{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-351.1.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-351.1.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-351.1.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-351.1.html"}],"law_id":59066,"edition_id":1,"section_id":59066,"structure_id":15498,"section_number":"32.1-351.1","catch_line":"Assistance with employer-sponsored health insurance","history":"2000, cc. 824, 848; 2003, c. 513; 2009, c. 578.","full_text":"A\n\nFor purposes of this chapter, “employer-sponsored health insurance” or “ESHI” means comprehensive health insurance offered by the employer when the employer contributes to the cost of dependent or family coverage as defined in the Virginia Plan for Title XXI of the Social Security Act, or as otherwise approved by the Centers for Medicare & Medicaid Services in the U.S. Department of Health and Human Services.B\n\nFor purposes of this chapter, ESHI shall be deemed cost-effective when the payment by the Department of Medical Assistance Services for health insurance coverage of the enrollee or enrollees under the Family Access to Medical Insurance Security Plan shall be no greater than what would have otherwise been paid by the Department or its designee for the enrollee or enrollees.C\n\nIf a family chooses to participate in ESHI and ESHI is deemed cost-effective, the Department of Medical Assistance Services shall contribute to the cost of ESHI for eligible dependent children for those program participants that have access to ESHI. Participants receiving ESHI under the Family Access to Medical Insurance Security Plan shall apply for the full premium contribution available from the employer. Those eligible for Family Access to Medical Insurance Security Plan with access to ESHI may enroll in their designated ESHI at the first available opportunity and shall be covered under the Family Access to Medical Insurance Security Plan until coverage under ESHI becomes available.","order_by":null,"text":{"0":{"id":216614,"text":"For purposes of this chapter, “employer-sponsored health insurance” or “ESHI” means comprehensive health insurance offered by the employer when the employer contributes to the cost of dependent or family coverage as defined in the Virginia Plan for Title XXI of the Social Security Act, or as otherwise approved by the Centers for Medicare & Medicaid Services in the U.S. Department of Health and Human Services.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":216615,"text":"For purposes of this chapter, ESHI shall be deemed cost-effective when the payment by the Department of Medical Assistance Services for health insurance coverage of the enrollee or enrollees under the Family Access to Medical Insurance Security Plan shall be no greater than what would have otherwise been paid by the Department or its designee for the enrollee or enrollees.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":216616,"text":"If a family chooses to participate in ESHI and ESHI is deemed cost-effective, the Department of Medical Assistance Services shall contribute to the cost of ESHI for eligible dependent children for those program participants that have access to ESHI. Participants receiving ESHI under the Family Access to Medical Insurance Security Plan shall apply for the full premium contribution available from the employer. Those eligible for Family Access to Medical Insurance Security Plan with access to ESHI may enroll in their designated ESHI at the first available opportunity and shall be covered under the Family Access to Medical Insurance Security Plan until coverage under ESHI becomes available.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B"}},"ancestry":[{"id":15498,"edition_id":1,"name":"Family Access to Medical Insurance Security Plan","identifier":"13","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:55:34","date_modified":"2026-06-26 03:55:34","permalink":{"id":201607,"object_type":"structure","relational_id":15498,"identifier":"13","token":"32.1\/13","url":"\/32.1\/13\/","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":86147,"structure_id":15498,"section_number":"32.1-351","catch_line":"Family Access to Medical Insurance Security Plan established","url":"\/32.1-351\/","token":"32.1\/13\/32.1-351","metadata":false},{"id":59066,"structure_id":15498,"section_number":"32.1-351.1","catch_line":"Assistance with employer-sponsored health insurance","url":"\/32.1-351.1\/","token":"32.1\/13\/32.1-351.1","metadata":false},{"id":75225,"structure_id":15498,"section_number":"32.1-351.2","catch_line":"Children's Health Insurance Program Advisory Committee; purpose; membership; etc","url":"\/32.1-351.2\/","token":"32.1\/13\/32.1-351.2","metadata":false},{"id":66737,"structure_id":15498,"section_number":"32.1-352","catch_line":"Virginia Family Access to Medical Insurance Security Plan Trust Fund","url":"\/32.1-352\/","token":"32.1\/13\/32.1-352","metadata":false},{"id":64145,"structure_id":15498,"section_number":"32.1-353","catch_line":"Rights and responsibilities","url":"\/32.1-353\/","token":"32.1\/13\/32.1-353","metadata":false}],"previous_section":{"id":86147,"structure_id":15498,"section_number":"32.1-351","catch_line":"Family Access to Medical Insurance Security Plan established","url":"\/32.1-351\/","token":"32.1\/13\/32.1-351","metadata":false},"next_section":{"id":75225,"structure_id":15498,"section_number":"32.1-351.2","catch_line":"Children's Health Insurance Program Advisory Committee; purpose; membership; etc","url":"\/32.1-351.2\/","token":"32.1\/13\/32.1-351.2","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-351.1\/","history_text":"

