{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2026\/code-json\/32.1-331.01.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2026\/code-text\/32.1-331.01.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2026\/code-xml\/32.1-331.01.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2026\/code-html\/32.1-331.01.html"}],"law_id":359531,"edition_id":2,"section_id":359531,"structure_id":51418,"section_number":"32.1-331.01","catch_line":"Health Care Coverage Assessment Fund","history":"2018, Sp. Sess. I, c. 2.","full_text":"A\n\nAs used in this section:\n\t\t\t&#8220;Covered hospital&#8221; means any in-state private acute care hospital other than a hospital classified as a public hospital, freestanding psychiatric and rehabilitation hospital, children&#8217;s hospital, long stay hospital, long-term care hospital, or critical access hospital.\n\n\t\t\t&#8220;Newly eligible adult&#8221; means an individual described in 42 U.S.C. &#xA7; 1396a(a)(10)(A)(i)(VIII).\n\n\t\t\t&#8220;State Plan&#8221; means the state plan for medical assistance under Title XIX (42 U.S.C. &#xA7; 1396 et seq.) of the Social Security Act.\n\nB\n\nThere is hereby created in the state treasury a special nonreverting fund to be known as the Health Care Coverage Assessment Fund, referred to in this section as &#8220;the Fund.&#8221; The Fund shall be established on the books of the Comptroller. All revenues collected or received as a result of imposition of a health care coverage assessment on covered hospitals and any other such moneys, public or private, received for the administration of the health care coverage assessment shall be paid into the state treasury and credited to the Fund. Interest earned on moneys in the Fund shall remain in the Fund and be credited to it. Any moneys remaining in the Fund, including interest thereon, at the end of each fiscal year shall not revert to the general fund but shall remain in the Fund. Moneys deposited to the Fund shall be used solely for the nonfederal share of the cost of medical assistance for newly eligible adults, the administrative costs of collecting the assessment and implementing and operating the coverage for newly eligible adults. Such moneys shall be appropriated as provided in the general appropriation act. Expenditures and disbursements from the Fund shall be made by the State Treasurer on warrants issued by the Comptroller upon written request signed by the Director of the Department of Medical Assistance Services.\n\n","order_by":null,"text":{"0":{"id":1337655,"text":"As used in this section:\n\t\t\t&#8220;Covered hospital&#8221; means any in-state private acute care hospital other than a hospital classified as a public hospital, freestanding psychiatric and rehabilitation hospital, children&#8217;s hospital, long stay hospital, long-term care hospital, or critical access hospital.\t\t\t&#8220;Newly eligible adult&#8221; means an individual described in 42 U.S.C. &#xA7; 1396a(a)(10)(A)(i)(VIII).\t\t\t&#8220;State Plan&#8221; means the state plan for medical assistance under Title XIX (42 U.S.C. &#xA7; 1396 et seq.) of the Social Security Act.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":1337656,"text":"There is hereby created in the state treasury a special nonreverting fund to be known as the Health Care Coverage Assessment Fund, referred to in this section as &#8220;the Fund.