Summary: Financial institutions; reporting financialexploitation of elderly or vulnerable adults. Permits a financial institution, as defined in the bill, to allow an elderly or vulnerableadult, as defined in the bill, to submit and periodically updatea list of trusted persons whom such financial institution or financialinstitution staff, as defined in the bill, may contact in the caseof suspected financial exploitation of such adult. In such a case,the bill also allows a financial institution or financial institutionstaff to convey such suspicion to one or more certain individuals,provided that the recipient of such conveyance is not the suspectedperpetrator of financial exploitation. The bill provides that a financialinstitution or financial institution staff shall be immune from any criminal, civil, or administrative liability for any act taken oromission made in accordance with the bill's provisions.

Summary: Health insurance; coverage for therapeutic daytreatment services. Requires health insurers providing healthcare plans to provide coverage for therapeutic day treatment servicesfor children with serious emotional disturbances, defined in thein bill as children who have a mental illness diagnosis and haveexperienced functional limitations due to emotional disturbance,including experiencing a school shooting or the loss of a loved onein a school setting, over the past 12 months on a continuous or intermittentbasis. Under the bill, "therapeutic day treatment services" are treatmentprograms that combine psychotherapeutic interventions with education and mental health and may include evaluation; medication educationand management; opportunities to learn and use daily living skillsand to enhance social and interpersonal skills; and individual, group,and family counseling. The bill applies to plans delivered, issuedfor delivery, or renewed on and after January 1, 2025.

Summary: Health insurance; coverage for colorectal cancer screening. Requires health insurers to provide coverage for examinations and laboratory tests related to colorectal cancer screening in accordance with the most recently published recommendations established by the U.S. Preventive Services Task Force for colorectal cancer screening for which a rating of A or B is in effect with respect to the individual involved. The bill requires such coverage to include coverage of a follow-up colonoscopy after a positive noninvasive stool-based screening test or direct visualization screening test. The bill prohibits such coverage from being subject to any deductible, coinsurance, or any other cost-sharing requirements for services received from participating providers. The provisions of the bill apply to individual or group accident and sickness insurance policies, individual or group accident and sickness subscription contracts, or health care plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2025.

Summary: Health insurance; coverage option for fertility services; essential health benefits benchmark plan. Requires health insurance policies, subscription contracts, and health care plans to offer and make available coverage for the diagnosis and treatment of infertility and for standard fertility preservation procedures, as defined in the bill. Such coverage includes coverage for in vitro fertilization, provided that procedures are performed at medical facilities or clinics that conform to guidelines published by the American College of Obstetrics and Gynecology or the American Fertility Society for in vitro fertilization procedures. The bill also requires the Health Insurance Reform Commission to consider such coverage in its 2025 review of the essential health benefits benchmark plan. The bill directs the Commission to include such coverage in its recommendation to the General Assembly for a new essential health benefits benchmark plan unless the Commission identifies a compelling reason to exclude such coverage.

Summary: Health insurance; coverage for diabetes.Requires that each insurer providing coverage for diabetes shallinclude benefits for FDA-approved insulin, continuous blood glucosemonitoring, and regular foot care and eye care exams in additionto equipment, supplies, and self-management training and education.The bill allows for such self-management training and education tobe provided either in-person outpatient or through telemedicine. Under the bill, such coverage for self-management training and educationshall include up to three outpatient visits upon an individual receivingan initial diagnosis of diabetes and up to two medically necessaryvisits to a qualified provider upon a significant change in the patient'ssymptoms or medical condition. The bill also repeals certain provisionsof law related to cost-sharing for insulin and provides that thecoverage required by the bill shall be exempt from any deductibleor cost-sharing payment requirement. The provisions of the bill applyto insurance policies, contracts, and plans issued for delivery,reissued, extended, or amended on and after January 1, 2025.

Summary: Health insurance; coverage for doula care services. Requires health insurers, corporations providing health care subscription contracts, and health maintenance organizations whose policy, contract, or plan includes coverage for obstetrical services to provide coverage for doula care services provided by a state-certified doula. The bill requires such coverage to include coverage for at least eight visits during the antepartum or postpartum period and support during labor and delivery. The bill provides that health insurance carriers are (i) not required to pay for duplicate services actually rendered by both a state-certified doula and another health care provider and (ii) prohibited from requiring supervision, signature, or referral by any other health care provider as a condition of reimbursement for doula care services, except when those requirements are also applicable to other categories of health care providers. Such provisions of the bill are subject to a reenactment clause. The bill also requires the Health Insurance Reform Commission to consider coverage for doula care services in its review of the essential health benefits benchmark plan and to include such coverage in its recommendation to the General Assembly unless a compelling reason for excluding such coverage is identified. This bill is identical to SB 118.

