SD22 - Report of the Special Advisory Commission on Mandated Health Insurance Benefits on the Mandated Direct Reimbursement of Chiropractors Pursuant to Sections 38.2-3408 and 38.2-4221 of the Code of Virginia

  • Published: 1994
  • Author: Special Advisory Commission on Mandated Health Insurance Benefits
  • Enabling Authority: Code of Virginia - § 9-298

Executive Summary:

Sections 38.2-3408 and 38.2-4221 (see Appendices A and B) of the Code of Virginia require that certain types of health care providers be reimbursed directly for covered services that are rendered within the scope of the provider's license. The Special Advisory Commission on Mandated Health Insurance Benefits (Advisory Commission) reviewed the mandated provider category of chiropractor in 1993.

The Advisory Commission held a public hearing during its May 3, 1993 meeting to receive comments regarding the chiropractor mandate. Ten speakers were heard and written comments were received from two interested parties.

Chiropractors are mandated providers included in 38.2-3408 and 38.2-4221. Those sections provide that accident and sickness policies and health service plan subscription contracts must provide reimbursement for any service that may legally be performed by chiropractors within the scope of their licenses if the service is covered by the contract.

The statutes do not mandate that any particular service or benefit must be reimbursed, but that the practitioner must be reimbursed for benefits or services that are covered by the contract.