{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-372.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-372.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-372.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-372.html"}],"law_id":75214,"edition_id":1,"section_id":75214,"structure_id":16699,"section_number":"32.1-372","catch_line":"Smartchart Network Program established; purpose","history":"2017, cc. 475, 600; 2023, cc. 628, 629.","full_text":"A\n\nThe Smartchart Network Program (the Program) is hereby created to provide a single, statewide technology solution that connects all health care providers, insurance carriers, and other organizations with a treatment, payment, or operations relationship with a patient in the Commonwealth to facilitate real-time communication and collaboration and improve the quality of patient care services.B\n\nThe Commissioner shall ensure that the Program:1\n\nReceives real-time patient visit information from, and shares such information with, every hospital in the Commonwealth through integrations that enable receiving information from and delivering information into electronic health records systems utilized by such hospitals;2\n\nRequires that all participants in the Program share patient information and have fully executed health care data exchange contracts to ensure the secure and reliable exchange of patient information in compliance with the patient privacy and security requirements of applicable state and federal laws and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.);3\n\nEnables health care providers, health care entities, and insurance carriers to access information necessary to evaluate and monitor the care and treatment of a patient in accordance with the patient privacy and security requirements of applicable state and federal laws and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.);4\n\nAllows health care providers in the Commonwealth to receive real-time alerts triggered by analytics to identify patient-specific risks, to create and share care coordination plans and other care recommendations, and to access other clinically beneficial information related to patients receiving health care services in the Commonwealth, including strategies and methods to continue to improve care coordination in hospital emergency departments and reduce the frequency of visits by high-volume emergency department utilizers;5\n\nProvides a patient’s designated primary care physician and supporting clinical and care management personnel with treatment and care coordination information about a patient receiving health care services in the Commonwealth, including care plans, lab results, images, and hospital admissions, transfers, and discharges;6\n\nProvides a patient’s designated managed care organization and supporting clinical and care management personnel with care coordination plans, lab results, images, and discharge and other treatment and care coordination information about a member receiving health care services in the Commonwealth; and7\n\nIs integrated with the Prescription Monitoring Program established pursuant to Chapter 25.2 (§ 54.1-2519 et seq.) of Title 54.1 and the Advance Health Care Planning Registry established pursuant to Article 9 (§ 54.1-2994 et seq.) of Chapter 29 of Title 54.1 to enable automated query and automatic delivery of relevant information from such sources into the existing work flow of health care providers.C\n\nThe Commissioner shall enter into a contract with a third party to create, operate, maintain, or administer the Program in accordance with this section, which shall include provisions for the protection of patient privacy and data security pursuant to state and federal law and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.). The third-party contractor shall continue and rename the Emergency Department Care Coordination Advisory Council established by Chapter 836 of the Acts of Assembly of 2017 as the Smartchart Network Program Advisory Council (the Advisory Council), which shall consist of representatives of the Department, the Department of Medical Assistance Services, the Department of Health Professions, the Virginia Hospital and Healthcare Association, the Virginia Association of Health Plans, the Medical Society of Virginia, the Virginia College of Emergency Physicians, the Virginia Chapter of the American Academy of Pediatricians, and the Virginia Academy of Family Physicians, to advise the Commissioner and the third-party contractor regarding the establishment and operation of the Program, changes to the Program, and outcome measures for the Program.