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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>73124</law_id><section_number>32.1-276.8</section_number><catch_line>Fees for processing, verification, and dissemination of data</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>32.1-276.4</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="32.1">Health</unit><unit label="chapter" level="2" order_by="1" identifier="7.2">Health Care Data Reporting</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> The <span class="dictionary">Board</span> shall prescribe a reasonable fee for each affected <span class="dictionary">health care provider</span> to cover the costs of the reasonable expenses of establishing and administering the methodology developed pursuant to &#xA7; <a class="law" title="Methodology to review and measure the efficiency and productivity of health care providers" href="/32.1-276.7/">32.1-276.7</a>. The payment of such fees shall be at such time as the <span class="dictionary">Board</span> designates. The <span class="dictionary">Board</span> may assess a late charge on any fees paid after their due date.
			In addition, the <span class="dictionary">Board</span> shall prescribe a tiered-fee structure based on the number of enrollees for each <span class="dictionary">health maintenance organization</span> to cover the costs of collecting and making available such data. Such fees shall not exceed $3,000 for each <span class="dictionary">health maintenance organization</span> required to provide information pursuant to this chapter. The payment of such fees shall also be at such time as the <span class="dictionary">Board</span> designates. The <span class="dictionary">Board</span> may also assess a late charge on any fees paid by <span class="dictionary">health maintenance organizations</span> after their due dates. <a id="paragraph-263293" class="section-permalink" href="https://vacode.org/32.1-276.8/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> Except for the fees assessed pursuant to subsection A, the <span class="dictionary">nonprofit organization</span> providing services pursuant to an agreement or <span class="dictionary">contract</span> as provided in &#xA7; <a class="law" title="Agreements for certain data services" href="/32.1-276.4/">32.1-276.4</a> shall not assess any fee against any <span class="dictionary">health care provider</span> that submits data under this chapter that is processed, verified, and timely in accordance with standards established by the <span class="dictionary">Board</span>. The <span class="dictionary">Board</span> shall establish penalties for submission of data in a manner that is inconsistent with such standards. <a id="paragraph-263294" class="section-permalink" href="https://vacode.org/32.1-276.8/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> State agencies shall not be assessed fees for the submission of patient level data required by subsection C of &#xA7; <a class="law" title="Patient level data system continued; reporting requirements" href="/32.1-276.6/">32.1-276.6</a>. Individual employers, insurers, and other organizations may voluntarily provide the <span class="dictionary">nonprofit organization</span> with outpatient data for processing, storage, and comparative analysis and shall be subject to fees negotiated with and charged by the <span class="dictionary">nonprofit organization</span> for services provided. <a id="paragraph-263295" class="section-permalink" href="https://vacode.org/32.1-276.8/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> The <span class="dictionary">nonprofit organization</span> providing services pursuant to an agreement or <span class="dictionary">contract</span> with the <span class="dictionary">Commissioner</span> of Health shall be authorized to charge and collect reasonable fees for the dissemination of patient level data and Health Employer Data and Information Set (HEDIS) data or other approved quality of care or performance information set data; however, the <span class="dictionary">Commissioner</span> of Health, the State Corporation Commission, and the <span class="dictionary">Commissioner</span> of Behavioral Health and Developmental Services shall be entitled to receive relevant and appropriate data from the <span class="dictionary">nonprofit organization</span> at no charge. <a id="paragraph-263296" class="section-permalink" href="https://vacode.org/32.1-276.8/#D"><i class="fa fa-link"/></a></p></section>
						<section id="E"><p><span class="prefix-number">E.</span> The <span class="dictionary">Board</span> shall (i) maintain records of its activities; (ii) collect and account for all fees and deposit the moneys so collected into a special fund from which the expenses attributed to this chapter shall be paid; and (iii) enforce all regulations promulgated by it pursuant to this chapter. <a id="paragraph-263297" class="section-permalink" href="https://vacode.org/32.1-276.8/#E"><i class="fa fa-link"/></a></p></section></text><history>1996, c. 902; 1999, c. 764; 2000, c. 897; 2001, c. 341; 2003, c. 472; 2009, cc. 813, 840.</history><metadata></metadata></law>
