VA SB536

Requires medical malpractice liability insurers to annually disclose premium data, claims activity, indemnity payments, defense costs, loss ratios, and financial condition information, categorized by medical specialty and provider type

Mandates hospitals and health systems with self-insurance or captive insurance arrangements to report claims data, malpractice expenditures, and total liability costs as a percentage of patient service revenue

Requires disclosure of jury verdicts exceeding Virginia's medical malpractice damage cap, including verdict amounts, recoverable amounts after the cap, and when the cause of action accrued

Initial reports due September 1, 2026 for calendar year 2025, with subsequent annual reports due by March 31 each year thereafter, submitted to House and Senate Courts of Justice Committee leadership

All disclosures must be in aggregate form protecting individual identities, exempt from FOIA except in aggregate form, and the reporting requirements expire if the General Assembly enacts a new medical malpractice damage cap