\n\t\t\tThe Advisory Council established pursuant to this subsection shall continue to ensure that information is shared among emergency departments throughout the Commonwealth and all hospitals operating emergency departments in the Commonwealth, all Medicaid managed care contracted health plans, the state employee health insurance plan, all Medicare plans operating in the Commonwealth, and all commercial plans operating in the Commonwealth, excluding ERISA plans, and shall participate in the emergency department information exchange program to continue to improve care coordination in hospital emergency departments and reduce the frequency of visits by high-volume emergency department utilizers.D\n\nInformation submitted to the Program shall be confidential and shall be exempt from disclosure under the Virginia Freedom of Information Act (§ 2.2-3700 et seq.).","order_by":null,"text":{"0":{"id":270079,"text":"The Smartchart Network Program (the Program) is hereby created to provide a single, statewide technology solution that connects all health care providers, insurance carriers, and other organizations with a treatment, payment, or operations relationship with a patient in the Commonwealth to facilitate real-time communication and collaboration and improve the quality of patient care services.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":270080,"text":"The Commissioner shall ensure that the Program:","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"B1"},"2":{"id":270081,"text":"Receives real-time patient visit information from, and shares such information with, every hospital in the Commonwealth through integrations that enable receiving information from and delivering information into electronic health records systems utilized by such hospitals;","type":"section","prefixes":["B","1"],"prefix":"1","entire_prefix":"B1","prefix_anchor":"B1","level":2,"prior_prefix":"B","next_prefix":"B2"},"3":{"id":270082,"text":"Requires that all participants in the Program share patient information and have fully executed health care data exchange contracts to ensure the secure and reliable exchange of patient information in compliance with the patient privacy and security requirements of applicable state and federal laws and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.);","type":"section","prefixes":["B","2"],"prefix":"2","entire_prefix":"B2","prefix_anchor":"B2","level":2,"prior_prefix":"B1","next_prefix":"B3"},"4":{"id":270083,"text":"Enables health care providers, health care entities, and insurance carriers to access information necessary to evaluate and monitor the care and treatment of a patient in accordance with the patient privacy and security requirements of applicable state and federal laws and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.);","type":"section","prefixes":["B","3"],"prefix":"3","entire_prefix":"B3","prefix_anchor":"B3","level":2,"prior_prefix":"B2","next_prefix":"B4"},"5":{"id":270084,"text":"Allows health care providers in the Commonwealth to receive real-time alerts triggered by analytics to identify patient-specific risks, to create and share care coordination plans and other care recommendations, and to access other clinically beneficial information related to patients receiving health care services in the Commonwealth, including strategies and methods to continue to improve care coordination in hospital emergency departments and reduce the frequency of visits by high-volume emergency department utilizers;","type":"section","prefixes":["B","4"],"prefix":"4","entire_prefix":"B4","prefix_anchor":"B4","level":2,"prior_prefix":"B3","next_prefix":"B5"},"6":{"id":270085,"text":"Provides a patient’s designated primary care physician and supporting clinical and care management personnel with treatment and care coordination information about a patient receiving health care services in the Commonwealth, including care plans, lab results, images, and hospital admissions, transfers, and discharges;","type":"section","prefixes":["B","5"],"prefix":"5","entire_prefix":"B5","prefix_anchor":"B5","level":2,"prior_prefix":"B4","next_prefix":"B6"},"7":{"id":270086,"text":"Provides a patient’s designated managed care organization and supporting clinical and care management personnel with care coordination plans, lab results, images, and discharge and other treatment and care coordination information about a member receiving health care services in the Commonwealth; and","type":"section","prefixes":["B","6"],"prefix":"6","entire_prefix":"B6","prefix_anchor":"B6","level":2,"prior_prefix":"B5","next_prefix":"B7"},"8":{"id":270087,"text":"Is integrated with the Prescription Monitoring Program established pursuant to Chapter 25.2 (§ 54.1-2519 et seq.) of Title 54.1 and the Advance Health Care Planning Registry established pursuant to Article 9 (§ 54.1-2994 et seq.) of Chapter 29 of Title 54.1 to enable automated query and automatic delivery of relevant information from such sources into the existing work flow of health care providers.","type":"section","prefixes":["B","7"],"prefix":"7","entire_prefix":"B7","prefix_anchor":"B7","level":2,"prior_prefix":"B6","next_prefix":"C"},"9":{"id":270088,"text":"The Commissioner shall enter into a contract with a third party to create, operate, maintain, or administer the Program in accordance with this section, which shall include provisions for the protection of patient privacy and data security pursuant to state and federal law