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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>57559</law_id><section_number>38.2-3419.1</section_number><catch_line>Report of costs and utilization of mandated benefits</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>2.2-2818</reference><reference>38.2-4214</reference><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> Beginning with the calendar year 1991, every <span class="dictionary">insurer</span>, <span class="dictionary">health services plan</span>, and health maintenance organization from which a report is deemed necessary under regulations adopted by the <span class="dictionary">Commission</span> shall report to the <span class="dictionary">Commission</span> cost and utilization information for each of the mandated benefits and providers set forth in this article. The reporting period shall be as determined by the <span class="dictionary">Commission</span> in its regulations, but not less often than biennially. Each report shall be submitted no later than the next May 1 following the reporting period. The reports shall be in detail and form as required under regulations adopted by the <span class="dictionary">Commission</span> so as to provide the information deemed necessary by the <span class="dictionary">Commission</span> to determine the financial impact of each mandated benefit and provider. <a id="paragraph-210894" class="section-permalink" href="https://vacode.org/38.2-3419.1/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The <span class="dictionary">Commission</span> shall prepare a <span class="dictionary">consolidation</span> of these reports to provide to the General Assembly such information concerning the costs of mandated benefits, the utilization of services under mandated benefits, and such other information as the <span class="dictionary">Commission</span> or the General Assembly may deem appropriate. Such consolidated reports shall be submitted to the General Assembly no later than the next October 31 following the reporting period. <a id="paragraph-210895" class="section-permalink" href="https://vacode.org/38.2-3419.1/#B"><i class="fa fa-link"/></a></p></section></text><history>1990, cc. 393, 439; 1994, c. 316.</history><metadata></metadata></law>
