{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/38.2-6601.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/38.2-6601.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/38.2-6601.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/38.2-6601.html"}],"law_id":58939,"edition_id":1,"section_id":58939,"structure_id":15471,"section_number":"38.2-6601","catch_line":"Commission powers and duties; rules; report","history":"2021, Sp. Sess. I, c. 480.","full_text":"A\n\nThe Commission shall have all the powers necessary to implement the provisions of this chapter and is specifically authorized to:1\n\nEnter into contracts as necessary or proper to carry out the provisions and purposes of this chapter, including contracts for the administration of the Program, as well as other approved initiatives under the State Innovation Waiver, and with appropriate administrative staff, consultants, and legal counsel;2\n\nTake action as necessary to avoid the payment of improper claims under the Program;3\n\nEstablish administrative and accounting procedures for the operation of the Program and other approved initiatives under the State Innovation Waiver;4\n\nEstablish procedures and standards for eligible carriers to submit claims under the Program;5\n\nEstablish or adjust the payment parameters in accordance with subdivision B 2 of &#xA7; 38.2-6602 for each benefit year;6\n\nApply for a State Innovation Waiver, federal funds, or both, in accordance with &#xA7; 38.2-6606, for the implementation and operation of the Program, as well as other initiatives designated by the established work group convened by the Secretary of Health and Human Resources;7\n\nApply for, accept, administer, and expend gifts, grants, and donations and any federal funds that become available for the operation of the Program, as well as other initiatives designated by the established work group convened by the Secretary of Health and Human Resources; and8\n\nAdopt rules as necessary to implement, administer, and enforce this chapter, including rules necessary to align state law with any federal program.B\n\nIf the State Innovation Waiver is granted pursuant to &#xA7; 38.2-6606, the Commission, during implementation of the Program, shall evaluate the effect of the Program on access to affordable, high-value health insurance for consumers who are eligible for premium tax credit subsidies and cost-sharing reductions.","order_by":null,"text":{"0":{"id":216144,"text":"The Commission shall have all the powers necessary to implement the provisions of this chapter and is specifically authorized to:","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"A1"},"1":{"id":216145,"text":"Enter into contracts as necessary or proper to carry out the provisions and purposes of this chapter, including contracts for the administration of the Program, as well as other approved initiatives under the State Innovation Waiver, and with appropriate administrative staff, consultants, and legal counsel;","type":"section","prefixes":["A","1"],"prefix":"1","entire_prefix":"A1","prefix_anchor":"A1","level":2,"prior_prefix":"A","next_prefix":"A2"},"2":{"id":216146,"text":"Take action as necessary to avoid the payment of improper claims under the Program;","type":"section","prefixes":["A","2"],"prefix":"2","entire_prefix":"A2","prefix_anchor":"A2","level":2,"prior_prefix":"A1","next_prefix":"A3"},"3":{"id":216147,"text":"Establish administrative and accounting procedures for the operation of the Program and other approved initiatives under the State Innovation Waiver;","type":"section","prefixes":["A","3"],"prefix":"3","entire_prefix":"A3","prefix_anchor":"A3","level":2,"prior_prefix":"A2","next_prefix":"A4"},"4":{"id":216148,"text":"Establish procedures and standards for eligible carriers to submit claims under the Program;","type":"section","prefixes":["A","4"],"prefix":"4","entire_prefix":"A4","prefix_anchor":"A4","level":2,"prior_prefix":"A3","next_prefix":"A5"},"5":{"id":216149,"text":"Establish or adjust the payment parameters in accordance with subdivision B 2 of &#xA7; 38.2-6602 for each benefit year;","type":"section","prefixes":["A","5"],"prefix":"5","entire_prefix":"A5","prefix_anchor":"A5","level":2,"prior_prefix":"A4","next_prefix":"A6"},"6":{"id":216150,"text":"Apply for a State Innovation Waiver, federal funds, or both, in accordance with &#xA7; 38.2-6606, for the implementation and operation of the Program, as well as other initiatives designated by the established work group convened by the Secretary of Health and Human Resources;","type":"section","prefixes":["A","6"],"prefix":"6","entire_prefix":"A6","prefix_anchor":"A6","level":2,"prior_prefix":"A5","next_prefix":"A7"},"7":{"id":216151,"text":"Apply for, accept, administer, and expend gifts, grants, and donations and any federal funds that become available for the operation of the Program, as well as other initiatives designated by the established work group convened by the Secretary of Health and Human Resources; and","type":"section","prefixes":["A","7"],"prefix":"7","entire_prefix":"A7","prefix_anchor":"A7","level":2,"prior_prefix":"A6","next_prefix":"A8"},"8":{"id":216152,"text":"Adopt rules as necessary to implement, administer, and enforce this chapter, including rules necessary to align state law with any federal program.","type":"section","prefixes":["A","8"],"prefix":"8","entire_prefix":"A8","prefix_anchor":"A8","level":2,"prior_prefix":"A7","next_prefix":"B"},"9":{"id":216153,"text":"If the State Innovation Waiver is granted pursuant to &#xA7; 38.2-6606, the Commission, during implementation of the Program, shall evaluate the effect of the Program on access to affordable, high-value health insurance for consumers who are eligible for premium tax credit subsidies and cost-sharing reductions.