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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>79176</law_id><section_number>38.2-3418.19</section_number><catch_line>Coverage for organ, eye or tissue transplant</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-4319</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="34">Provisions Relating to Accident and Sickness Insurance</unit><unit label="article" level="3" order_by="1" identifier="2">Mandated Benefits</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> Notwithstanding the provisions of &#xA7;&#xA0;<a class="law" title="Statutory construction and relationship to other laws" href="/38.2-4319/">38.2-4319</a>, each <span class="dictionary">insurer</span> proposing to <span class="dictionary">issue</span> individual or group accident and sickness <span class="dictionary">insurance policies</span> providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; each corporation providing individual or group accident and sickness subscription <span class="dictionary">contracts</span>; and each health maintenance organization providing a health care plan for health care services, whose policy, <span class="dictionary">contract</span>, or plan, including any certificate of <span class="dictionary">evidence</span> of coverage issued in connection with such policy, <span class="dictionary">contract</span>, or plan, includes coverage for services related to organ, eye, or tissue transplantation as defined in &#xA7;&#xA0;<a class="law" title="Discrimination prohibited" href="/32.1-297.2/">32.1-297.2</a> shall not: <a id="paragraph-283536" class="section-permalink" href="https://vacode.org/38.2-3418.19/#A"><i class="fa fa-link"/></a></p></section>
						<section id="A1" class="indent-1"><p><span class="prefix-number">1.</span> Deny coverage to a covered <span class="dictionary">person</span> solely on the basis of the <span class="dictionary">person</span>&#x2019;s disability; <a id="paragraph-283537" class="section-permalink" href="https://vacode.org/38.2-3418.19/#A1"><i class="fa fa-link"/></a></p></section>
						<section id="A2" class="indent-1"><p><span class="prefix-number">2.</span> Deny a <span class="dictionary">person</span> eligibility or continued eligibility to enroll in or to renew coverage under the policy, <span class="dictionary">contract</span>, or plan for the purpose of avoiding the requirements of &#xA7; <a class="law" title="Discrimination prohibited" href="/32.1-297.2/">32.1-297.2</a>; <a id="paragraph-283538" class="section-permalink" href="https://vacode.org/38.2-3418.19/#A2"><i class="fa fa-link"/></a></p></section>
						<section id="A3" class="indent-1"><p><span class="prefix-number">3.</span> Penalize a health care provider, reduce or limit the reimbursement of a health care provider, or provide monetary or nonmonetary incentives to a health care provider to induce such health care provider to act in a manner inconsistent with the requirements of &#xA7; <a class="law" title="Discrimination prohibited" href="/32.1-297.2/">32.1-297.2</a>; or <a id="paragraph-283539" class="section-permalink" href="https://vacode.org/38.2-3418.19/#A3"><i class="fa fa-link"/></a></p></section>
						<section id="A4" class="indent-1"><p><span class="prefix-number">4.</span> Reduce or limit coverage for services related to organ, eye, or tissue transplant as defined in &#xA7; <a class="law" title="Discrimination prohibited" href="/32.1-297.2/">32.1-297.2</a> for an eligible individual with a disability as defined in &#xA7; <a class="law" title="Discrimination prohibited" href="/32.1-297.2/">32.1-297.2</a>. <a id="paragraph-283540" class="section-permalink" href="https://vacode.org/38.2-3418.19/#A4"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The provisions of this section shall apply to any policy, <span class="dictionary">contract</span>, or plan delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2021. <a id="paragraph-283541" class="section-permalink" href="https://vacode.org/38.2-3418.19/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> The provisions of this section shall not apply to short-term travel, accident-only, or limited or specified disease policies; <span class="dictionary">contracts</span> designed for issuance to <span class="dictionary">persons</span> eligible for coverage under Title XVIII of the Social Security Act, known as <span class="dictionary">Medicare</span>, or any other similar coverage under <span class="dictionary">state</span> or federal government plans; or short-term nonrenewable policies of not more than six months&#x2019; duration. <a id="paragraph-283542" class="section-permalink" href="https://vacode.org/38.2-3418.19/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> Nothing in this section shall require an <span class="dictionary">insurer</span> to provide coverage for a medically inappropriate organ, eye or tissue transplant. <a id="paragraph-283543" class="section-permalink" href="https://vacode.org/38.2-3418.19/#D"><i class="fa fa-link"/></a></p></section></text><history>2020, cc. 217, 218, &#xA7; 38.2-3418.18.</history><metadata></metadata></law>
