                                 CODE OF VIRGINIA

INTERHOSPITAL TRANSFER FOR NEWBORN OR MOTHER; PRIOR AUTHORIZATION PROHIBITED (§
38.2-3407.11:5)

A. Notwithstanding any provision of &#xA7; 38.2-3407.11 or 38.2-3419 or any
other section of this title to the contrary, no insurer proposing to issue
individual or group accident and sickness insurance policies providing hospital,
medical and surgical, or major medical coverage on an expense-incurred basis,
corporation providing individual or group accident and sickness subscription
contracts, or health maintenance organization providing a health care plan for
health care services shall require prior authorization for the interhospital
transfer of (i) a newborn infant experiencing a life-threatening emergency
condition or (ii) the hospitalized mother of such newborn infant to accompany
the infant.

B. The requirements of this section shall apply to all policies, contracts, and
plans delivered, issued for delivery, reissued, or extended in the Commonwealth
on and after January 1, 2021, or at any time thereafter when any term of the
policy, contract, or plan is changed or any premium adjustment is made thereto.

C. The provisions of this section shall not apply to short-term travel,
accident-only, or limited or specified disease policies, contracts designed for
issuance to persons eligible for coverage under Title XVIII of the Social
Security Act, known as Medicare, or any other similar coverage under state or
federal governmental plans, or short-term nonrenewable policies of not more than
six months&#8217; duration.

HISTORY: 2020, c. 940, § 38.2-3407.11:4.