Summary: Proton radiation therapy; clinical evidence for decisions on coverage. Permits a health insurance carrier to consider (i) coverage of a proton radiation therapy treatment by Medicare, Medicaid, or any other governmental health care coverage for any type of cancer or (ii) a recommendation of proton radiation therapy by a patient's treating physician or radiation oncologist as a sufficient standard of clinical evidence to justify coverage of proton radiation therapy.

Summary: Health insurance; coverage for autism spectrumdisorder; cost-sharing requirements prohibited for certain individuals.Prohibits a health carrier from imposing any copayment, coinsurance,or deductible for the diagnosis of autism spectrum disorder and thetreatment of autism spectrum disorder for individuals who are age18 or younger.

Summary: Health insurance; pharmacy benefits managers; reporting requirements; civil penalty. Provides that a person that violates the existing requirement to obtain a license prior to providing pharmacy benefits management services or otherwise acting as a pharmacy benefits manager may be subject to a civil penalty of $5,000 for each day on which such violation occurs. The bill adds additional requirements to existing reporting requirements for insurance carriers relating to pharmacy benefits managers. Such additional requirements include (i) the aggregate amount of a pharmacy benefits manager's retained rebates, as defined in the bill; (ii) a pharmacy benefits manager's aggregate retained rebate percentage, as defined in the bill; and (iii) the aggregate amount of administrative fees received by a pharmacy benefits manager. This bill is identical to SB 660.

Summary: Public utilities; classification of customers.Requires that a public electric utility or a public utility authorizedto furnish water or water and sewer service include a separate classificationfor data centers when satisfying the existing requirement that anyrate, toll, charge, or schedule of a public utility is only consideredto be just and reasonable by the State Corporation Commission ifthe public utility has demonstrated that such rates, tolls, charges,or schedules contain reasonable classifications of customers.

Summary: Electric utilities; regional transmission entities;annual report. Requires each incumbent electric utility thatis a member of or has established a regional transmission entity for purposes of management and control of its transmission system asrequired under current law to submit an annual report by February1 of each year. Such report shall include all recorded votes castby the utility during the immediately preceding calendar year, allvotes cast by an affiliate of the utility, and a brief descriptionexplaining how each vote cast by the utility or its affiliate isin the public interest.

Summary: Railroad safety; civil penalties. Requires a crew of at least two qualified individuals on all trains, locomotives, or light engines used in connection with moving freight. This bill is identical to SB 143.

Summary: Electric utilities; integrated resource plans; grid-enhancing technologies and advanced conductors. Requires an electric utility to include in an integrated resource plan (i) a comprehensive assessment of the potential application of grid-enhancing technologies and advanced conductors, as those terms are defined in the bill, in a manner that ensures grid reliability and safeguards the cybersecurity and physical security of the electric distribution grid and (ii) if applicable, a detailed explanation of why such technologies or conductors are not included in such plan.

Summary: Net energy metering; eligible customer-generators and eligible agricultural customer-generators. Provides that no contract, lease, or arrangement by which a third party owns, maintains, or operates an electrical generating facility on an eligible customer-generator's property shall constitute the sale of electricity or cause the customer-generator or the third party to be considered an electric utility by virtue of participating in net energy metering. The bill prohibits an eligible customer-generator or eligible agricultural customer-generator from being required to provide proof of liability insurance or to purchase additional liability insurance as a condition of interconnection. The bill exempts eligible customer-generators and eligible agricultural customer-generators that operate a battery storage device of capacity commensurate with and equal to or greater than that of the electrical generating facility and in conjunction with the electrical generating facility from standby charges. The bill provides that any eligible customer-generator or eligible agricultural customer-generator may participate in demand response, energy efficiency, or peak reduction from dispatch of onsite battery service, provided that the compensation received is in exchange for a distinct service that is not already compensated by net metering credits for electricity exported to the electric distribution system or compensated by any other utility program or tariff. This bill is identical to SB 271.

Summary: Submetering or energy allocation equipment;billing requirements; unit owners. Provides that for the purposesof rules promulgated by the State Corporation Commission related tobilling requirements and all other rules related to submetering orenergy allocation equipment, those rules applicable to tenants willbe applicable to residential and nonresidential unit owners.