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A8"}},"ancestry":[{"id":15471,"edition_id":1,"name":"Commonwealth Health Reinsurance Program","identifier":"66","label":"chapter","depth":2,"order_by":1,"parent_id":12698,"metadata":{},"date_created":"2026-06-26 03:55:18","date_modified":"2026-06-26 03:55:18","permalink":{"id":218419,"object_type":"structure","relational_id":15471,"identifier":"66","token":"38.2\/66","url":"\/38.2\/66\/","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":76403,"structure_id":15471,"section_number":"38.2-6600","catch_line":"Definitions","url":"\/38.2-6600\/","token":"38.2\/66\/38.2-6600","metadata":false},{"id":58939,"structure_id":15471,"section_number":"38.2-6601","catch_line":"Commission powers and duties; rules; report","url":"\/38.2-6601\/","token":"38.2\/66\/38.2-6601","metadata":false},{"id":62335,"structure_id":15471,"section_number":"38.2-6602","catch_line":"Commonwealth Health Reinsurance Program; established","url":"\/38.2-6602\/","token":"38.2\/66\/38.2-6602","metadata":false},{"id":87443,"structure_id":15471,"section_number":"38.2-6603","catch_line":"Accounting; reports","url":"\/38.2-6603\/","token":"38.2\/66\/38.2-6603","metadata":false},{"id":87186,"structure_id":15471,"section_number":"38.2-6604","catch_line":"Commonwealth Health Reinsurance Program Special Fund","url":"\/38.2-6604\/","token":"38.2\/66\/38.2-6604","metadata":false},{"id":87098,"structure_id":15471,"section_number":"38.2-6605","catch_line":"Confidentiality of data","url":"\/38.2-6605\/","token":"38.2\/66\/38.2-6605","metadata":false},{"id":67978,"structure_id":15471,"section_number":"38.2-6606","catch_line":"State Innovation Waiver request","url":"\/38.2-6606\/","token":"38.2\/66\/38.2-6606","metadata":false}],"previous_section":{"id":76403,"structure_id":15471,"section_number":"38.2-6600","catch_line":"Definitions","url":"\/38.2-6600\/","token":"38.2\/66\/38.2-6600","metadata":false},"next_section":{"id":62335,"structure_id":15471,"section_number":"38.2-6602","catch_line":"Commonwealth Health Reinsurance Program; established","url":"\/38.2-6602\/","token":"38.2\/66\/38.2-6602","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/38.2-6601\/","history_text":false,"references":false,"refers_to":[{"id":62335,"section_number":"38.2-6602","catch_line":"Commonwealth Health Reinsurance Program; established","order_by":null,"url":"\/38.2-6602\/"},{"id":67978,"section_number":"38.2-6606","catch_line":"State Innovation Waiver request","order_by":null,"url":"\/38.2-6606\/"}],"permalink":{"id":218425,"object_type":"law","relational_id":58939,"identifier":"38.2-6601","token":"38.2\/66\/38.2-6601","url":"\/38.2-6601\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/38.2-6601\/","token":"38.2\/66\/38.2-6601","dublin_core":{"Title":"Commission powers and duties; rules; report","Type":"Text","Format":"text\/html","Identifier":"\u00a7 38.2-6601","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section id=\"A\"><p><span class=\"prefix-number\">A.<\/span> The <span class=\"dictionary\">Commission<\/span> shall have all the powers necessary to implement the provisions of this chapter and is specifically authorized to: <a id=\"paragraph-216144\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"A1\" class=\"indent-1\"><p><span class=\"prefix-number\">1.<\/span> Enter into <span class=\"dictionary\">contracts<\/span> as necessary or proper to carry out the provisions and purposes of this chapter, including <span class=\"dictionary\">contracts<\/span> for the administration of the <span class=\"dictionary\">Program<\/span>, as well as other approved initiatives under the <span class=\"dictionary\">State Innovation Waiver<\/span>, and with appropriate administrative staff, consultants, and legal <span class=\"dictionary\">counsel<\/span>; <a id=\"paragraph-216145\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A1\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"A2\" class=\"indent-1\"><p><span class=\"prefix-number\">2.<\/span> Take action as necessary to avoid the payment of improper claims under the <span class=\"dictionary\">Program<\/span>; <a id=\"paragraph-216146\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A2\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"A3\" class=\"indent-1\"><p><span class=\"prefix-number\">3.<\/span> Establish administrative and accounting procedures for the operation of the <span class=\"dictionary\">Program<\/span> and other approved initiatives under the <span class=\"dictionary\">State Innovation Waiver<\/span>; <a id=\"paragraph-216147\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A3\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"A4\" class=\"indent-1\"><p><span class=\"prefix-number\">4.