.2\/32.1-276.4","metadata":false},{"id":84829,"structure_id":14841,"section_number":"32.1-276.5","catch_line":"Providers to submit data; civil penalty","url":"\/32.1-276.5\/","token":"32.1\/7.2\/32.1-276.5","metadata":false},{"id":62565,"structure_id":14841,"section_number":"32.1-276.5:1","catch_line":"Repealed","url":"\/32.1-276.5_1\/","token":"32.1\/7.2\/32.1-276.5_1","metadata":false},{"id":77566,"structure_id":14841,"section_number":"32.1-276.6","catch_line":"Patient level data system continued; reporting requirements","url":"\/32.1-276.6\/","token":"32.1\/7.2\/32.1-276.6","metadata":false},{"id":67668,"structure_id":14841,"section_number":"32.1-276.7","catch_line":"Methodology to review and measure the efficiency and productivity of health care providers","url":"\/32.1-276.7\/","token":"32.1\/7.2\/32.1-276.7","metadata":false},{"id":85887,"structure_id":14841,"section_number":"32.1-276.7:1","catch_line":"All-Payer Claims Database created; purpose; reporting requirements","url":"\/32.1-276.7_1\/","token":"32.1\/7.2\/32.1-276.7_1","metadata":false},{"id":73124,"structure_id":14841,"section_number":"32.1-276.8","catch_line":"Fees for processing, verification, and dissemination of data","url":"\/32.1-276.8\/","token":"32.1\/7.2\/32.1-276.8","metadata":false},{"id":80143,"structure_id":14841,"section_number":"32.1-276.9","catch_line":"Confidentiality, subsequent release of data and relief from liability for reporting; penalty for wrongful disclosure; individual action for damages","url":"\/32.1-276.9\/","token":"32.1\/7.2\/32.1-276.9","metadata":false},{"id":81074,"structure_id":14841,"section_number":"32.1-276.9:1","catch_line":"Health information needs related to reform; work group","url":"\/32.1-276.9_1\/","token":"32.1\/7.2\/32.1-276.9_1","metadata":false}],"previous_section":{"id":85887,"structure_id":14841,"section_number":"32.1-276.7:1","catch_line":"All-Payer Claims Database created; purpose; reporting requirements","url":"\/32.1-276.7_1\/","token":"32.1\/7.2\/32.1-276.7_1","metadata":false},"next_section":{"id":80143,"structure_id":14841,"section_number":"32.1-276.9","catch_line":"Confidentiality, subsequent release of data and relief from liability for reporting; penalty for wrongful disclosure; individual action for damages","url":"\/32.1-276.9\/","token":"32.1\/7.2\/32.1-276.9","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-276.8\/","history_text":"

This law was first created in 1996. The record of its establishment is cataloged in chapter 902<\/a> 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. It has been modified 5 times. 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. Those modifications are as follows: in 1999, chapter 764<\/a>; in 2000, chapter 897<\/a>; in 2001, chapter 341<\/a>; in 2003, chapter 472<\/a>; in 2009, chapters 813<\/a> and 840<\/a>.<\/p>","references":[{"id":56739,"section_number":"32.1-276.4","catch_line":"Agreements for certain data services","order_by":null,"url":"\/32.1-276.4\/"}],"refers_to":[{"id":56739,"section_number":"32.1-276.4","catch_line":"Agreements for certain data services","order_by":null,"url":"\/32.1-276.4\/"},{"id":77566,"section_number":"32.1-276.6","catch_line":"Patient level data system continued; reporting requirements","order_by":null,"url":"\/32.1-276.6\/"},{"id":67668,"section_number":"32.1-276.7","catch_line":"Methodology to review and measure the efficiency and productivity of health care providers","order_by":null,"url":"\/32.1-276.7\/"}],"permalink":{"id":204371,"object_type":"law","relational_id":73124,"identifier":"32.1-276.8","token":"32.1\/7.2\/32.1-276.8","url":"\/32.1-276.8\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-276.8\/","token":"32.1\/7.2\/32.1-276.8","dublin_core":{"Title":"Fees for processing, verification, and dissemination of data","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-276.8","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> The Board<\/span> shall prescribe a reasonable fee for each affected health care provider<\/span> to cover the costs of the reasonable expenses of establishing and administering the methodology developed pursuant to § 32.1-276.7<\/a>. The payment of such fees shall be at such time as the Board<\/span> designates. The Board<\/span> may assess a late charge on any fees paid after their due date.\n\t\t\tIn addition, the Board<\/span> shall prescribe a tiered-fee structure based on the number of enrollees for each health maintenance organization<\/span> to cover the costs of collecting and making available such data. Such fees shall not exceed $3,000 for each health maintenance organization<\/span> required to provide information pursuant to this chapter. The payment of such fees shall also be at such time as the Board<\/span> designates. The Board<\/span> may also assess a late charge on any fees paid by health maintenance organizations<\/span> after their due dates. