HB 4061 – West Virginia

Status: Enacted
Year Introduced: 2020
Link: http://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=4061&year=2020&sessiontype=RS&btype=bill

Health Benefit Plan Network Access and Adequacy Act. A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new article, designated §33-53-1, §33-53-2, §33-53-3, §33-53-4, §33-53-5, §33-53-6, §33-53-7, §33-53-8, §33-53-9, and §33-53-10, all relating to health plan benefit networks; creating the Health Benefit Plan Network Access and Adequacy Act; providing definitions; establishing the Act applies to all healthcare providers with enumerated exceptions; providing adequate network standards and criteria; providing for an accessible directory of health care providers; requiring intermediary contracts to satisfy designated requirements; providing certain filing requirements for approval; establishing certain contract requirements; providing the commissioner has authority to assure compliance with the Act; limiting the commissioner’s authority to mediate or settle disputes; providing rule-making powers; and establishing penalties for violation of the Act.

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