&#8221; The Fund shall be established on the books of the Comptroller. All revenues collected or received as a result of imposition of a health care coverage assessment on covered hospitals and any other such moneys, public or private, received for the administration of the health care coverage assessment shall be paid into the state treasury and credited to the Fund. Interest earned on moneys in the Fund shall remain in the Fund and be credited to it. Any moneys remaining in the Fund, including interest thereon, at the end of each fiscal year shall not revert to the general fund but shall remain in the Fund. Moneys deposited to the Fund shall be used solely for the nonfederal share of the cost of medical assistance for newly eligible adults, the administrative costs of collecting the assessment and implementing and operating the coverage for newly eligible adults. Such moneys shall be appropriated as provided in the general appropriation act. Expenditures and disbursements from the Fund shall be made by the State Treasurer on warrants issued by the Comptroller upon written request signed by the Director of the Department of Medical Assistance Services.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A"}},"ancestry":[{"id":51418,"edition_id":2,"name":"General Provisions","identifier":"1","label":"article","depth":3,"order_by":1,"parent_id":51417,"metadata":{"child_laws":43,"child_structures":0},"date_created":"2026-08-02 02:42:13","date_modified":"2026-08-02 12:32:26","permalink":{"id":1428357,"object_type":"structure","relational_id":51418,"identifier":"1","token":"32.1\/10\/1","url":"\/32.1\/10\/1\/","edition_id":2,"permalink":0,"preferred":1}},{"id":51417,"edition_id":2,"name":"Department of Medical Assistance Services","identifier":"10","label":"chapter","depth":2,"order_by":14,"parent_id":51343,"metadata":{"child_laws":51,"child_structures":4},"date_created":"2026-08-02 02:42:13","date_modified":"2026-08-02 12:32:26","permalink":{"id":1428355,"object_type":"structure","relational_id":51417,"identifier":"10","token":"32.1\/10","url":"\/32.1\/10\/","edition_id":2,"permalink":0,"preferred":1}},{"id":51343,"edition_id":2,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":75,"parent_id":null,"metadata":{"child_laws":857,"child_structures":128},"date_created":"2026-08-02 02:40:53","date_modified":"2026-08-02 12:32:12","permalink":{"id":1428101,"object_type":"structure","relational_id":51343,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":2,"permalink":0,"preferred":1}}],"structure_contents":[{"id":359498,"structure_id":51418,"section_number":"32.1-323","catch_line":"Department of Medical Assistance Services","url":"\/32.1-323\/","token":"32.1\/10\/1\/32.1-323","metadata":false},{"id":359494,"structure_id":51418,"section_number":"32.1-323.1","catch_line":"Department to submit forecast of expenditures","url":"\/32.1-323.1\/","token":"32.1\/10\/1\/32.1-323.1","metadata":false},{"id":359495,"structure_id":51418,"section_number":"32.1-323.2","catch_line":"Elimination of waiting lists for certain waivers","url":"\/32.1-323.2\/","token":"32.1\/10\/1\/32.1-323.2","metadata":false},{"id":359496,"structure_id":51418,"section_number":"32.1-323.3","catch_line":"Dependents of foreign service members; waiting lists for certain waivers","url":"\/32.1-323.3\/","token":"32.1\/10\/1\/32.1-323.3","metadata":false},{"id":359497,"structure_id":51418,"section_number":"32.1-323.4","catch_line":"Department to facilitate transition of persons between certain waiver programs","url":"\/32.1-323.4\/","token":"32.1\/10\/1\/32.1-323.4","metadata":false},{"id":359502,"structure_id":51418,"section_number":"32.1-324","catch_line":"Board of Medical Assistance Services","url":"\/32.1-324\/","token":"32.1\/10\/1\/32.1-324","metadata":false},{"id":359499,"structure_id":51418,"section_number":"32.1-324.1","catch_line":"Authority to administer oaths, conduct hearings; obtaining relevant documents and other information","url":"\/32.1-324.1\/","token":"32.1\/10\/1\/32.1-324.1","metadata":false},{"id":359500,"structure_id":51418,"section_number":"32.1-324.2","catch_line":"Director to facilitate communication","url":"\/32.1-324.2\/","token":"32.1\/10\/1\/32.1-324.2","metadata":false},{"id":359501,"structure_id":51418,"section_number":"32.1-324.3","catch_line":"Uninsured Medical