Requires Insurers to Pay Fair Rates
Virginia · HB763 · Introduced Jan 13, 2026
Why it matters
Mental health providers in the network could be paid at least the Medicare rate, which may affect what patients pay out of pocket and whether providers accept insurance.
What it does
- Requires health insurers to pay in-network mental health providers at least 100 percent of the Medicare rate
- Applies to covered mental health services and outpatient treatment
- Medicare rate counts location, provider type, and site-of-service adjustments
Status
Latest action (2026-07-21): Continued from last session
About this bill
Would require health insurers to pay in-network providers at least the Medicare rate for mental health and outpatient treatment. Insurers and providers would still negotiate the rates above that minimum.
Perspectives
💬 The case for
Mental health provider groups would likely say insurers pay too little for care. They say a Medicare floor would help more providers take insurance.
💬 The case against
Some insurers would likely say the rule raises their costs. They may also say it limits how they negotiate rates with providers.
Sponsored by
Sponsor details for this state bill are at the source link.
News
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