{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/38.2-6514.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/38.2-6514.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/38.2-6514.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/38.2-6514.html"}],"law_id":85399,"edition_id":1,"section_id":85399,"structure_id":12800,"section_number":"38.2-6514","catch_line":"Certified application counselors","history":"2020, cc. 916, 917.","full_text":"A\n\nThe Exchange shall establish a Certified Application Counselor program pursuant to 45 C.F.R. &#xA7; 155.225 and shall (i) certify individuals as certified application counselors to perform specified duties, (ii) designate an organization to certify individuals as certified application counselors to perform specified duties, or (iii) implement a combination both clause (i) and (ii).B\n\nThe Exchange shall ensure, either directly or through designated organizations, that certified application counselors complete required Virginia-specific training on topics including qualified health plan options, insurance affordability programs, eligibility and enrollment rules, and all other regulatory requirements.C\n\nThe Exchange shall ensure certified application counselors adhere to all terms and conditions of privacy and security pursuant to 45 C.F.R. &#xA7; 155.260(b).D\n\nThe Exchange may decertify a certified application counselor or designated organization for failure to comply with the requirements of this section or of the Exchange.","order_by":null,"text":{"0":{"id":305943,"text":"The Exchange shall establish a Certified Application Counselor program pursuant to 45 C.F.R. &#xA7; 155.225 and shall (i) certify individuals as certified application counselors to perform specified duties, (ii) designate an organization to certify individuals as certified application counselors to perform specified duties, or (iii) implement a combination both clause (i) and (ii).","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":305944,"text":"The Exchange shall ensure, either directly or through designated organizations, that certified application counselors complete required Virginia-specific training on topics including qualified health plan options, insurance affordability programs, eligibility and enrollment rules, and all other regulatory requirements.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"C"},"2":{"id":305945,"text":"The Exchange shall ensure certified application counselors adhere to all terms and conditions of privacy and security pursuant to 45 C.F.R. &#xA7; 155.260(b).","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B","next_prefix":"D"},"3":{"id":305946,"text":"The Exchange may decertify a certified application counselor or designated organization for failure to comply with the requirements of this section or of the Exchange.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C"}},"ancestry":[{"id":12800,"edition_id":1,"name":"Virginia Health Benefit Exchange","identifier":"65","label":"chapter","depth":2,"order_by":1,"parent_id":12698,"metadata":{},"date_created":"2026-06-26 03:43:53","date_modified":"2026-06-26 03:43:53","permalink":{"id":218345,"object_type":"structure","relational_id":12800,"identifier":"65","token":"38.2\/65","url":"\/38.2\/65\/","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":75766,"structure_id":12800,"section_number":"38.2-6500","catch_line":"Definitions","url":"\/38.2-6500\/","token":"38.2\/65\/38.2-6500","metadata":false},{"id":84565,"structure_id":12800,"section_number":"38.2-6501","catch_line":"Exchange objectives","url":"\/38.2-6501\/","token":"38.2\/65\/38.2-6501","metadata":false},{"id":59610,"structure_id":12800,"section_number":"38.2-6502","catch_line":"Division established; Exchange created","url":"\/38.2-6502\/","token":"38.2\/65\/38.2-6502","metadata":false},{"id":74872,"structure_id":12800,"section_number":"38.2-6503","catch_line":"Advisory Committee","url":"\/38.2-6503\/","token":"38.2\/65\/38.2-6503","metadata":false},{"id":55843,"structure_id":12800,"section_number":"38.2-6504","catch_line":"Exchange requirements","url":"\/38.2-6504\/","token":"38.2\/65\/38.2-6504","metadata":false},{"id":76462,"structure_id":12800,"section_number":"38.2-6505","catch_line":"Duties of Exchange","url":"\/38.2-6505\/","token":"38.2\/65\/38.2-6505","metadata":false},{"id":81163,"structure_id":12800,"section_number":"38.2-6506","catch_line":"Certification of health benefit plans as qualified health plans","url":"\/38.2-6506\/","token":"38.2\/65\/38.2-6506","metadata":false},{"id":81440,"structure_id":12800,"section_number":"38.2-6507","catch_line":"Appeal of decertification or denial of certification","url":"\/38.2-6507\/","token":"38.2\/65\/38.2-6507","metadata":false},{"id":67396,"structure_id":12800,"section_number":"38.2-6508","catch_line":"Open enrollment periods","url":"\/38.2-6508\/","token":"38.2\/65\/38.2-6508","metadata":false},{"id":84381,"structure_id":12800,"section_number":"38.2-6509","catch_line":"Choice","url":"\/38.2-6509\/","token":"38.2\/65\/38.2-6509","metadata":false},{"id":67117,"structure_id":12800,"section_number":"38.2-6510","catch_line":"Health Insurance Exchange Fund; assessment","url":"\/38.2-6510\/","token":"38.2\/65\/38.2-6510","metadata":false},{"id":62589,"structure_id":12800,"section_number":"38.2-6511","catch_line":"Procurement, contracting, and