Catastrophe Fund established","url":"\/32.1-324.3\/","token":"32.1\/10\/1\/32.1-324.3","metadata":false},{"id":359514,"structure_id":51418,"section_number":"32.1-325","catch_line":"Board to submit plan for medical assistance services to U.S. Secretary of Health and Human Services pursuant to federal law; administration of plan; contracts with health care providers","url":"\/32.1-325\/","token":"32.1\/10\/1\/32.1-325","metadata":false},{"id":359503,"structure_id":51418,"section_number":"32.1-325.001","catch_line":"Repealed","url":"\/32.1-325.001\/","token":"32.1\/10\/1\/32.1-325.001","metadata":false},{"id":359504,"structure_id":51418,"section_number":"32.1-325.01","catch_line":"Certain term life insurance considered resources","url":"\/32.1-325.01\/","token":"32.1\/10\/1\/32.1-325.01","metadata":false},{"id":359505,"structure_id":51418,"section_number":"32.1-325.02","catch_line":"Determinations of assets; disclaimers of interests to be considered uncompensated transfers of assets for Medicaid eligibility purposes under certain circumstances","url":"\/32.1-325.02\/","token":"32.1\/10\/1\/32.1-325.02","metadata":{"court_decisions":{"0":{"name":"Commonwealth v. Puckett","case_number":"1220596","citation":null,"date":"2023-11-22","url":"https:\/\/www.courtlistener.com\/opinion\/9443890\/commonwealth-v-puckett\/","abstract":" .\u202f.\u202f. PRESENT: Goodwyn, C.J., Powell, Kelsey, McCullough, Chafin, and Mann, JJ., and Millette, .\u202f.\u202f. ","court_html":"<abbr title=\"Supreme Court of Virginia\">SCV<\/abbr>"},"1":{"name":"Toulson v. Ampro Fisheries, Inc.","case_number":"Civ. No. 3:94CV433","citation":"872 F. Supp. 271","date":"1995-01-10","url":"https:\/\/www.courtlistener.com\/opinion\/8728394\/toulson-v-ampro-fisheries-inc\/","abstract":" .\u202f.\u202f. MEMORANDUM .\u202f.\u202f. ","court_html":"District Court, E.D. Virginia"},"2":{"name":"Children's Hospital of the King's Daughters, Inc. v. Price","case_number":"ACTION NO. 2:17cv139","citation":"258 F. Supp. 3d 672","date":"2017-06-20","url":"https:\/\/www.courtlistener.com\/opinion\/7326023\/childrens-hospital-of-the-kings-daughters-inc-v-price\/","abstract":" .\u202f.\u202f. OPINION AND ORDER .\u202f.\u202f. ","court_html":"District Court, E.D. Virginia"}}}},{"id":359506,"structure_id":51418,"section_number":"32.1-325.03","catch_line":"Legal presence required for certain state and local public benefits; exceptions; definitions; proof of legal presence","url":"\/32.1-325.03\/","token":"32.1\/10\/1\/32.1-325.03","metadata":false},{"id":359507,"structure_id":51418,"section_number":"32.1-325.04","catch_line":"Eligibility for medical assistance; individuals confined in state correctional facilities","url":"\/32.1-325.04\/","token":"32.1\/10\/1\/32.1-325.04","metadata":false},{"id":359508,"structure_id":51418,"section_number":"32.1-325.1","catch_line":"Appeals of agency determinations","url":"\/32.1-325.1\/","token":"32.1\/10\/1\/32.1-325.1","metadata":false},{"id":359509,"structure_id":51418,"section_number":"32.1-325.1:1","catch_line":"Definitions; recovery of overpayment for medical assistance services","url":"\/32.1-325.1_1\/","token":"32.1\/10\/1\/32.1-325.1_1","metadata":false},{"id":359510,"structure_id":51418,"section_number":"32.1-325.2","catch_line":"Department is payor of last resort","url":"\/32.1-325.2\/","token":"32.1\/10\/1\/32.1-325.2","metadata":false},{"id":359511,"structure_id":51418,"section_number":"32.1-325.3","catch_line":"Disclosure or use of information for purpose not connected with medical assistance program; Department not subject to certain disclosure","url":"\/32.1-325.3\/","token":"32.1\/10\/1\/32.1-325.3","metadata":{"court_decisions":""}},{"id":359512,"structure_id":51418,"section_number":"32.1-325.4","catch_line":"Penalty for