On May 2, 2025, Gov. Glenn Youngkin signed HB 1923. Under existing law, group and individual health insurance that covers services that legally could be performed by a certified nurse midwife cannot deny reimbursement when those services are performed by such a provider. The new legislation expands the requirement, prohibiting denials of reimbursement for otherwise-covered services furnished by a licensed, certified midwife or a licensed midwife acting within the scope of their license or certificate. The law further requires insurers to reimburse licensed, certified midwives and licensed midwives in parity with certified nurse midwives and prohibits insurers from reducing reimbursement to certified nurse midwives in order to do so. The law takes effect on July 1, 2025.
While insurance carriers will be responsible for complying with these new requirements, employers sponsoring fully insured plans should be aware of these changes and work with their carriers to update plan documents as necessary.