This law was first created in 2000. The record of its establishment is cataloged in chapters 824<\/a> and 848<\/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 2 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 2003, chapter 513<\/a>; in 2009, chapter 578<\/a>.<\/p>","references":[{"id":86147,"section_number":"32.1-351","catch_line":"Family Access to Medical Insurance Security Plan established","order_by":null,"url":"\/32.1-351\/"},{"id":63267,"section_number":"38.2-3541.2","catch_line":"Enrollment following change in eligibility status under assistance programs","order_by":null,"url":"\/38.2-3541.2\/"}],"refers_to":false,"permalink":{"id":201613,"object_type":"law","relational_id":59066,"identifier":"32.1-351.1","token":"32.1\/13\/32.1-351.1","url":"\/32.1-351.1\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-351.1\/","token":"32.1\/13\/32.1-351.1","dublin_core":{"Title":"Assistance with employer-sponsored health insurance","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-351.1","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> For purposes of this chapter, “employer-sponsored health insurance<\/span>” or “ESHI<\/span>” means comprehensive health insurance offered by the employer when the employer contributes to the cost of dependent or family coverage as defined in the Virginia Plan for Title XXI of the Social Security Act, or as otherwise approved by the Centers for Medicare & Medicaid Services in the U.S. Department<\/span> of Health and Human Services. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> For purposes of this chapter, ESHI<\/span> shall be deemed cost-effective when the payment by the Department<\/span> of Medical Assistance Services for health insurance coverage of the enrollee or enrollees under the Family Access to Medical Insurance Security Plan shall be no greater than what would have otherwise been paid by the Department<\/span> or its designee for the enrollee or enrollees. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> If a family chooses to participate in ESHI<\/span> and ESHI<\/span> is deemed cost-effective, the Department<\/span> of Medical Assistance Services shall contribute to the cost of ESHI<\/span> for eligible dependent children for those program participants that have access to ESHI<\/span>. Participants receiving ESHI<\/span> under the Family Access to Medical Insurance Security Plan shall apply for the full premium contribution available from the employer. Those eligible for Family Access to Medical Insurance Security Plan with access to ESHI<\/span> may enroll in their designated ESHI<\/span> at the first available opportunity and shall be covered under the Family Access to Medical Insurance Security Plan until coverage under ESHI<\/span> becomes available. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nASSISTANCE WITH EMPLOYER-SPONSORED HEALTH INSURANCE (\u00a7 32.1-351.1)\n\nA. For purposes of this chapter, “employer-sponsored health\ninsurance” or “ESHI” means comprehensive health insurance\noffered by the employer when the employer contributes to the cost of dependent\nor family coverage as defined in the Virginia Plan for Title XXI of the Social\nSecurity Act, or as otherwise approved by the Centers for Medicare &\nMedicaid Services in the U.S. Department of Health and Human Services.\n\nB. For purposes of this chapter, ESHI shall be deemed cost-effective when the\npayment by the Department of Medical Assistance Services for health insurance\ncoverage of the enrollee or enrollees under the Family Access to Medical\nInsurance Security Plan shall be no greater than what would have otherwise been\npaid by the Department or its designee for the enrollee or enrollees.\n\nC. If a family chooses to participate in ESHI and ESHI is deemed cost-effective,\nthe Department of Medical Assistance Services shall contribute to the cost of\nESHI for eligible dependent children for those program participants that have\naccess to ESHI. Participants receiving ESHI under the Family Access to Medical\nInsurance Security Plan shall apply for the full premium contribution available\nfrom the employer. Those eligible for Family Access to Medical Insurance\nSecurity Plan with access to ESHI may enroll in their designated ESHI at the\nfirst available opportunity and shall be covered under the Family Access to\nMedical Insurance Security Plan until coverage under ESHI becomes available.\n\nHISTORY: 2000, cc. 824, 848; 2003, c. 513; 2009, c. 578.","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}}