On Mar. 18, 2025, VA LEG governor signed bill as Chapter 8, effective on Jul. 1, 2025.
On Mar. 11, VA LEG passed bill adding coverage for PANDAS, PANS.
VA LEG passed bill HB 1641 related to coverage of treatment for PANDAS and PANS.
Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS), and pediatric acute-onset neuropsychiatric syndrome (PANS).
Bill Provisions
Added new section to State plan for medical assistance services submitted to the HHS.
For the payment of medical assistance for the prophylaxis, diagnosis, and treatment.
Including payment for treatment of antimicrobials, medication, behavioral therapies to manage neuropsychiatric symptoms, immunomodulating medicines, plasma exchange.
Also added new section VA INS 38.2-3418.22 for coverage PANDAS and PANS.
Each insurer or corporation issuing individual, group accident, sickness insurance providing hospital, medical, surgical, major medical coverage on expense-incurred.
Each health maintenance organization (HMO) providing health care plan for services.
Must provide coverage for prophylaxis, diagnosis, treatment for PANDAS and PANS.
Legislative History
On Jan. 3, 2025, bill introduced in House; on Feb. 4, 2025, bill passed the House.
On Feb. 5, 2025, bill introduced into Senate; on Feb. 18, 2025, bill passed the Senate.
On Mar. 11, 2025, bill was enrolled and delivered to the governor for actioning.
Effectiveness
If enacted, bill effective on Jul. 1, 2025.
Mar. 18, 2025 VA LEG Governor Approval
On Mar. 18, 2025, VA LEG governor signed bill as Chapter 8, effective on Jul. 1, 2025.
Regulators
VA LEG
Entity Types
Ins
Reference
Ch 8, 3/18/2025; Bill, HB1641, 3/11/2025; Citation: VA INS 38.2-34;
