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 HB 2099.
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Where it stands
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2025
- Mar 18Acts of Assembly Chapter text (CHAP0068)Latest
- Mar 18Approved by Governor Glenn Youngkin-Chapter 68 (Effective 07/01/25)Became Law
- Feb 20Governor's Action Deadline 11:59 p.m., March 24, 2025To Governor
- Feb 20Enrolled Bill Communicated to Governor on February 20, 2025Minor
- Feb 19Fiscal Impact Statement from State Corporation Commission (SB1215)
- Feb 16Signed by PresidentMajor
- Feb 13Signed by SpeakerMajor
- Feb 13Bill text as passed Senate and House (SB1215ER)Major
- Feb 13EnrolledMinor
- Feb 11Passed House (94-Y 0-N)Passed House
- Vote recorded Passed House (94-Y 0-N). Result: pass.Lower
- Feb 11Read third timeMinor
- Feb 10Read second timeMinor
- Feb 6Reported from Labor and Commerce (21-Y 0-N)Minor
- Vote recorded Reported from Labor and Commerce (21-Y 0-N). Result: pass.Lower
- Feb 3Referred to Committee on Labor and CommerceMinor
- Feb 3Read first timeMinor
- Feb 3Placed on Calendar
- Jan 24Read third time and passed Senate (38-Y 0-N)Passed Senate
- Vote recorded Read third time and passed Senate (38-Y 0-N). Result: pass.Upper
- Jan 23Engrossed by Senate - committee substituteMajor
- Jan 23Commerce and Labor Substitute agreed to
- Jan 23Reading of substitute waived
- Jan 23Read second timeMinor
- Jan 22Passed by for the day
- Vote recorded Constitutional reading dispensed (on 1st reading) (40-Y 0-N). Result: pass.Upper
- Jan 22Constitutional reading dispensed (on 1st reading) (40-Y 0-N)
- Jan 22Rules suspended
- Jan 20Committee substitute printed 25105395D-S1Major
- Vote recorded Reported from Commerce and Labor with substitute (15-Y 0-N). Result: pass.Upper
- Jan 20Reported from Commerce and Labor with substitute (15-Y 0-N)Minor
- Jan 8Referred to Committee on Commerce and LaborMinor
- Jan 8Prefiled and ordered printed; Offered 01-08-2025 25104544DIntroduced