and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.). The third-party contractor shall continue and rename the Emergency Department Care Coordination Advisory Council established by Chapter 836 of the Acts of Assembly of 2017 as the Smartchart Network Program Advisory Council (the Advisory Council), which shall consist of representatives of the Department, the Department of Medical Assistance Services, the Department of Health Professions, the Virginia Hospital and Healthcare Association, the Virginia Association of Health Plans, the Medical Society of Virginia, the Virginia College of Emergency Physicians, the Virginia Chapter of the American Academy of Pediatricians, and the Virginia Academy of Family Physicians, to advise the Commissioner and the third-party contractor regarding the establishment and operation of the Program, changes to the Program, and outcome measures for the Program.\n\t\t\tThe Advisory Council established pursuant to this subsection shall continue to ensure that information is shared among emergency departments throughout the Commonwealth and all hospitals operating emergency departments in the Commonwealth, all Medicaid managed care contracted health plans, the state employee health insurance plan, all Medicare plans operating in the Commonwealth, and all commercial plans operating in the Commonwealth, excluding ERISA plans, and shall participate in the emergency department information exchange program to continue to improve care coordination in hospital emergency departments and reduce the frequency of visits by high-volume emergency department utilizers.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B7","next_prefix":"D"},"10":{"id":270089,"text":"Information submitted to the Program shall be confidential and shall be exempt from disclosure under the Virginia Freedom of Information Act (§ 2.2-3700 et seq.).","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C"}},"ancestry":[{"id":16699,"edition_id":1,"name":"Smartchart Network Program","identifier":"19","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 04:33:42","date_modified":"2026-06-26 04:33:42","permalink":{"id":201737,"object_type":"structure","relational_id":16699,"identifier":"19","token":"32.1\/19","url":"\/32.1\/19\/","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":75214,"structure_id":16699,"section_number":"32.1-372","catch_line":"Smartchart Network Program established; purpose","url":"\/32.1-372\/","token":"32.1\/19\/32.1-372","metadata":false}],"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-372\/","history_text":"

This law was first created in 2017. The record of its establishment is cataloged in chapters 475<\/a> and 600<\/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 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 2023, chapters 628<\/a> and 629<\/a>.<\/p>","references":[{"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":57288,"section_number":"54.1-2525","catch_line":"Unlawful disclosure of information; disciplinary action authorized; penalties","order_by":null,"url":"\/54.1-2525\/"}],"refers_to":[{"id":55569,"section_number":"2.2-3700","catch_line":"Short title; policy","order_by":null,"url":"\/2.2-3700\/"},{"id":68394,"section_number":"54.1-2519","catch_line":"Definitions","order_by":null,"url":"\/54.1-2519\/"},{"id":71073,"section_number":"54.1-2994","catch_line":"Advance Health Care Planning Registry","order_by":null,"url":"\/54.1-2994\/"}],"permalink":{"id":201739,"object_type":"law","relational_id":75214,"identifier":"32.1-372","token":"32.1\/19\/32.1-372","url":"\/32.1-372\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-372\/","token":"32.1\/19\/32.1-372","dublin_core":{"Title":"Smartchart Network Program established; purpose","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-372","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> The Smartchart Network Program (the Program) is hereby created to provide a single, statewide technology solution that connects all health care providers, insurance carriers, and other organizations with a treatment, payment, or operations relationship with a patient in the Commonwealth to facilitate real-time communication and collaboration and improve the quality of patient care services. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> The Commissioner<\/span> shall ensure that the Program: <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

1.<\/span> Receives real-time patient visit information from, and shares such information with, every hospital in the Commonwealth through integrations that enable receiving information from and delivering information into electronic health records systems utilized by such hospitals; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

2.<\/span> Requires that all participants in the Program share patient information and have fully executed health care data exchange contracts<\/span> to ensure the secure and reliable exchange of patient information in compliance with the patient privacy and security requirements of applicable state and federal laws<\/span> and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.); <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