personnel","url":"\/38.2-6511\/","token":"38.2\/65\/38.2-6511","metadata":false},{"id":77639,"structure_id":12800,"section_number":"38.2-6512","catch_line":"Confidentiality","url":"\/38.2-6512\/","token":"38.2\/65\/38.2-6512","metadata":false},{"id":80784,"structure_id":12800,"section_number":"38.2-6513","catch_line":"Navigators","url":"\/38.2-6513\/","token":"38.2\/65\/38.2-6513","metadata":false},{"id":85399,"structure_id":12800,"section_number":"38.2-6514","catch_line":"Certified application counselors","url":"\/38.2-6514\/","token":"38.2\/65\/38.2-6514","metadata":false},{"id":82556,"structure_id":12800,"section_number":"38.2-6515","catch_line":"Regulations","url":"\/38.2-6515\/","token":"38.2\/65\/38.2-6515","metadata":false},{"id":53968,"structure_id":12800,"section_number":"38.2-6516","catch_line":"Reports","url":"\/38.2-6516\/","token":"38.2\/65\/38.2-6516","metadata":false},{"id":58428,"structure_id":12800,"section_number":"38.2-6517","catch_line":"Relation to other laws","url":"\/38.2-6517\/","token":"38.2\/65\/38.2-6517","metadata":false}],"previous_section":{"id":80784,"structure_id":12800,"section_number":"38.2-6513","catch_line":"Navigators","url":"\/38.2-6513\/","token":"38.2\/65\/38.2-6513","metadata":false},"next_section":{"id":82556,"structure_id":12800,"section_number":"38.2-6515","catch_line":"Regulations","url":"\/38.2-6515\/","token":"38.2\/65\/38.2-6515","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/38.2-6514\/","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+CHAP0916\">916<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?201+ful+CHAP0917\">917<\/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":81163,"section_number":"38.2-6506","catch_line":"Certification of health benefit plans as qualified health plans","order_by":null,"url":"\/38.2-6506\/"}],"refers_to":false,"permalink":{"id":218403,"object_type":"law","relational_id":85399,"identifier":"38.2-6514","token":"38.2\/65\/38.2-6514","url":"\/38.2-6514\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/38.2-6514\/","token":"38.2\/65\/38.2-6514","dublin_core":{"Title":"Certified application counselors","Type":"Text","Format":"text\/html","Identifier":"\u00a7 38.2-6514","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section id=\"A\"><p><span class=\"prefix-number\">A.<\/span> The Exchange shall establish a <span class=\"dictionary\">Certified Application Counselor<\/span> program pursuant to 45 C.F.R. &#xA7; 155.225 and shall (i) certify individuals as <span class=\"dictionary\">certified application counselors<\/span> to perform specified duties, (ii) designate an organization to certify individuals as <span class=\"dictionary\">certified application counselors<\/span> to perform specified duties, or (iii) implement a combination both clause (i) and (ii). <a id=\"paragraph-305943\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6514\/#A\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"B\"><p><span class=\"prefix-number\">B.<\/span> The Exchange shall ensure, either directly or through designated organizations, that <span class=\"dictionary\">certified application counselors<\/span> complete required Virginia-specific training on topics including <span class=\"dictionary\">qualified health plan<\/span> options, <span class=\"dictionary\">insurance<\/span> affordability programs, eligibility and enrollment rules, and all other regulatory requirements. <a id=\"paragraph-305944\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6514\/#B\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"C\"><p><span class=\"prefix-number\">C.<\/span> The Exchange shall ensure <span class=\"dictionary\">certified application counselors<\/span> adhere to all terms and conditions of privacy and security pursuant to 45 C.F.R. &#xA7; 155.260(b). <a id=\"paragraph-305945\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6514\/#C\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"D\"><p><span class=\"prefix-number\">D.<\/span> The Exchange may decertify a <span class=\"dictionary\">certified application counselor<\/span> or designated organization for failure to comply with the requirements of this section or of the Exchange. <a id=\"paragraph-305946\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6514\/#D\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nCERTIFIED APPLICATION COUNSELORS (\u00a7 38.2-6514)\n\nA. The Exchange shall establish a Certified Application Counselor program\npursuant to 45 C.F.R. &#xA7; 155.225 and shall (i) certify individuals as\ncertified application counselors to perform specified duties, (ii) designate an\norganization to certify individuals as certified application counselors to\nperform specified duties, or (iii) implement a combination both clause (i) and\n(ii).\n\nB. The Exchange shall ensure, either directly or through designated\norganizations, that certified application counselors complete required\nVirginia-specific training on topics including qualified health plan options,\ninsurance affordability programs, eligibility and enrollment rules, and all\nother regulatory requirements.\n\nC. The Exchange shall ensure certified application counselors adhere to all\nterms and conditions of privacy and security pursuant to 45 C.F.R. &#xA7;\n155.260(b).\n\nD. The Exchange may decertify a certified application counselor or designated\norganization for failure to comply with the requirements of this section or of\nthe Exchange.\n\nHISTORY: 2020, cc. 916, 917.","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}}