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> Except for the fees assessed pursuant to subsection A, the nonprofit organization<\/span> providing services pursuant to an agreement or contract<\/span> as provided in § 32.1-276.4<\/a> shall not assess any fee against any health care provider<\/span> that submits data under this chapter that is processed, verified, and timely in accordance with standards established by the Board<\/span>. The Board<\/span> shall establish penalties for submission of data in a manner that is inconsistent with such standards. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> State agencies shall not be assessed fees for the submission of patient level data required by subsection C of § 32.1-276.6<\/a>. Individual employers, insurers, and other organizations may voluntarily provide the nonprofit organization<\/span> with outpatient data for processing, storage, and comparative analysis and shall be subject to fees negotiated with and charged by the nonprofit organization<\/span> for services provided. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> The nonprofit organization<\/span> providing services pursuant to an agreement or contract<\/span> with the Commissioner<\/span> of Health shall be authorized to charge and collect reasonable fees for the dissemination of patient level data and Health Employer Data and Information Set (HEDIS) data or other approved quality of care or performance information set data; however, the Commissioner<\/span> of Health, the State Corporation Commission, and the Commissioner<\/span> of Behavioral Health and Developmental Services shall be entitled to receive relevant and appropriate data from the nonprofit organization<\/span> at no charge. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

E.<\/span> The Board<\/span> shall (i) maintain records of its activities; (ii) collect and account for all fees and deposit the moneys so collected into a special fund from which the expenses attributed to this chapter shall be paid; and (iii) enforce all regulations promulgated by it pursuant to this chapter. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nFEES FOR PROCESSING, VERIFICATION, AND DISSEMINATION OF DATA (\u00a7 32.1-276.8)\n\nA. The Board shall prescribe a reasonable fee for each affected health care\nprovider to cover the costs of the reasonable expenses of establishing and\nadministering the methodology developed pursuant to § 32.1-276.7. The\npayment of such fees shall be at such time as the Board designates. The Board\nmay assess a late charge on any fees paid after their due date.\n\t\t\tIn addition, the Board shall prescribe a tiered-fee structure based on the\nnumber of enrollees for each health maintenance organization to cover the costs\nof collecting and making available such data. Such fees shall not exceed $3,000\nfor each health maintenance organization required to provide information\npursuant to this chapter. The payment of such fees shall also be at such time as\nthe Board designates. The Board may also assess a late charge on any fees paid\nby health maintenance organizations after their due dates.\n\nB. Except for the fees assessed pursuant to subsection A, the nonprofit\norganization providing services pursuant to an agreement or contract as provided\nin § 32.1-276.4 shall not assess any fee against any health care provider\nthat submits data under this chapter that is processed, verified, and timely in\naccordance with standards established by the Board. The Board shall establish\npenalties for submission of data in a manner that is inconsistent with such\nstandards.\n\nC. State agencies shall not be assessed fees for the submission of patient level\ndata required by subsection C of § 32.1-276.6. Individual employers,\ninsurers, and other organizations may voluntarily provide the nonprofit\norganization with outpatient data for processing, storage, and comparative\nanalysis and shall be subject to fees negotiated with and charged by the\nnonprofit organization for services provided.\n\nD. The nonprofit organization providing services pursuant to an agreement or\ncontract with the Commissioner of Health shall be authorized to charge and\ncollect reasonable fees for the dissemination of patient level data and Health\nEmployer Data and Information Set (HEDIS) data or other approved quality of care\nor performance information set data; however, the Commissioner of Health, the\nState Corporation Commission, and the Commissioner of Behavioral Health and\nDevelopmental Services shall be entitled to receive relevant and appropriate\ndata from the nonprofit organization at no charge.\n\nE. The Board shall (i) maintain records of its activities; (ii) collect and\naccount for all fees and deposit the moneys so collected into a special fund\nfrom which the expenses attributed to this chapter shall be paid; and (iii)\nenforce all regulations promulgated by it pursuant to this chapter.\n\nHISTORY: 1996, c. 902; 1999, c. 764; 2000, c. 897; 2001, c. 341; 2003, c. 472;\n2009, cc. 813, 840.","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}}