3.<\/span> Enables health care providers, health care entities, and insurance carriers to access information necessary to evaluate and monitor the care and treatment of a patient in accordance with the patient privacy and security requirements of applicable state and federal laws<\/span> and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.); <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

4.<\/span> Allows health care providers in the Commonwealth to receive real-time alerts triggered by analytics to identify patient-specific risks, to create and share care coordination plans and other care recommendations, and to access other clinically beneficial information related to patients receiving health care services in the Commonwealth, including strategies and methods to continue to improve care coordination in hospital emergency departments<\/span> and reduce the frequency of visits by high-volume emergency department<\/span> utilizers; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

5.<\/span> Provides a patient’s designated primary care physician and supporting clinical and care management personnel with treatment and care coordination information about a patient receiving health care services in the Commonwealth, including care plans, lab results, images, and hospital admissions, transfers, and discharges; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

6.<\/span> Provides a patient’s designated managed care organization and supporting clinical and care management personnel with care coordination plans, lab results, images, and discharge and other treatment and care coordination information about a member receiving health care services in the Commonwealth; and <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

7.<\/span> Is integrated with the Prescription Monitoring Program established pursuant to Chapter 25.2 (§ 54.1-2519<\/a> et seq.) of Title 54.1 and the Advance Health Care Planning Registry established pursuant to Article 9 (§ 54.1-2994<\/a> et seq.) of Chapter 29 of Title 54.1 to enable automated query and automatic delivery of relevant information from such sources into the existing work flow of health care providers. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> The Commissioner<\/span> shall enter into a contract<\/span> with a third party<\/span> to create, operate, maintain, or administer the Program in accordance with this section, which shall include provisions for the protection of patient privacy and data security pursuant to state and federal law<\/span> and regulations, including the Health Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.). The third-party<\/span> contractor shall continue and rename the Emergency Department<\/span> Care Coordination Advisory Council established by Chapter 836 of the Acts of Assembly of 2017 as the Smartchart Network Program Advisory Council (the Advisory Council), which shall consist of representatives of the Department<\/span>, the Department<\/span> of Medical Assistance Services, the Department<\/span> of Health Professions, the Virginia Hospital and Healthcare Association, the Virginia Association of Health Plans, the Medical Society of Virginia, the Virginia College of Emergency Physicians, the Virginia Chapter of the American Academy of Pediatricians, and the Virginia Academy of Family Physicians, to advise the Commissioner<\/span> and the third-party<\/span> contractor regarding the establishment and operation of the Program, changes to the Program, and outcome measures for the Program.\n\t\t\tThe Advisory Council established pursuant to this subsection shall continue to ensure that information is shared among emergency departments<\/span> throughout the Commonwealth and all hospitals operating emergency departments<\/span> in the Commonwealth, all Medicaid managed care contracted health plans, the state employee health insurance plan, all Medicare plans operating in the Commonwealth, and all commercial plans operating in the Commonwealth, excluding ERISA plans, and shall participate in the emergency department<\/span> information exchange program to continue to improve care coordination in hospital emergency departments<\/span> and reduce the frequency of visits by high-volume emergency department<\/span> utilizers. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> Information submitted to the Program shall be confidential and shall be exempt from disclosure under the Virginia Freedom of Information Act (§ 2.2-3700<\/a> et seq.). <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nSMARTCHART NETWORK PROGRAM ESTABLISHED; PURPOSE (\u00a7 32.1-372)\n\nA. The Smartchart Network Program (the Program) is hereby created to provide a\nsingle, statewide technology solution that connects all health care providers,\ninsurance carriers, and other organizations with a treatment, payment, or\noperations relationship with a patient in the Commonwealth to facilitate\nreal-time communication and collaboration and improve the quality of patient\ncare services.