Section 38.2-3411.1 of the Code of Virginia requires insurers to make available to individual and group policyholders, as an option, coverage for child health supervision services. "Child health supervision services" is defined as the periodic review of a child's physical and emotional status including a history, complete physical examination, developmental assessment, anticipatory guidance, appropriate immunizations, and laboratory tests. Coverage must include such services rendered at birth and ages two, four, six, nine, twelve, and eighteen months and two, three, four, five, and six years. Child health supervision services cannot be subject to any co-payment, co-insurance, deductible, or other dollar-limit provision.

The statute further requires insurers to take into consideration the expected cost of coverage, potential costs savings as a result of such coverage, a reasonable profit, and any other relevant information or data deemed appropriate by the State Corporation Commission in developing the premium rate charged for this coverage. Finally, any insurer or health services plan having fewer than 1,000 covered individuals in Virginia or less than $500,000 in premiums in Virginia is not required to offer and make available child health supervision services coverage. This mandated option was enacted in 1990.

The Special Advisory Commission on Mandated Health Insurance Benefits (Advisory Commission) reviewed the child health supervision services mandated offer of coverage as part of its review of Virginia's existing mandated benefit and provider requirements pursuant to §§ 9-298 and 9-299 of the Code of Virginia. The Advisory commission held a public hearing on September 13, 1993 to receive comments on the issue. Two speakers offered oral comments at the hearing and three organizations submitted written comments.