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Committee sends brain‑injury parity bill to HERC for cost review

Virginia House subcommittee (insurance/health-related docket) · February 11, 2026

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Summary

HB1338 would expand parity for rehabilitation services after acquired brain injury, with sponsors saying the cost per member is small; the committee recommended referral to HERC to evaluate cost and plan impacts.

Delegate Bulova presented HB1338 to require that rehabilitation coverage for acquired brain injury reflect a patient's plan rather than be limited to particular diagnoses, and to require that medical necessity determinations be made by providers. Supporters cited research and experience in other states (Texas, Pennsylvania, Massachusetts) and pointed to a low average premium cost (about 8¢ per member per month) reported elsewhere.

Insurers said some services proposed resemble Medicaid benefits and asked for deeper analysis. The subcommittee voted to send the bill to HERC with a letter from the committee chair to request cost and actuarial review before further action.