\n\nB. The Commissioner shall ensure that the Program:\n\n 1. Receives real-time patient visit information from, and shares such\n information with, every hospital in the Commonwealth through integrations that\n enable receiving information from and delivering information into electronic\n health records systems utilized by such hospitals;\n\n 2. Requires that all participants in the Program share patient information and\n have fully executed health care data exchange contracts to ensure the secure\n and reliable exchange of patient information in compliance with the patient\n privacy and security requirements of applicable state and federal laws and\n regulations, including the Health Insurance Portability and Accountability Act\n (42 U.S.C. § 1320d et seq.);\n\n 3. Enables health care providers, health care entities, and insurance carriers\n to access information necessary to evaluate and monitor the care and treatment\n of a patient in accordance with the patient privacy and security requirements\n of applicable state and federal laws and regulations, including the Health\n Insurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.);\n\n 4. Allows health care providers in the Commonwealth to receive real-time\n alerts triggered by analytics to identify patient-specific risks, to create\n and share care coordination plans and other care recommendations, and to\n access other clinically beneficial information related to patients receiving\n health care services in the Commonwealth, including strategies and methods to\n continue to improve care coordination in hospital emergency departments and\n reduce the frequency of visits by high-volume emergency department utilizers;\n\n 5. Provides a patient’s designated primary care physician and supporting\n clinical and care management personnel with treatment and care coordination\n information about a patient receiving health care services in the\n Commonwealth, including care plans, lab results, images, and hospital\n admissions, transfers, and discharges;\n\n 6. Provides a patient’s designated managed care organization and\n supporting clinical and care management personnel with care coordination\n plans, lab results, images, and discharge and other treatment and care\n coordination information about a member receiving health care services in the\n Commonwealth; and\n\n 7. Is integrated with the Prescription Monitoring Program established pursuant\n to Chapter 25.2 (§ 54.1-2519 et seq.) of Title 54.1 and the Advance\n Health Care Planning Registry established pursuant to Article 9 (§\n 54.1-2994 et seq.) of Chapter 29 of Title 54.1 to enable automated query and\n automatic delivery of relevant information from such sources into the existing\n work flow of health care providers.\n\nC. The Commissioner shall enter into a contract with a third party to create,\noperate, maintain, or administer the Program in accordance with this section,\nwhich shall include provisions for the protection of patient privacy and data\nsecurity pursuant to state and federal law and regulations, including the Health\nInsurance Portability and Accountability Act (42 U.S.C. § 1320d et seq.).\nThe third-party contractor shall continue and rename the Emergency Department\nCare Coordination Advisory Council established by Chapter 836 of the Acts of\nAssembly of 2017 as the Smartchart Network Program Advisory Council (the\nAdvisory Council), which shall consist of representatives of the Department, the\nDepartment of Medical Assistance Services, the Department of Health Professions,\nthe Virginia Hospital and Healthcare Association, the Virginia Association of\nHealth Plans, the Medical Society of Virginia, the Virginia College of Emergency\nPhysicians, the Virginia Chapter of the American Academy of Pediatricians, and\nthe Virginia Academy of Family Physicians, to advise the Commissioner and the\nthird-party contractor regarding the establishment and operation of the Program,\nchanges to the Program, and outcome measures for the Program.\n\t\t\tThe Advisory Council established pursuant to this subsection shall continue\nto ensure that information is shared among emergency departments throughout the\nCommonwealth and all hospitals operating emergency departments in the\nCommonwealth, all Medicaid managed care contracted health plans, the state\nemployee health insurance plan, all Medicare plans operating in the\nCommonwealth, and all commercial plans operating in the Commonwealth, excluding\nERISA plans, and shall participate in the emergency department information\nexchange program to continue to improve care coordination in hospital emergency\ndepartments and reduce the frequency of visits by high-volume emergency\ndepartment utilizers.\n\nD. Information submitted to the Program shall be confidential and shall be\nexempt from disclosure under the Virginia Freedom of Information Act (§\n2.2-3700 et seq.).\n\nHISTORY: 2017, cc. 475, 600; 2023, cc. 628, 629.","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}}