Beginning January 1, 2021, individuals enrolled in either fully insured managed care health insurance plans issued in Virginia or the state employee health benefit plan cannot be “surprise billed,” or balance billed (for more than their plan’s cost-sharing amounts), successfully by an out-of-network provider for emergency services.  In addition, out-of-network providers cannot balance bill these individuals for certain non-emergency services during a scheduled procedure at an in-network hospital or other health care facility.