VirginiaHealth insurance; required provisions regarding prior authorization for health care services.
What it does
Health insurance; carrier contracts; required provisions regarding prior authorization for health care services; work group; report. Requires certain health insurance contracts under which an insurance carrier has the right or obligation to require prior authorization for a health care service, as defined in the bill, to include provisions governing the prior authorization process. Such required provisions include (i) time limits for a carrier to respond to prior authorization requests, (ii) a prohibition on revoking, limiting, making conditional, modifying, or restricting a previously approved prior authorization except under certain circumstances, and (iii) a requirement that a carrier shall provide the reasons for denial of a request.
More detail
The bill requires a carrier to make publicly available on its website a list of health care services and codes for which prior authorization is required. The foregoing provisions have a delayed effective date of January 1, 2027. The bill requires the State Corporation Commission's Bureau of Insurance to establish a work group to develop and deliver a report related to the bill's provisions by November 1, 2025. This bill is identical to SB 1215.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2025
- Mar 18Acts of Assembly Chapter text (CHAP0058)Latest
- Mar 18Approved by Governor Glenn Youngkin-Chapter 58 (Effective 01/01/27)Became Law
- Mar 3Governor's Action Deadline 11:59 p.m., March 24, 2025To Governor
- Mar 3Enrolled Bill communicated to Governor on March 3, 2024Minor
- Feb 20Signed by PresidentMajor
- Feb 19Fiscal Impact Statement from State Corporation Commission (HB2099)
- Feb 18Signed by SpeakerMajor
- Feb 18Bill text as passed House and Senate (HB2099ER)Major
- Feb 18EnrolledMinor
- Feb 13Passed Senate (40-Y 0-N)Passed Senate
- Vote recorded Passed Senate (40-Y 0-N). Result: pass.Upper
- Feb 13Read third timeMinor
- Feb 12Passed by for the day
- Vote recorded Constitutional reading dispensed (on 2nd reading) (39-Y 0-N). Result: pass.Upper
- Feb 12Constitutional reading dispensed (on 2nd reading) (39-Y 0-N)
- Feb 12Rules suspended
- Feb 10Reported from Commerce and Labor (15-Y 0-N)Minor
- Vote recorded Reported from Commerce and Labor (15-Y 0-N). Result: pass.Upper
- Jan 30Fiscal Impact Statement from State Corporation Commission (HB2099)
- Jan 30Referred to Committee on Commerce and LaborMinor
- Jan 30Constitutional reading dispensed (on 1st reading)
- Jan 29Read third time and passed House (97-Y 0-N)Passed House
- Vote recorded Read third time and passed House (97-Y 0-N). Result: pass.Lower
- Jan 28Engrossed by House - committee substituteMajor
- Jan 28Labor and Commerce Substitute agreed to
- Jan 28Read second timeMinor
- Jan 27Read first timeMinor
- Jan 23Committee substitute printed 25105015D-H1Major
- Vote recorded Reported from Labor and Commerce with substitute (22-Y 0-N). Result: pass.Lower
- Jan 23Reported from Labor and Commerce with substitute (22-Y 0-N)Minor
- Jan 21Subcommittee recommends reporting with substitute (6-Y 0-N)Major
- Vote recorded Subcommittee recommends reporting with substitute (6-Y 0-N). Result: pass.Lower
- Jan 14Assigned L & C sub: Subcommittee #1Minor
- Jan 7Referred to Committee on Labor and CommerceMinor
- Jan 7Prefiled and ordered printed; Offered 01-13-2025 25104651DIntroduced