<\/span> Establish procedures and standards for <span class=\"dictionary\">eligible carriers<\/span> to submit claims under the <span class=\"dictionary\">Program<\/span>; <a id=\"paragraph-216148\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A4\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"A5\" class=\"indent-1\"><p><span class=\"prefix-number\">5.<\/span> Establish or adjust the <span class=\"dictionary\">payment parameters<\/span> in accordance with subdivision B 2 of &#xA7; <a class=\"law\" title=\"Commonwealth Health Reinsurance Program; established\" href=\"\/38.2-6602\/\">38.2-6602<\/a> for each <span class=\"dictionary\">benefit year<\/span>; <a id=\"paragraph-216149\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A5\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"A6\" class=\"indent-1\"><p><span class=\"prefix-number\">6.<\/span> Apply for a <span class=\"dictionary\">State Innovation Waiver<\/span>, federal <span class=\"dictionary\">funds<\/span>, or both, in accordance with &#xA7; <a class=\"law\" title=\"State Innovation Waiver request\" href=\"\/38.2-6606\/\">38.2-6606<\/a>, for the implementation and operation of the <span class=\"dictionary\">Program<\/span>, as well as other initiatives designated by the established work group convened by the Secretary of Health and Human Resources; <a id=\"paragraph-216150\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A6\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"A7\" class=\"indent-1\"><p><span class=\"prefix-number\">7.<\/span> Apply for, accept, administer, and expend gifts, grants, and donations and any federal <span class=\"dictionary\">funds<\/span> that become available for the operation of the <span class=\"dictionary\">Program<\/span>, as well as other initiatives designated by the established work group convened by the Secretary of Health and Human Resources; and <a id=\"paragraph-216151\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A7\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"A8\" class=\"indent-1\"><p><span class=\"prefix-number\">8.<\/span> Adopt rules as necessary to implement, administer, and enforce this chapter, including rules necessary to align state <span class=\"dictionary\">law<\/span> with any federal <span class=\"dictionary\">program<\/span>. <a id=\"paragraph-216152\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#A8\"><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> If the <span class=\"dictionary\">State Innovation Waiver<\/span> is granted pursuant to &#xA7; <a class=\"law\" title=\"State Innovation Waiver request\" href=\"\/38.2-6606\/\">38.2-6606<\/a>, the <span class=\"dictionary\">Commission<\/span>, during implementation of the <span class=\"dictionary\">Program<\/span>, shall evaluate the effect of the <span class=\"dictionary\">Program<\/span> on access to affordable, high-value health <span class=\"dictionary\">insurance<\/span> for consumers who are eligible for premium tax credit subsidies and cost-sharing reductions. <a id=\"paragraph-216153\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/38.2-6601\/#B\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nCOMMISSION POWERS AND DUTIES; RULES; REPORT (\u00a7 38.2-6601)\n\nA. The Commission shall have all the powers necessary to implement the\nprovisions of this chapter and is specifically authorized to:\n\n   1. Enter into contracts as necessary or proper to carry out the provisions and\n   purposes of this chapter, including contracts for the administration of the\n   Program, as well as other approved initiatives under the State Innovation\n   Waiver, and with appropriate administrative staff, consultants, and legal\n   counsel;\n\n   2. Take action as necessary to avoid the payment of improper claims under the\n   Program;\n\n   3. Establish administrative and accounting procedures for the operation of the\n   Program and other approved initiatives under the State Innovation Waiver;\n\n   4. Establish procedures and standards for eligible carriers to submit claims\n   under the Program;\n\n   5. Establish or adjust the payment parameters in accordance with subdivision B\n   2 of &#xA7; 38.2-6602 for each benefit year;\n\n   6. Apply for a State Innovation Waiver, federal funds, or both, in accordance\n   with &#xA7; 38.2-6606, for the implementation and operation of the Program, as\n   well as other initiatives designated by the established work group convened by\n   the Secretary of Health and Human Resources;\n\n   7. Apply for, accept, administer, and expend gifts, grants, and donations and\n   any federal funds that become available for the operation of the Program, as\n   well as other initiatives designated by the established work group convened by\n   the Secretary of Health and Human Resources; and\n\n   8. Adopt rules as necessary to implement, administer, and enforce this\n   chapter, including rules necessary to align state law with any federal\n   program.\n\nB. If the State Innovation Waiver is granted pursuant to &#xA7; 38.2-6606, the\nCommission, during implementation of the Program, shall evaluate the effect of\nthe Program on access to affordable, high-value health insurance for consumers\nwho are eligible for premium tax credit subsidies and cost-sharing reductions.\n\nHISTORY: 2021, Sp. Sess. I, c. 480.","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}}