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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>71360</law_id><section_number>38.2-4920</section_number><catch_line>Community-based continuing care disclosure statement; availability of disclosure statement to prospective participants</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="49">Continuing Care Providers and Community-Based Continuing Care Providers</unit><unit label="article" level="3" order_by="1" identifier="2">Community-Based Continuing Care Providers</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> The initial <span class="dictionary">disclosure statement</span> of each <span class="dictionary">community-based continuing care</span> program shall contain the following information unless such information is contained in the <span class="dictionary">CBCC</span> <span class="dictionary">contract</span> and a copy of that <span class="dictionary">contract</span> is attached and made a part of the initial <span class="dictionary">disclosure statement</span>: <a id="paragraph-257265" class="section-permalink" href="https://vacode.org/38.2-4920/#A"><i class="fa fa-link"/></a></p></section>
						<section id="A1" class="indent-1"><p><span class="prefix-number">1.</span> The name and business address of the <span class="dictionary">CBCC provider</span> and a statement of whether the provider is a partnership, foundation, association, corporation, or other type of business or legal entity; <a id="paragraph-257266" class="section-permalink" href="https://vacode.org/38.2-4920/#A1"><i class="fa fa-link"/></a></p></section>
						<section id="A2" class="indent-1"><p><span class="prefix-number">2.</span> Full information regarding ownership of the <span class="dictionary">CCRC facility</span> that the <span class="dictionary">CBCC provider</span> has operated for the minimum three-year period as required in the definition of <span class="dictionary">CBCC provider</span> in &#xA7; <a class="law" title="Definitions" href="/38.2-4918/">38.2-4918</a>; <a id="paragraph-257267" class="section-permalink" href="https://vacode.org/38.2-4920/#A2"><i class="fa fa-link"/></a></p></section>
						<section id="A3" class="indent-1"><p><span class="prefix-number">3.</span> A complete listing of all CCRC facilities owned or operated, or both, by the <span class="dictionary">CBCC provider</span> and, for each, total liquid <span class="dictionary">assets</span> on the balance sheet and current occupancy percentages in independent living units; <a id="paragraph-257268" class="section-permalink" href="https://vacode.org/38.2-4920/#A3"><i class="fa fa-link"/></a></p></section>
						<section id="A4" class="indent-1"><p><span class="prefix-number">4.</span> The names and business addresses of the officers, directors, trustees, managing or general partners, and any <span class="dictionary">person</span> having a 10 percent or greater <span class="dictionary">equity</span> or beneficial interest in the <span class="dictionary">CBCC provider</span>, and a description of such <span class="dictionary">person</span>&#x2019;s interest in or occupation with the provider; <a id="paragraph-257269" class="section-permalink" href="https://vacode.org/38.2-4920/#A4"><i class="fa fa-link"/></a></p></section>
						<section id="A5" class="indent-1"><p><span class="prefix-number">5.</span> For (i) the <span class="dictionary">CBCC provider</span>, (ii) any <span class="dictionary">person</span> named in response to subdivision 4, and (iii) the proposed management, if the CBCC program will be managed on a day-to-day basis by a <span class="dictionary">person</span> other than an individual directly employed by the provider:
				a. A description of any business experience in the operation or management of <span class="dictionary">community-based continuing care</span> or long-term care programs;
				b. The name and address of any professional service, firm, association, foundation, trust, partnership, or corporation or any other business or legal entity in which such <span class="dictionary">person</span> has, or which has in such <span class="dictionary">person</span>, a 10 percent or greater interest and which it is presently intended will or may provide goods, leases, or services to the <span class="dictionary">CBCC provider</span> of a value of $500 or more, within any year, including: <a id="paragraph-257270" class="section-permalink" href="https://vacode.org/38.2-4920/#A5"><i class="fa fa-link"/></a></p></section>
						<section id="A51" class="indent-2"><p><span class="prefix-number">1.</span> A description of the goods, leases, or services and the probable or anticipated cost thereof to the <span class="dictionary">CBCC provider</span>; <a id="paragraph-257271" class="section-permalink" href="https://vacode.org/38.2-4920/#A51"><i class="fa fa-link"/></a></p></section>
						<section id="A52" class="indent-2"><p><span class="prefix-number">2.</span> The process by which the <span class="dictionary">contract</span> was awarded; <a id="paragraph-257272" class="section-permalink" href="https://vacode.org/38.2-4920/#A52"><i class="fa fa-link"/></a></p></section>
						<section id="A53" class="indent-2"><p><span class="prefix-number">3.</span> Any additional offers that were received; and <a id="paragraph-257273" class="section-permalink" href="https://vacode.org/38.2-4920/#A53"><i class="fa fa-link"/></a></p></section>
						<section id="A54" class="indent-2"><p><span class="prefix-number">4.</span> Any additional information requested by the <span class="dictionary">Commission</span> detailing how and why a <span class="dictionary">contract</span> was awarded; and
					c. A description of any matter in which such <span class="dictionary">person</span>: <a id="paragraph-257274" class="section-permalink" href="https://vacode.org/38.2-4920/#A54"><i class="fa fa-link"/></a></p></section>
