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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>58939</law_id><section_number>38.2-6601</section_number><catch_line>Commission powers and duties; rules; report</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="66">Commonwealth Health Reinsurance Program</unit></structure><text>
						<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"/></a></p></section>
						<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"/></a></p></section>
						<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"/></a></p></section>
						<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"/></a></p></section>
						<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"/></a></p></section>
						<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"/></a></p></section>
						<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"/></a></p></section>
						<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"/></a></p></section>
						<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"/></a></p></section>
						<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"/></a></p></section></text><history>2021, Sp. Sess. I, c. 480.</history><metadata></metadata></law>
