Article 6 Federal Market Reforms

This article is comprised of the following sections:
  • §38.2-3438 Definitions
  • §38.2-3439 Dependent coverage for individuals to age 26
  • §38.2-3440 Lifetime and annual limits
  • §38.2-3441 Rescissions
  • §38.2-3442 Preventive services
  • §38.2-3443 Choice of a health care professional
  • §38.2-3444 Preexisting condition exclusions
  • §38.2-3445 Patient access to emergency services
  • §38.2-3445.01 Balance billing for certain services; prohibited
  • §38.2-3445.02 Arbitration
  • §38.2-3445.03 Data sets for determining commercially reasonable payments
  • §38.2-3445.04 Transparency
  • §38.2-3445.05 Enforcement
  • §38.2-3445.06 Applicability of certain sections
  • §38.2-3445.07 Rules and regulations
  • §38.2-3445.1 Repealed
  • §38.2-3445.2 Out-of-network claims; reporting requirements
  • §38.2-3446 Applicability of federal law
  • §38.2-3447 (Effective January 1, 2026) Restrictions relating to premium rates
  • §38.2-3448 Guaranteed availability
  • §38.2-3449 Prohibiting discrimination based on health status
  • §38.2-3449.1 Prohibited discrimination based on gender identity or status as a transgender individual
  • §38.2-3450 Genetic information and testing
  • §38.2-3451 Essential health benefits
  • §38.2-3452 Waiting periods
  • §38.2-3453 Clinical trials
  • §38.2-3454 Wellness programs
  • §38.2-3454.1 Renewal of health benefit plans; special exception