§ 38.2-4319. Statutory construction and relationship to otherlaws.
A. No provisions of this title except this chapter and,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, 38.2-218 through38.2-225, 38.2-229, 38.2-232, 38.2-305, 38.2-316, 38.2-322, 38.2-400, 38.2-402through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023, 38.2-1057, Article 2(§ 38.2-1306.2 et seq.), § 38.2-1306.1, § 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.) ofChapter 13, Articles 1 (§ 38.2-1400 et seq.) and 2 (§ 38.2-1412 et seq.) ofChapter 14, §§ 38.2-1800 through 38.2-1836, 38.2-3401, 38.2-3405, 38.2-3405.1,38.2-3406.1, 38.2-3407.2 through 38.2-3407.6:1, 38.2-3407.9 through38.2-3407.17, 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 38.2-3418.16, 38.2-3419.1, 38.2-3430.1 through38.2-3437, 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, 38.2-3540.2, 38.2-3541.1, 38.2-3541.2, 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 shall be applicable to any health maintenanceorganization granted a license under this chapter. This chapter shall not applyto an insurer or health services plan licensed and regulated in conformancewith the insurance laws or Chapter 42 (§ 38.2-4200 et seq.) except with respectto the activities of its health maintenance organization.
B. For plans administered by the Department of MedicalAssistance Services that provide benefits pursuant to Title XIX or Title XXI ofthe Social Security Act, as amended, no provisions of this title except thischapter and, 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, 38.2-216,38.2-218 through 38.2-225, 38.2-229, 38.2-232, 38.2-322, 38.2-400, 38.2-402through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023, 38.2-1057, §38.2-1306.1, 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.) ofChapter 13, Articles 1 (§ 38.2-1400 et seq.) and 2 (§ 38.2-1412 et seq.) ofChapter 14, §§ 38.2-3401, 38.2-3405, 38.2-3407.2 through 38.2-3407.5,38.2-3407.6 and 38.2-3407.6:1, 38.2-3407.9, 38.2-3407.9:01, and 38.2-3407.9:02,subdivisions 1, 2, and 3 of subsection F of § 38.2-3407.10, 38.2-3407.11,38.2-3407.11:3, 38.2-3407.13, 38.2-3407.13:1, and 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, 38.2-3522.1 through 38.2-3523.4, 38.2-3525, 38.2-3540.1,38.2-3540.2, 38.2-3541.2, 38.2-3542, 38.2-3543.2, Chapter 52 (§ 38.2-5200 etseq.), Chapter 55 (§ 38.2-5500 et seq.), Chapter 58 (§ 38.2-5800 et seq.) and §38.2-5903 shall be applicable to any health maintenance organization granted alicense under this chapter. This chapter shall not apply to an insurer orhealth services plan licensed and regulated in conformance with the insurancelaws or Chapter 42 (§ 38.2-4200 et seq.) except with respect to the activitiesof its health maintenance organization.
C. Solicitation of enrollees by a licensed health maintenanceorganization or by its representatives shall not be construed to violate anyprovisions of law relating to solicitation or advertising by healthprofessionals.
D. A licensed health maintenance organization shall not bedeemed to be engaged in the unlawful practice of medicine. All health careproviders associated with a health maintenance organization shall be subject toall provisions of law.
E. Notwithstanding the definition of an eligible employee asset forth in § 38.2-3431, a health maintenance organization providing healthcare plans pursuant to § 38.2-3431 shall not be required to offer coverage toor accept applications 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 section cited in subsections A and B shall be construed to meanand include "health maintenance organizations" unless the sectioncited clearly applies to health maintenance organizations without suchconstruction.
(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; 2007, cc. 488, 579; 2009, cc. 796,839; 2010, cc. 222, 272, 504, 515, 583, 687, 734.)
§ 38.2-4319. Statutory construction and relationship to otherlaws.
A. No provisions of this title except this chapter and,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, 38.2-218 through38.2-225, 38.2-229, 38.2-232, 38.2-305, 38.2-316, 38.2-322, 38.2-400, 38.2-402through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023, 38.2-1057, Article 2(§ 38.2-1306.2 et seq.), § 38.2-1306.1, § 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.) ofChapter 13, Articles 1 (§ 38.2-1400 et seq.) and 2 (§ 38.2-1412 et seq.) ofChapter 14, §§ 38.2-1800 through 38.2-1836, 38.2-3401, 38.2-3405, 38.2-3405.1,38.2-3406.1, 38.2-3407.2 through 38.2-3407.6:1, 38.2-3407.9 through38.2-3407.17, 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 38.2-3418.16, 38.2-3419.1, 38.2-3430.1 through38.2-3437, 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, 38.2-3540.2, 38.2-3541.1, 38.2-3541.2, 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 shall be applicable to any health maintenanceorganization granted a license under this chapter. This chapter shall not applyto an insurer or health services plan licensed and regulated in conformancewith the insurance laws or Chapter 42 (§ 38.2-4200 et seq.) except with respectto the activities of its health maintenance organization.
