Regulatory Compliance
Virginia
CorVel helps reduce workers’ compensation costs through immediate intervention, claims management, medical treatment plans, return to work programs, medical bill review, preferred provider savings and patient management. Our cost containment solutions are based on a simple formula that combines industry leading bill review, case management expertise and a national PPO built for the casualty market. Each innovation offers Virginia employers improved return to work outcomes and industry leading savings.
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Virginia Regulatory Updates 12/29/2024
HB 531 – Workers’ Compensation; Injuries Caused By Repetitive and Sustained Physical Stressors.
Issues: Worker’s Compensation (General)
Summary For 01/12/2024
This measure includes injuries or diseases from conditions resulting from repetitive and sustained physical stressors in the definition of occupational disease. It also includes hearing loss and carpal tunnel syndrome for coverage under workers’ compensation, removing their previous carve out.
Most Recent Update:
- 11/18/2024 – Failed This measure failed to pass out of committee by the November18, 2024 deadline. This measure is ineligible for further consideration.
Virginia Regulatory Updates 04/11/2024
HB 30 – Budget Bill.
Issues: Worker’s Compensation (General)
Summary For 03/28/2024
This measure provides various appropriations for the FY 2024-26 biennium, including for Education, Health Care, Workforce Development, and Capital Projects.
This measure would take effect on July 1, 2024.
Most Recent Update:
03/09/2024 – On March 9, the House passed the conference committee version of this bill by a vote of 62-37. The Senate passed the conference committee version of this bill by a vote of 24-14. On March 25, the enrolled text that passed both the House and Senate was released. This measure is eligible to be sent to Governor Glenn Youngkin (R) for approval.
Additional Outlook:
The March 7 Conference Committee Report adds, alters, and removes various provisions. The February 18 amendment adds, alters, and removes various provisions. The January 19 amendments provide various appropriations for education, Medicaid, workforce development, and drug pricing transparency, among other things. This measure is the companion to SB 30.
HB 205 – Workers’ Compensation; Prompt Payment, Limitation on Claims.
Issues: Worker’s Compensation (General)
Summary For 03/12/2024
This measure would prohibit an employer or workers’ compensation carrier from seeking recovery of a payment made to a health care provider for health care services rendered to a claimant, unless such recovery is sought less than one year from the date payment was made to the health care provider. Current law provides that the prohibition applies only to services rendered after July 1, 2014.
The measure would also prohibit a health care provider from submitting a claim to the Workers’ Compensation Commission contesting the sufficiency of payment for health care services rendered to a claimant unless such claim is filed within one year of the date the last payment is received by the health care provider. Current law provides that the prohibition applies only to services rendered after July 1, 2014.
Most Recent Update:
03/28/2024 – This measure was signed by Governor Glenn Youngkin (R) on March 28. This measure takes effect on July 1, 2024
SB 241 – Workers’ Compensation; Notice of Right to Dispute Claim.
Issues: Worker’s Compensation (General)
Summary For 01/15/2024
This measure requires a workers’ compensation insurer or employer to include in a denial a notice of the employee’s right to dispute the decision. It provides the specific text required.
Most Recent Update:
03/11/2024 – This measure was sent to Governor Glenn Youngkin (R) on March 11.
During a regular or special session, the Governor has seven days to act on a measure after it is presented to him. If the Governor does not act on this measure, it will become law without his signature. If the Governor vetoes the measure, it will be sent back to its chamber of origin with a message explaining the Governor’s objections and recommendations. The Legislature may overturn the veto with a 2/3 majority vote in both legislative chambers.
HB 974 – Workers’ Compensation; Presumption That Certain Injuries Arose Out of Employment.
Issues: Worker’s Compensation (General)
Summary For 01/28/2024
This measure extends a presumption that unexplained falls in the course of employment arose out of that employment, barring a preponderance of evidence otherwise. In effect, it offers workers’ compensation coverage for workplace falls.
Most Recent Update:
03/28/2024 – This measure was vetoed by Governor Glenn Youngkin (R) on March 28. This measure may be sent back to its chamber of origin with a message explaining the Governor’s objections and recommendations. The Legislature may incorporate the Governor’s recommendations into a new final version or overturn the veto with a 2/3 majority vote in both legislative chambers before the session adjourns or during a special veto session.
Additional Outlook: The January 25 amendment details acceptable forms of evidence for proving coverage.
HB 1300 – ‘Occupational Disease’ Defined.
Issues: Worker’s Compensation (General)
Summary For 01/28/2024
This measure generally excludes repetitive and sustained physical stressors, including repetitive and sustained motions from the definition of an occupational disease for purposes of workers’ compensation coverage. It allows an exception when the employee was exposed to 130 shifts of the causative hazard, in which case they shall be conclusively presumed to constitute injurious exposure.
Most Recent Update:
03/09/2024 – The Virginia General Assembly adjourned on March 9. This measure is ineligible for further consideration.
HB 1418 – Administrative Process Act; exempts certain rules of the Virginia Workers’ Compensation Commission.
Issues: Worker’s Compensation (General)
Summary For 01/29/2024
This measure exempts the regulations of the Workers’ Compensation Commission from the Administrative Procedures Act, provided that opportunity for public comment is afforded prior to adoption.
Most Recent Update:
03/11/2024 – This measure was sent to Governor Glenn Youngkin (R) on March 11.Because the legislature has adjourned, the Governor has 30 days from the date of adjournment to act on this measure. If the Governor does not act on this measure, it will become law without his signature. If the Governor vetoes the measure, it may be absolutely vetoed or sent back to its chamber of origin with a message explaining the Governor’s objections and recommendations. The Legislature may overturn the veto with a 2/3 majority vote in both legislative chambers during a special veto session.
Virginia Services
- Workers’ compensation claims administration
- Medical bill review in compliance with state requirements
- Local PPO development and management
- Case management services
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