SD23 - Section 38.2-3413 of the Code of Virginia: Coverage for Alcohol and Drug Dependency Treatment


Executive Summary:
Section 38.2-3413 of the Code of Virginia (Appendix) requires insurers and health services plans to make available to group policyholders with family coverage, coverage for treatment for alcohol and drug dependency. The coverage must not be more restrictive than for any other illness. Coverage must include at least 45 days of inpatient treatment in a policy or calendar year and at least 45 sessions of outpatient treatment in a policy or calendar year.

Section 38.2-3413 of the Code of Virginia also contains definitions of the terms "treatment," "alcohol or drug rehabilitation facility" and "intermediate care facility." The section does not apply to short-term travel, accident-only, limited, specified disease or Medicare supplement policies.

The Special Advisory Commission on Mandated Health Insurance Benefits (Advisory Commission) held a public hearing on § 38.2-3413 on October 5, 1992. Four speakers were heard and written comments were received from three interested parties. Additional oral comments were made at the November 9, 1992 meeting.