B. For plans administered by the Department of MedicalAssistance Services that provide benefits pursuant to Title XIX or Title XXI ofthe Social Security Act, as amended, no provisions of this title except thischapter and, 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, 38.2-216,38.2-218 through 38.2-225, 38.2-229, 38.2-232, 38.2-322, 38.2-400, 38.2-402through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023, 38.2-1057, §38.2-1306.1, 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.) ofChapter 13, Articles 1 (§ 38.2-1400 et seq.) and 2 (§ 38.2-1412 et seq.) ofChapter 14, §§ 38.2-3401, 38.2-3405, 38.2-3407.2 through 38.2-3407.5,38.2-3407.6 and 38.2-3407.6:1, 38.2-3407.9, 38.2-3407.9:01, and 38.2-3407.9:02,subdivisions 1, 2, and 3 of subsection F of § 38.2-3407.10, 38.2-3407.11,38.2-3407.11:3, 38.2-3407.13, 38.2-3407.13:1, and 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, 38.2-3522.1 through 38.2-3523.4, 38.2-3525, 38.2-3540.1,38.2-3540.2, 38.2-3541.2, 38.2-3542, 38.2-3543.2, Chapter 52 (§ 38.2-5200 etseq.), Chapter 55 (§ 38.2-5500 et seq.), Chapter 58 (§ 38.2-5800 et seq.) and §38.2-5903 shall be applicable to any health maintenance organization granted alicense under this chapter. This chapter shall not apply to an insurer orhealth services plan licensed and regulated in conformance with the insurancelaws or Chapter 42 (§ 38.2-4200 et seq.) except with respect to the activitiesof its health maintenance organization.
C. Solicitation of enrollees by a licensed health maintenanceorganization or by its representatives shall not be construed to violate anyprovisions of law relating to solicitation or advertising by healthprofessionals.
D. A licensed health maintenance organization shall not bedeemed to be engaged in the unlawful practice of medicine. All health careproviders associated with a health maintenance organization shall be subject toall provisions of law.
E. Notwithstanding the definition of an eligible employee asset forth in § 38.2-3431, a health maintenance organization providing healthcare plans pursuant to § 38.2-3431 shall not be required to offer coverage toor accept applications 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 section cited in subsections A and B shall be construed to meanand include "health maintenance organizations" unless the sectioncited clearly applies to health maintenance organizations without suchconstruction.
(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; 2007, cc. 488, 579; 2009, cc. 796,839; 2010, cc. 222, 272, 504, 515, 583, 687, 734.)
§ 38.2-4319. Statutory construction and relationship to otherlaws.
A. No provisions of this title except this chapter and,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, 38.2-218 through38.2-225, 38.2-229, 38.2-232, 38.2-305, 38.2-316, 38.2-322, 38.2-400, 38.2-402through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023, 38.2-1057, Article 2(§ 38.2-1306.2 et seq.), § 38.2-1306.1, § 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.) ofChapter 13, Articles 1 (§ 38.2-1400 et seq.) and 2 (§ 38.2-1412 et seq.) ofChapter 14, §§ 38.2-1800 through 38.2-1836, 38.2-3401, 38.2-3405, 38.2-3405.1,38.2-3406.1, 38.2-3407.2 through 38.2-3407.6:1, 38.2-3407.9 through38.2-3407.17, 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 38.2-3418.16, 38.2-3419.1, 38.2-3430.1 through38.2-3437, 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, 38.2-3540.2, 38.2-3541.1, 38.2-3541.2, 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 shall be applicable to any health maintenanceorganization granted a license under this chapter. This chapter shall not applyto an insurer or health services plan licensed and regulated in conformancewith the insurance laws or Chapter 42 (§ 38.2-4200 et seq.) except with respectto the activities of its health maintenance organization.
B. For plans administered by the Department of MedicalAssistance Services that provide benefits pursuant to Title XIX or Title XXI ofthe Social Security Act, as amended, no provisions of this title except thischapter and, 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, 38.2-216,38.2-218 through 38.2-225, 38.2-229, 38.2-232, 38.2-322, 38.2-400, 38.2-402through 38.2-413, 38.2-500 through 38.2-515, 38.2-600 through 38.2-620, Chapter9 (§ 38.2-900 et seq.), §§ 38.2-1016.1 through 38.2-1023, 38.2-1057, §38.2-1306.1, 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.) ofChapter 13, Articles 1 (§ 38.2-1400 et seq.) and 2 (§ 38.2-1412 et seq.) ofChapter 14, §§ 38.2-3401, 38.2-3405, 38.2-3407.2 through 38.2-3407.5,38.2-3407.6 and 38.2-3407.6:1, 38.2-3407.9, 38.2-3407.9:01, and 38.2-3407.9:02,subdivisions 1, 2, and 3 of subsection F of § 38.2-3407.10, 38.2-3407.11,38.2-3407.11:3, 38.2-3407.13, 38.2-3407.13:1, and 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, 38.2-3522.1 through 38.2-3523.4, 38.2-3525, 38.2-3540.1,38.2-3540.2, 38.2-3541.2, 38.2-3542, 38.2-3543.2, Chapter 52 (§ 38.2-5200 etseq.), Chapter 55 (§ 38.2-5500 et seq.), Chapter 58 (§ 38.2-5800 et seq.) and §38.2-5903 shall be applicable to any health maintenance organization granted alicense under this chapter. This chapter shall not apply to an insurer orhealth services plan licensed and regulated in conformance with the insurancelaws or Chapter 42 (§ 38.2-4200 et seq.) except with respect to the activitiesof its health maintenance organization.
C. Solicitation of enrollees by a licensed health maintenanceorganization or by its representatives shall not be construed to violate anyprovisions of law relating to solicitation or advertising by healthprofessionals.
D. A licensed health maintenance organization shall not bedeemed to be engaged in the unlawful practice of medicine. All health careproviders associated with a health maintenance organization shall be subject toall provisions of law.
E. Notwithstanding the definition of an eligible employee asset forth in § 38.2-3431, a health maintenance organization providing healthcare plans pursuant to § 38.2-3431 shall not be required to offer coverage toor accept applications 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 section cited in subsections A and B shall be construed to meanand include "health maintenance organizations" unless the sectioncited clearly applies to health maintenance organizations without suchconstruction.
(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; 2007, cc. 488, 579; 2009, cc. 796,839; 2010, cc. 222, 272, 504, 515, 583, 687, 734.)
