Section 38.2-3414 of the Code of Virginia requires insurers to make available to group policyholders, as an option, coverage for obstetrical services. The statute does not apply to individual policies and contracts. The optional coverage for obstetrical services must be provided at the same level as for other medical services with respect to durational limits, dollar limits, deductibles and coinsurance factors. Physician reimbursement for the performance of such services must be determined according to the same formula by which charges are developed for other medical and surgical procedures. This mandated option was enacted in 1978.

The Special Advisory Commission on Mandated Health Insurance Benefits (Advisory Commission) reviewed the obstetrical 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. Three speakers offered oral comments at the hearing and three organizations submitted written comments.