						<section id="A51" class="indent-2"><p><span class="prefix-number">1.</span> Has been convicted of a <span class="dictionary">felony</span> or pleaded <span class="dictionary">nolo contendere</span> to a criminal charge or has been held liable or enjoined in a <span class="dictionary">civil action</span> by final <span class="dictionary">judgment</span>, if the <span class="dictionary">crime</span> or <span class="dictionary">civil action</span> involved <span class="dictionary">fraud</span>, <span class="dictionary">embezzlement</span>, fraudulent conversion, misappropriation of property, or <span class="dictionary">moral turpitude</span>; <a id="paragraph-257275" class="section-permalink" href="https://vacode.org/38.2-4920/#A51"><i class="fa fa-link"/></a></p></section>
						<section id="A52" class="indent-2"><p><span class="prefix-number">2.</span> Is subject to an injunctive or restrictive <span class="dictionary">order</span> of a <span class="dictionary">court</span> of record, or within the past five years had any <span class="dictionary">state</span> or federal license or permit suspended or revoked as a result of an action brought by a governmental agency or department, arising out of or relating to business activity or health care, including without limitation action affecting a license to operate a home care <span class="dictionary">company</span>, foster care facility, nursing home, retirement home, home for the aged, or facility registered under this article or similar <span class="dictionary">laws</span> in another <span class="dictionary">state</span>; or <a id="paragraph-257276" class="section-permalink" href="https://vacode.org/38.2-4920/#A52"><i class="fa fa-link"/></a></p></section>
						<section id="A53" class="indent-2"><p><span class="prefix-number">3.</span> Is currently the subject of any <span class="dictionary">state</span> or federal <span class="dictionary">prosecution</span> or administrative investigation involving <span class="dictionary">allegations</span> of <span class="dictionary">fraud</span>, <span class="dictionary">embezzlement</span>, fraudulent conversion, or misappropriation of property; <a id="paragraph-257277" class="section-permalink" href="https://vacode.org/38.2-4920/#A53"><i class="fa fa-link"/></a></p></section>
						<section id="A6" class="indent-1"><p><span class="prefix-number">6.</span> A statement as to:
				a. Whether the <span class="dictionary">CBCC provider</span> is or ever has been affiliated with a religious, charitable, or other nonprofit organization, the nature of any such affiliation, and the extent to which the affiliate organization is or will be responsible for the financial and contractual obligations of the <span class="dictionary">CBCC provider</span>; and
				b. Any provision of the federal Internal Revenue Code under which the <span class="dictionary">CBCC provider</span> is exempt from the payment of income tax; <a id="paragraph-257278" class="section-permalink" href="https://vacode.org/38.2-4920/#A6"><i class="fa fa-link"/></a></p></section>
						<section id="A7" class="indent-1"><p><span class="prefix-number">7.</span> A description of the services provided or proposed to be provided under <span class="dictionary">community-based continuing care</span> <span class="dictionary">contracts</span>, including the extent to which medical care is furnished or is available pursuant to any arrangement. The <span class="dictionary">disclosure statement</span> shall clearly <span class="dictionary">state</span> which services are included in basic <span class="dictionary">community-based continuing care</span> <span class="dictionary">contracts</span> and which services are made available by the <span class="dictionary">CBCC provider</span> at extra charge. The <span class="dictionary">disclosure statement</span> shall also clearly <span class="dictionary">state</span> which services are offered by the <span class="dictionary">CBCC provider</span> and which services are offered through contractual arrangements. The name and address of the <span class="dictionary">party</span> providing such services shall be disclosed. A definition of the services shall also be provided; <a id="paragraph-257279" class="section-permalink" href="https://vacode.org/38.2-4920/#A7"><i class="fa fa-link"/></a></p></section>
						<section id="A8" class="indent-1"><p><span class="prefix-number">8.</span> A description of all fees required of <span class="dictionary">participants</span>, including any entrance fee and periodic charges. The description shall include (i) a description of all proposed uses of any funds or property required to be transferred to the <span class="dictionary">CBCC provider</span> or any other <span class="dictionary">person</span> prior to the <span class="dictionary">participant</span>&#x2019;s enrollment in the program and of any entrance fee; (ii) a description of provisions for the escrowing and return of any such funds, <span class="dictionary">assets</span>, or entrance fee, the manner and any conditions of return, and to whom earnings on escrowed funds are payable; and (iii) a description of the manner by which the <span class="dictionary">CBCC provider</span> may adjust periodic charges or other recurring fees and any limitations on such adjustments. If the program is already in operation, or if the <span class="dictionary">CBCC provider</span> operates one or more similar programs within the Commonwealth, there shall be included tables showing the frequency and average dollar amount of each increase in periodic <span class="dictionary"><span class="dictionary">rates</span></span> at each program for the previous five years or such shorter period that the program has been operated by the <span class="dictionary">CBCC provider</span>; <a id="paragraph-257280" class="section-permalink" href="https://vacode.org/38.2-4920/#A8"><i class="fa fa-link"/></a></p></section>
