2006 Code of Virginia § 38.2-4319 - Statutory construction and relationship to other laws

38.2-4319. Statutory construction and relationship to other laws.

A. No provisions of this title except this chapter and, insofar as they arenot inconsistent with this chapter, 38.2-100, 38.2-136, 38.2-200,38.2-203, 38.2-209 through 38.2-213, 38.2-216, 38.2-218 through 38.2-225,38.2-229, 38.2-232, 38.2-305, 38.2-316, 38.2-322, 38.2-400, 38.2-402 through38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter 9 (38.2-900 et seq.), 38.2-1017 through 38.2-1023, 38.2-1057, Article 2 (38.2-1306.2 et seq.), 38.2-1315.1, Articles 3.1 ( 38.2-1316.1 et seq.), 4( 38.2-1317 et seq.) and 5 ( 38.2-1322 et seq.) of Chapter 13, Articles 1( 38.2-1400 et seq.) and 2 ( 38.2-1412 et seq.) of Chapter 14, 38.2-1800through 38.2-1836, 38.2-3401, 38.2-3405, 38.2-3405.1, 38.2-3407.2 through38.2-3407.6:1, 38.2-3407.9 through 38.2-3407.16, 38.2-3411.2, 38.2-3411.3,38.2-3411.4, 38.2-3412.1:01, 38.2-3414.1, 38.2-3418.1 through 38.2-3418.14,38.2-3419.1, 38.2-3430.1 through 38.2-3437, 38.2-3500, subdivision 13 of 38.2-3503, subdivision 8 of 38.2-3504, 38.2-3514.1, 38.2-3514.2,38.2-3522.1 through 38.2-3523.4, 38.2-3525, 38.2-3540.1, 38.2-3542,38.2-3543.2, Article 5 ( 38.2-3551 et seq.) of Chapter 35, Chapter 52 (38.2-5200 et seq.), Chapter 55 ( 38.2-5500 et seq.), Chapter 58 ( 38.2-5800et seq.) and 38.2-5903 of this title shall be applicable to any healthmaintenance organization granted a license under this chapter. This chaptershall not apply to an insurer or health services plan licensed and regulatedin conformance with the insurance laws or Chapter 42 ( 38.2-4200 et seq.) ofthis title except with respect to the activities of its health maintenanceorganization.

B. For plans administered by the Department of Medical Assistance Servicesthat provide benefits pursuant to Title XIX or Title XXI of the SocialSecurity Act, as amended, no provisions of this title except this chapterand, insofar as they are not inconsistent with this chapter, 38.2-100,38.2-136, 38.2-200, 38.2-203, 38.2-209 through 38.2-213, 38.2-216, 38.2-218through 38.2-225, 38.2-229, 38.2-232, 38.2-322, 38.2-400, 38.2-402 through38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter 9 (38.2-900 et seq.), 38.2-1017 through 38.2-1023, 38.2-1057, Article 2 (38.2-1306.2 et seq.), 38.2-1315.1, Articles 3.1 ( 38.2-1316.1 et seq.), 4( 38.2-1317 et seq.) and 5 ( 38.2-1322 et seq.) of Chapter 13, Articles 1( 38.2-1400 et seq.) and 2 ( 38.2-1412 et seq.) of Chapter 14, 38.2-3401, 38.2-3405, 38.2-3407.2 through 38.2-3407.5, 38.2-3407.6 through38.2-3407.6:1, 38.2-3407.9 through 38.2-3407.09:02, subdivisions 1, 2, and 3of subsection F of 38.2-3407.10, 38.2-3407.11, 38.2-3407.11:3, 38.2-3407.13through 38.2-3407.14, 38.2-3411.2, 38.2-3418.1, 38.2-3418.2, 38.2-3419.1,38.2-3430.1 through 38.2-3437, 38.2-3500, subdivision 13 of 38.2-3503,subdivision 8 of 38.2-3504, 38.2-3514.1, 38.2-3514.2, 38.2-3522.1through 38.2-3523.4, 38.2-3525, 38.2-3540.1, 38.2-3542, 38.2-3543.2, Chapter52 ( 38.2-5200 et seq.), Chapter 55 ( 38.2-5500 et seq.), Chapter 58 (38.2-5800 et seq.) and 38.2-5903 shall be applicable to any healthmaintenance organization granted a license under this chapter. This chaptershall not apply to an insurer or health services plan licensed and regulatedin conformance with the insurance laws or Chapter 42 ( 38.2-4200 et seq.) ofthis title except with respect to the activities of its health maintenanceorganization.

C. Solicitation of enrollees by a licensed health maintenance organization orby its representatives shall not be construed to violate any provisions oflaw relating to solicitation or advertising by health professionals.

D. A licensed health maintenance organization shall not be deemed to beengaged in the unlawful practice of medicine. All health care providersassociated with a health maintenance organization shall be subject to allprovisions of law.

E. Notwithstanding the definition of an eligible employee as set forth in 38.2-3431, a health maintenance organization providing health care planspursuant to 38.2-3431 shall not be required to offer coverage to or acceptapplications from an employee who does not reside within the healthmaintenance organization's service area.

F. For purposes of applying this section, "insurer" when used in a sectioncited in subsections A and B of this section shall be construed to mean andinclude "health maintenance organizations" unless the section cited clearlyapplies to health maintenance organizations without such construction.

(1980, c. 720, 38.1-887; 1985, c. 588; 1986, c. 562; 1989, cc. 646, 653;1990, cc. 301, 393, 439, 531, 826; 1991, cc. 103, 369; 1992, cc. 14, 23, 800;1993, cc. 148, 158, 306, 307; 1994, cc. 213, 320, 374, 522, 699; 1995, cc.80, 420, 522, 537; 1996, cc. 22, 155, 201, 550, 611, 776, 967; 1997, cc. 688,807, 913; 1998, cc. 42, 43, 56, 120, 154, 625, 631, 709, 858, 891, 908; 1999,cc. 35, 643, 649, 709, 739, 856, 857, 858, 923, 941; 2000, cc. 50, 157, 187,460, 465, 496, 503, 532, 922; 2001, c. 663; 2002, c. 153; 2003, c. 243; 2004,cc. 156, 315, 772; 2006, cc. 427, 866.)