violation","url":"\/32.1-325.4\/","token":"32.1\/10\/1\/32.1-325.4","metadata":{"court_decisions":""}},{"id":359513,"structure_id":51418,"section_number":"32.1-325.5","catch_line":"State pharmacy benefits manager","url":"\/32.1-325.5\/","token":"32.1\/10\/1\/32.1-325.5","metadata":false},{"id":359518,"structure_id":51418,"section_number":"32.1-326","catch_line":"Director may make payments to or for eligible persons in state-owned medical facilities","url":"\/32.1-326\/","token":"32.1\/10\/1\/32.1-326","metadata":false},{"id":359515,"structure_id":51418,"section_number":"32.1-326.1","catch_line":"Department to operate program of estate recovery","url":"\/32.1-326.1\/","token":"32.1\/10\/1\/32.1-326.1","metadata":{"court_decisions":""}},{"id":359516,"structure_id":51418,"section_number":"32.1-326.2","catch_line":"Pilot school\/community health centers","url":"\/32.1-326.2\/","token":"32.1\/10\/1\/32.1-326.2","metadata":false},{"id":359517,"structure_id":51418,"section_number":"32.1-326.3","catch_line":"Special education health services; memorandum of agreement between the Department of Education and the Department of Medical Assistance Services","url":"\/32.1-326.3\/","token":"32.1\/10\/1\/32.1-326.3","metadata":false},{"id":359519,"structure_id":51418,"section_number":"32.1-327","catch_line":"Claim against indigent's estate for payments made","url":"\/32.1-327\/","token":"32.1\/10\/1\/32.1-327","metadata":{"court_decisions":""}},{"id":359520,"structure_id":51418,"section_number":"32.1-328","catch_line":"Repealed","url":"\/32.1-328\/","token":"32.1\/10\/1\/32.1-328","metadata":false},{"id":359521,"structure_id":51418,"section_number":"32.1-329","catch_line":"Repealed","url":"\/32.1-329\/","token":"32.1\/10\/1\/32.1-329","metadata":false},{"id":359530,"structure_id":51418,"section_number":"32.1-330","catch_line":"Long-term services and supports screening required","url":"\/32.1-330\/","token":"32.1\/10\/1\/32.1-330","metadata":false},{"id":359523,"structure_id":51418,"section_number":"32.1-330.01","catch_line":"Reports related to long-term services and supports","url":"\/32.1-330.01\/","token":"32.1\/10\/1\/32.1-330.01","metadata":{"court_decisions":""}},{"id":359524,"structure_id":51418,"section_number":"32.1-330.02","catch_line":"Average hourly payment rates; publication","url":"\/32.1-330.02\/","token":"32.1\/10\/1\/32.1-330.02","metadata":{"court_decisions":""}},{"id":359525,"structure_id":51418,"section_number":"32.1-330.1","catch_line":"Department to implement premium assistance program for HIV-positive individuals","url":"\/32.1-330.1\/","token":"32.1\/10\/1\/32.1-330.1","metadata":false},{"id":359526,"structure_id":51418,"section_number":"32.1-330.2","catch_line":"Medicaid managed care programs; program information documents; plain language required","url":"\/32.1-330.2\/","token":"32.1\/10\/1\/32.1-330.2","metadata":false},{"id":359527,"structure_id":51418,"section_number":"32.1-330.3","catch_line":"Operation of a PACE plan; oversight by Department of Medical Assistance Services","url":"\/32.1-330.3\/","token":"32.1\/10\/1\/32.1-330.3","metadata":false},{"id":359528,"structure_id":51418,"section_number":"32.1-330.4","catch_line":"Uniform assessment instrument for PACE plans","url":"\/32.1-330.4\/","token":"32.1\/10\/1\/32.1-330.4","metadata":false},{"id":359529,"structure_id":51418,"section_number":"32.1-330.5","catch_line":"Reports related to eligibility renewal","url":"\/32.1-330.5\/","token":"32.1\/10\/1\/32.1-330.5","metadata":false},{"id":359545,"structure_id":51418,"section_number":"32.1-331","catch_line":"Repealed","url":"\/32.1-331\/","token":"32.1\/10\/1\/32.1-331","metadata":{"court_decisions":{"0":{"name":"Fralin v. Kozlowski","case_number":"Record No. 0289-93-3","citation":"447 S.E.2d 238","date":"1994-07-26","url":"https:\/\/www.courtlistener.com\/opinion\/1320305\/fralin-v-kozlowski\/","abstract":" .\u202f.\u202f. 447 S.E.2d 238 (1994) .\u202f.