Virginia Regulatory Town Hall
Health and Human Resources
Virginia Department of Health
State Board of Health
Mandate 1349

Mandate Information
Mandate Title:
Balance billing
Purpose of legislation
The measure requires the Commission, in consultation health carriers, providers, and consumers, to develop standard language for a notice of consumer rights regarding balance billing. The measure authorizes the Commission, the Board of Medicine, and the Commissioner of Health to levy fines and take action against a health carrier, health care practitioner, or medical care facility, respectively, for a pattern of violations of the prohibition against balance billing.
Legislation mandating a change Chap 1080 (2020)
Chap 1081 (2020)
VAC chapters to be amended
12 vac 5 - 371 : Regulations for the Licensure of Nursing Facilities
12 vac 5 - 410 : Regulations for the Licensure of Hospitals in Virginia
Associated Regulatory Actions
Action 6159: Amend Regulation to Conform to Chapters 72 and 220 (2021 Acts of Assembly, Special Session I), to Conform to Chapters 1080, 1081, and 1088 (2020 Acts of Assembly), and to Update Clinical Standards
Latest Stage: Fast-Track
Action 6170: Amend Regulation to Incorporate Legislative Mandates from 2021, 2020, 2005, and 2004; to Update Terms to Match Statutory Language; and to Update Licensure Provisions
Latest Stage: Fast-Track
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