						<section id="A9" class="indent-1"><p><span class="prefix-number">9.</span> A description of any provisions that have been made or will be made to provide reserve funding or security to enable the <span class="dictionary">CBCC provider</span> to fully perform its obligations under <span class="dictionary">community-based continuing care</span> <span class="dictionary">contracts</span>, including the establishment of escrow accounts, trusts, or reserve funds, together with the manner in which such funds will be invested and the names and experience of <span class="dictionary">persons</span> who will make the investment decisions. The <span class="dictionary">disclosure statement</span> shall clearly <span class="dictionary">state</span> whether or not reserve funds are maintained; <a id="paragraph-257281" class="section-permalink" href="https://vacode.org/38.2-4920/#A9"><i class="fa fa-link"/></a></p></section>
						<section id="A10" class="indent-1"><p><span class="prefix-number">10.</span> Certified financial statements of the <span class="dictionary">CBCC provider</span>, including (i) a balance sheet as of the end of the two most recent fiscal years and (ii) income statements of the <span class="dictionary">CBCC provider</span> for the two most recent fiscal years; <a id="paragraph-257282" class="section-permalink" href="https://vacode.org/38.2-4920/#A10"><i class="fa fa-link"/></a></p></section>
						<section id="A11" class="indent-1"><p><span class="prefix-number">11.</span> A pro forma income statement for the current fiscal year for the <span class="dictionary">community-based continuing care</span> program and for the provider of the CBCC; <a id="paragraph-257283" class="section-permalink" href="https://vacode.org/38.2-4920/#A11"><i class="fa fa-link"/></a></p></section>
						<section id="A12" class="indent-1"><p><span class="prefix-number">12.</span> A description of the <span class="dictionary">CBCC provider</span>&#x2019;s criteria for enrollment of <span class="dictionary">participants</span>; <a id="paragraph-257284" class="section-permalink" href="https://vacode.org/38.2-4920/#A12"><i class="fa fa-link"/></a></p></section>
						<section id="A13" class="indent-1"><p><span class="prefix-number">13.</span> A description of the <span class="dictionary">CBCC provider</span>&#x2019;s policies regarding community-based services to non-<span class="dictionary">participants</span>; <a id="paragraph-257285" class="section-permalink" href="https://vacode.org/38.2-4920/#A13"><i class="fa fa-link"/></a></p></section>
						<section id="A14" class="indent-1"><p><span class="prefix-number">14.</span> Any other <span class="dictionary">material</span> information concerning the program or the <span class="dictionary">CBCC provider</span> that may be required by the <span class="dictionary">Commission</span> or included by the <span class="dictionary">CBCC provider</span>; and <a id="paragraph-257286" class="section-permalink" href="https://vacode.org/38.2-4920/#A14"><i class="fa fa-link"/></a></p></section>
						<section id="A15" class="indent-1"><p><span class="prefix-number">15.</span> The procedure by which a <span class="dictionary">participant</span> may file a complaint or disclose any concerns, to include the <span class="dictionary">CBCC provider</span>&#x2019;s process for resolving complaints and concerns. <a id="paragraph-257287" class="section-permalink" href="https://vacode.org/38.2-4920/#A15"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> The <span class="dictionary">disclosure statement</span> shall <span class="dictionary">state</span> on its cover that the filing of the <span class="dictionary">disclosure statement</span> with the <span class="dictionary">Commission</span> does not constitute recommendation or endorsement of the CBCC program by the <span class="dictionary">Commission</span>. <a id="paragraph-257288" class="section-permalink" href="https://vacode.org/38.2-4920/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> A copy of the standard form or forms for CBCC <span class="dictionary">contracts</span> used by the <span class="dictionary">CBCC provider</span> shall be attached as an exhibit to each <span class="dictionary">disclosure statement</span>. <a id="paragraph-257289" class="section-permalink" href="https://vacode.org/38.2-4920/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> If the <span class="dictionary">Commission</span> determines that the <span class="dictionary">disclosure statement</span> does not comply with the provisions of this article, it shall have the right to take action pursuant to &#xA7; <a class="law" title="Cease and desist orders; injunctions" href="/38.2-4931/">38.2-4931</a>. <a id="paragraph-257290" class="section-permalink" href="https://vacode.org/38.2-4920/#D"><i class="fa fa-link"/></a></p></section>
						<section id="E"><p><span class="prefix-number">E.</span> Three days prior to the execution of a <span class="dictionary">community-based continuing care</span> <span class="dictionary">contract</span> or the transfer of any money or other property to a provider by or on behalf of a prospective <span class="dictionary">participant</span>, whichever first occurs, the <span class="dictionary">CBCC provider</span> shall deliver to the <span class="dictionary">person</span> with whom the CBCC <span class="dictionary">contract</span> is to be entered into a copy of a <span class="dictionary">disclosure statement</span> with respect to the program in question meeting all requirements of this article as of the date of its delivery. <a id="paragraph-257291" class="section-permalink" href="https://vacode.org/38.2-4920/#E"><i class="fa fa-link"/></a></p></section></text><history>2012, cc. 208, 303.</history><metadata></metadata></law>