\u202f. ","court_html":"<abbr title=\"Court of Appeals\">COA<\/abbr>"}}}},{"id":359531,"structure_id":51418,"section_number":"32.1-331.01","catch_line":"Health Care Coverage Assessment Fund","url":"\/32.1-331.01\/","token":"32.1\/10\/1\/32.1-331.01","metadata":{"court_decisions":""}},{"id":359532,"structure_id":51418,"section_number":"32.1-331.02","catch_line":"Health Care Provider Payment Rate Assessment Fund","url":"\/32.1-331.02\/","token":"32.1\/10\/1\/32.1-331.02","metadata":{"court_decisions":""}},{"id":359533,"structure_id":51418,"section_number":"32.1-331.03","catch_line":"Process for payment directly to nursing facility or ICF\/MR","url":"\/32.1-331.03\/","token":"32.1\/10\/1\/32.1-331.03","metadata":false},{"id":359534,"structure_id":51418,"section_number":"32.1-331.04","catch_line":"Personal care aides; orientation program","url":"\/32.1-331.04\/","token":"32.1\/10\/1\/32.1-331.04","metadata":{"court_decisions":""}},{"id":359535,"structure_id":51418,"section_number":"32.1-331.05","catch_line":"Coordinated specialty care; work group","url":"\/32.1-331.05\/","token":"32.1\/10\/1\/32.1-331.05","metadata":{"court_decisions":""}},{"id":359536,"structure_id":51418,"section_number":"32.1-331.06","catch_line":"Annual review of medications and treatment for sickle cell disease; report","url":"\/32.1-331.06\/","token":"32.1\/10\/1\/32.1-331.06","metadata":false}],"previous_section":{"id":359545,"structure_id":51418,"section_number":"32.1-331","catch_line":"Repealed","url":"\/32.1-331\/","token":"32.1\/10\/1\/32.1-331","metadata":{"court_decisions":{"0":{"name":"Fralin v. Kozlowski","case_number":"Record No. 0289-93-3","citation":"447 S.E.2d 238","date":"1994-07-26","url":"https:\/\/www.courtlistener.com\/opinion\/1320305\/fralin-v-kozlowski\/","abstract":" .\u202f.\u202f. 447 S.E.2d 238 (1994) .\u202f.\u202f. ","court_html":"<abbr title=\"Court of Appeals\">COA<\/abbr>"}}}},"next_section":{"id":359532,"structure_id":51418,"section_number":"32.1-331.02","catch_line":"Health Care Provider Payment Rate Assessment Fund","url":"\/32.1-331.02\/","token":"32.1\/10\/1\/32.1-331.02","metadata":{"court_decisions":""}},"metadata":{"court_decisions":""},"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-331.01\/","history_text":false,"references":false,"refers_to":false,"permalink":{"id":1428507,"object_type":"law","relational_id":359531,"identifier":"32.1-331.01","token":"32.1\/10\/1\/32.1-331.01","url":"\/32.1-331.01\/","edition_id":2,"permalink":0,"preferred":1},"url":"\/32.1-331.01\/","token":"32.1\/10\/1\/32.1-331.01","dublin_core":{"Title":"Health Care Coverage Assessment Fund","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-331.01","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section id=\"A\"><p><span class=\"prefix-number\">A.<\/span> As used in this section:\n\t\t\t&#8220;<span class=\"dictionary\">Covered hospital<\/span>&#8221; means any in-state private acute care hospital other than a hospital classified as a public hospital, freestanding psychiatric and rehabilitation hospital, children&#8217;s hospital, long <span class=\"dictionary\">stay<\/span> hospital, long-term care hospital, or critical access hospital.<br \/><br \/>\t\t\t&#8220;<span class=\"dictionary\">Newly eligible adult<\/span>&#8221; means an individual described in 42 U.S.C. &#xA7; 1396a(a)(10)(A)(i)(VIII).<br \/><br \/>\t\t\t&#8220;<span class=\"dictionary\">State Plan<\/span>&#8221; means the <span class=\"dictionary\">state plan<\/span> for medical assistance under Title XIX (42 U.S.C. &#xA7; 1396 et seq.) of the Social Security Act. <a id=\"paragraph-1337655\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-331.01\/#A\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t<section id=\"B\"><p><span class=\"prefix-number\">B.