Summary: Employment; paid sick leave; civil penalties. Expandsprovisions of the Code that currently require one hour of paid sick leave forevery 30 hours worked for home health workers to cover all employees of privateemployers and state and local governments. The bill requires that employees whoare employed and compensated on a fee-for-service basis accrue paid sick leavein accordance with regulations adopted by the Commissioner of Labor andIndustry. The bill provides that employees transferred to a separate divisionor location remain entitled to previously accrued paid sick leave and thatemployees retain their accrued sick leave under any successor employer. Thebill allows employers to provide a more generous paid sick leave policy thanprescribed by its provisions. Employees, in addition to using paid sick leavefor their physical or mental illness or to care for a family member, may usepaid sick leave for their need for services or relocation due to domesticabuse, sexual assault, or stalking.The bill provides that certain health care workers who work nomore than 30 hours per month may waive the right to accrue and use paid sickleave. The bill also provides that employers are not required to provide paidsick leave to certain health care workers who are employed on a pro re nata, oras-needed, basis, regardless of the number of hours worked. The bill requiresthe Commissioner to promulgate regulations regarding employee notification andemployer recordkeeping requirements.The bill authorizes the Commissioner, in the case of a knowingviolation, to subject an employer to a civil penalty not to exceed $150 for thefirst violation, $300 for the second violation, and $500 for each successiveviolation. The Commissioner may institute proceedings on behalf of an employeeto enforce compliance with the provisions of this bill. Additionally, anaggrieved employee is authorized to bring a civil action against the employerin which he may recover double the amount of any unpaid sick leave and theamount of any actual damages suffered as the result of the employer'sviolation. The bill has a delayed effective date of January 1, 2025.

Summary: MEI Project Approval Commission; board-level gender and diversity requirements. Requires the MEI Project Approval Commission to consider, prior to recommending approval of any major employment and investment (MEI) project, a board diversity disclosure statement submitted by the business seeking incentives. The Commission is required to consider (i) whether such statement specifies the number and percentage of diverse directors who identify as female or as representing a national, racial, ethnic, indigenous, or cultural minority in the country of the business's principal executive offices and (ii) whether the business commits to annually updating and submitting such statement. This bill is identical to SB 393.

Summary: Paid sick leave; health care providers and grocerystore workers. Requires employers to provide paid sick leaveto health care providers and grocery store workers. Under currentlaw, employers are only required to provide paid sick leave to certainhome health workers. The bill removes requirements that workers workon average at least 20 hours per week or 90 hours per month to beeligible for paid sick leave. The bill provides that certain healthcare providers may waive their right to accrue and use paid sick leave and provides an exemption for employers of certain other healthcare providers. The bill requires the Department of Labor and Industryto develop guidelines for retail employers that sell groceries toprovide sick leave and to publish such guidelines by December 1,2024. The provisions of the bill other than the requirement for theDepartment of Labor and Industry to develop guidelines have a delayedeffective date of January 1, 2025.

Summary: Prescription Drug Affordability Board established; drug cost affordability review. Establishes the Prescription Drug Affordability Board for the purpose of protecting the citizens of the Commonwealth and other stakeholders within the health care system from the high costs of prescription drug products. The bill requires the Board to meet in open session at least four times annually, with certain exceptions and requirements enumerated in the bill. Members of the Board are required to disclose any conflicts of interest, as described in the bill. The bill also creates a stakeholder council for the purpose of assisting the Board in making decisions related to drug cost affordability. The bill tasks the Board with identifying prescription, generic, and other drugs, as defined in the bill, that are offered for sale in the Commonwealth and, at the Board's discretion, conducting an affordability review of any prescription drug product. The bill lists factors for the Board to consider that indicate an affordability challenge for the health care system in the Commonwealth or high out-of-pocket costs for patients. The bill also provides that any person aggrieved by a decision of the Board may request an appeal of the Board's decision and that the Attorney General has authority to enforce the provisions of the bill. The bill provides that the Board shall establish no more than 12 upper payment limit amounts annually between January 1, 2025, and January 1, 2028.The bill requires the Board to report its findings and recommendations to the General Assembly twice annually, beginning on July 1, 2025, and December 31, 2025. Provisions of the bill shall apply to state-sponsored and state-regulated health plans and health programs and obligate such policies to limit drug payment amounts and reimbursements to an upper payment limit amount set by the Board, if applicable, following an affordability review. The bill specifies that Medicare Part D plans shall not be bound by such decisions of the Board.The bill also requires the nonprofit organization contracted by the Department of Health to provide prescription drug price transparency to provide the Board access to certain data reported by manufacturers. The bill has a delayed effective date of January 1, 2025, and is identical to SB 274.

Summary: Public deposits; credit unions. Authorizescredit unions to hold public deposits and become qualified publicdepositories. The bill provides that the Commonwealth and counties, cities, towns, and other political subdivisions of the Commonwealthmay become members of a credit union for the purposes of placingdeposits in and receiving services from the credit union. The billdirects the Treasury Board to designate a rating service to evaluatethe creditworthiness of any credit union seeking to become a qualified public depository within 180 days of enactment. The bill also requiresthe Treasury Board to promulgate emergency regulations to implementthe provisions of the bill.