{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/38.2-3470.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/38.2-3470.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/38.2-3470.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/38.2-3470.html"}],"law_id":72179,"edition_id":1,"section_id":72179,"structure_id":15137,"section_number":"38.2-3470","catch_line":"Scope of article","history":"2020, cc. 219, 1288.","full_text":"This article shall not apply with respect to claims under (i) an employee welfare benefit plan as defined in section 3 (1) of the Employee Retirement Income Security Act of 1974, 29 U.S.C. \u00a7 1002(1), that is self-insured or self-funded; (ii) coverages issued pursuant to Title XIX of the Social Security Act, 42 U.S.C. \u00a7 1396 et seq. (Medicaid); or (iii) prescription drug coverages issued pursuant to Part D of Title XVIII of the Social Security Act, 42 U.S.C. \u00a7 1395 et seq. (Medicare Part D).","order_by":null,"text":{"0":{"id":260015,"text":"This article shall not apply with respect to claims under (i) an employee welfare benefit plan as defined in section 3 (1) of the Employee Retirement Income Security Act of 1974, 29 U.S.C. \u00a7 1002(1), that is self-insured or self-funded; (ii) coverages issued pursuant to Title XIX of the Social Security Act, 42 U.S.C. \u00a7 1396 et seq. (Medicaid); or (iii) prescription drug coverages issued pursuant to Part D of Title XVIII of the Social Security Act, 42 U.S.C. \u00a7 1395 et seq. (Medicare Part D).","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":15137,"edition_id":1,"name":"Pharmacy Benefits Managers","identifier":"9","label":"article","depth":3,"order_by":1,"parent_id":12993,"metadata":{},"date_created":"2026-06-26 03:52:27","date_modified":"2026-06-26 03:52:27","permalink":{"id":215615,"object_type":"structure","relational_id":15137,"identifier":"9","token":"38.2\/34\/9","url":"\/38.2\/34\/9\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12993,"edition_id":1,"name":"Provisions Relating to Accident and Sickness Insurance","identifier":"34","label":"chapter","depth":2,"order_by":1,"parent_id":12698,"metadata":{},"date_created":"2026-06-26 03:44:07","date_modified":"2026-06-26 03:44:07","permalink":{"id":214887,"object_type":"structure","relational_id":12993,"identifier":"34","token":"38.2\/34","url":"\/38.2\/34\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12698,"edition_id":1,"name":"Insurance","identifier":"38.2","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:49","date_modified":"2026-06-26 03:43:49","permalink":{"id":210661,"object_type":"structure","relational_id":12698,"identifier":"38.2","token":"38.2","url":"\/38.2\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":60000,"structure_id":15137,"section_number":"38.2-3465","catch_line":"Definitions","url":"\/38.2-3465\/","token":"38.2\/34\/9\/38.2-3465","metadata":false},{"id":82100,"structure_id":15137,"section_number":"38.2-3466","catch_line":"License required to provide pharmacy benefits management services; requirements for a license, renewal, and revocation or suspension; civil penalty","url":"\/38.2-3466\/","token":"38.2\/34\/9\/38.2-3466","metadata":false},{"id":73357,"structure_id":15137,"section_number":"38.2-3467","catch_line":"Prohibited conduct by carriers and pharmacy benefits managers","url":"\/38.2-3467\/","token":"38.2\/34\/9\/38.2-3467","metadata":false},{"id":79303,"structure_id":15137,"section_number":"38.2-3468","catch_line":"Examination of books and records; reports; access to records","url":"\/38.2-3468\/","token":"38.2\/34\/9\/38.2-3468","metadata":false},{"id":57673,"structure_id":15137,"section_number":"38.2-3469","catch_line":"Enforcement; regulations","url":"\/38.2-3469\/","token":"38.2\/34\/9\/38.2-3469","metadata":false},{"id":72179,"structure_id":15137,"section_number":"38.2-3470","catch_line":"Scope of article","url":"\/38.2-3470\/","token":"38.2\/34\/9\/38.2-3470","metadata":false}],"previous_section":{"id":57673,"structure_id":15137,"section_number":"38.2-3469","catch_line":"Enforcement; regulations","url":"\/38.2-3469\/","token":"38.2\/34\/9\/38.2-3469","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/38.2-3470\/","history_text":"<p>This law was first created in 2020. The record of its establishment is cataloged in chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?201+ful+CHAP0219\">219<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?201+ful+CHAP1288\">1288<\/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.<\/p>","references":[{"id":60835,"section_number":"32.1-325.5","catch_line":"State pharmacy benefits manager","order_by":null,"url":"\/32.1-325.5\/"}],"refers_to":false,"permalink":{"id":215637,"object_type":"law","relational_id":72179,"identifier":"38.2-3470","token":"38.2\/34\/9\/38.2-3470","url":"\/38.2-3470\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/38.2-3470\/","token":"38.2\/34\/9\/38.2-3470","dublin_core":{"Title":"Scope of article","Type":"Text","Format":"text\/html","Identifier":"\u00a7 38.2-3470","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section><p>This article shall not apply with respect to claims under (i) an employee welfare benefit plan as defined in section 3 (1) of the Employee Retirement Income Security Act of 1974, 29 U.S.C. \u00a7&nbsp;1002(1), that is self-insured or self-funded; (ii) coverages issued pursuant to Title XIX of the Social Security Act, 42 U.S.C. \u00a7&nbsp;1396 et seq. (Medicaid); or (iii) prescription drug coverages issued pursuant to Part D of Title XVIII of the Social Security Act, 42 U.S.C. \u00a7&nbsp;1395 et seq. (<span class=\"dictionary\">Medicare<\/span> Part D).<\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nSCOPE OF ARTICLE (\u00a7 38.2-3470)\n\nThis article shall not apply with respect to claims under (i) an employee\nwelfare benefit plan as defined in section 3 (1) of the Employee Retirement\nIncome Security Act of 1974, 29 U.S.C. \u00a7 1002(1), that is self-insured or\nself-funded; (ii) coverages issued pursuant to Title XIX of the Social Security\nAct, 42 U.S.C. \u00a7 1396 et seq. (Medicaid); or (iii) prescription drug coverages\nissued pursuant to Part D of Title XVIII of the Social Security Act, 42 U.S.C.\n\u00a7 1395 et seq. (Medicare Part D).\n\nHISTORY: 2020, cc. 219, 1288.","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}}