<\/span> There is hereby created in the state treasury a special nonreverting fund to be known as the Health Care Coverage Assessment Fund, referred to in this section as &#8220;the Fund.&#8221; The Fund shall be established on the books of the Comptroller. All revenues collected or received as a result of imposition of a health care coverage assessment on <span class=\"dictionary\">covered hospitals<\/span> and any other such moneys, public or private, received for the administration of the health care coverage assessment shall be paid into the state treasury and credited to the Fund. Interest earned on moneys in the Fund shall remain in the Fund and be credited to it. Any moneys remaining in the Fund, including interest thereon, at the end of each fiscal year shall not revert to the general fund but shall remain in the Fund. Moneys deposited to the Fund shall be used solely for the nonfederal share of the cost of medical assistance for <span class=\"dictionary\">newly eligible adults<\/span>, the administrative costs of collecting the assessment and implementing and operating the coverage for <span class=\"dictionary\">newly eligible adults<\/span>. Such moneys shall be appropriated as provided in the general appropriation act. Expenditures and disbursements from the Fund shall be made by the State Treasurer on warrants issued by the Comptroller upon written request signed by the Director of the <span class=\"dictionary\">Department<\/span> of Medical Assistance Services. <a id=\"paragraph-1337656\" class=\"section-permalink\" href=\"https:\/\/vacode.org\/32.1-331.01\/#B\"><i class=\"fa fa-link\"><\/i><\/a><\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nHEALTH CARE COVERAGE ASSESSMENT FUND (\u00a7 32.1-331.01)\n\nA. As used in this section:\n\t\t\t&#8220;Covered hospital&#8221; means any in-state private acute care hospital\nother than a hospital classified as a public hospital, freestanding psychiatric\nand rehabilitation hospital, children&#8217;s hospital, long stay hospital,\nlong-term care hospital, or critical access hospital.\t\t\t&#8220;Newly eligible\nadult&#8221; means an individual described in 42 U.S.C. &#xA7;\n1396a(a)(10)(A)(i)(VIII).\t\t\t&#8220;State Plan&#8221; means the state plan for\nmedical assistance under Title XIX (42 U.S.C. &#xA7; 1396 et seq.) of the Social\nSecurity Act.\n\nB. There is hereby created in the state treasury a special nonreverting fund to\nbe known as the Health Care Coverage Assessment Fund, referred to in this\nsection as &#8220;the Fund.&#8221; The Fund shall be established on the books of\nthe Comptroller. All revenues collected or received as a result of imposition of\na health care coverage assessment on covered hospitals and any other such\nmoneys, public or private, received for the administration of the health care\ncoverage assessment shall be paid into the state treasury and credited to the\nFund. Interest earned on moneys in the Fund shall remain in the Fund and be\ncredited to it. Any moneys remaining in the Fund, including interest thereon, at\nthe end of each fiscal year shall not revert to the general fund but shall\nremain in the Fund. Moneys deposited to the Fund shall be used solely for the\nnonfederal share of the cost of medical assistance for newly eligible adults,\nthe administrative costs of collecting the assessment and implementing and\noperating the coverage for newly eligible adults. Such moneys shall be\nappropriated as provided in the general appropriation act. Expenditures and\ndisbursements from the Fund shall be made by the State Treasurer on warrants\nissued by the Comptroller upon written request signed by the Director of the\nDepartment of Medical Assistance Services.\n\nHISTORY: 2018, Sp. Sess. I, c. 2.","edition":{"id":2,"name":"2026","slug":"2026","date_created":"2026-07-16 18:40:23","date_modified":"2026-08-02 15:14:36","current":1,"order_by":2,"last_import":"2026-08-02 12:37:30"}}