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Accomplishments |
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VACEP
became a real player in the state legislative arena with the
successful passage of it's "Prudent Layperson" definition for
emergency services in 1995, the second state in the country to
do so.
2001
HB2508 - Defeated
Motorcycle helmet repeal: Would
have eliminated requirement for helmet use by persons over age
18.
2000
HB979 - Passed
Code of Virginia §54.1-2952
Physician Assistant Practice in Emergency
Departments. Secured the ability of physician
assistants to work in hospital emergency departments under the
supervision of an emergency physician.
HB1171 - Defeated
Blood Alcohol Content: Would have
requried emergency physicians, at the request of law
enforcement officers, to draw blood samples without patient
consent, prior to establishing probable cause.
1999
HB 871- Defeated.
Assignment of Benefits; prohibition on
Balance Billing. Would have required HMOs to accept a
patient's assignment of benefits to a nonparticipating
provider, however balance billing those patients would be
prohibited.
1997
HB2062 - Passed
Code of Virginia §38.2-4312.3
Patient Access to Emergency Services.
An HMO must 1) provide 24/7 access to medical care;
2) reimburse hospitals and emergency physicians (less
applicable co-pays, deductibles, or co-insurance) for medical
screening and stabilization services rendered to meet the
requirement of EMTALA if the HMO or PCP directs or refers a
member to use the hospital emergency facility, or fails to
have a 24/7system in place; and 3) Evidence of Coverage shall
include a description of procedures to be followed by the
member for emerency services, including an explanation of the
prudent layperson standard as defined in §38.2-4300.
1995
HB2583 - Passed
Code of Virginia §38.2-4300
Prudent Layperson Definition of "Emergency
Services". "Emergency services" means those health
care services that are rendered by affiliated or nonaffiliated
providers after the sudden onset of a medical condition that
manifests itself by symptoms of sufficient severity, including
severe pain, that the absence of immediate medical attention
could reasonably be expected by a prudent layperson who
possesses an average knowledge of health and medicine to
result in (i) serious jeopardy to the mental or physical
health of the individiual, or (ii) danger of serious
impairment of the individual's bodily functions, or (iii)
serious disfunction of any of the individual's bodily organs,
or (iv) in the case of a pregnant woman, serious jeopardy to
the health of the fetus. Emergency services provided within
the plan's service area shall include covered health care
services from nonaffiliated providers only when delay in
receiving care from a provider affiliated with the health
maintenance organization could reasonably be expected to cause
the enrollee's condition to worsen if left unattended.
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