VirginiaPrior authorization; requiring physician review for denial.
What it does
Prior authorization; requiring physician review for denial. Prohibits a health insurance carrier from making an adverse determination of a prior authorization request (i) for prescription drugs unless such denial has been reviewed and approved by a licensed physician or, if a licensed physician is not available, by a licensed pharmacist or (ii) for health care services unless such adverse determination has been reviewed and approved by (a) a licensed physician; (b) in the case of mental health services, a licensed mental health provider if a licensed physician is unavailable; or (c) in the case of dental services, a licensed dentist if a licensed physician is unavailable.
Where do you stand?
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Apr 13Approved by Governor Abigail Spanberger-Chapter 925 (effective 7/1/2026)Became Law
- Apr 13Fiscal Impact Statement from State Corporation Commission (HB481)
- Mar 31Governor's Action Deadline 11:59 p.m., April 13, 2026To Governor
- Mar 31Enrolled Bill communicated to Governor on March 31, 2026Minor
- Mar 31Signed by SpeakerMajor
- Mar 30Signed by PresidentMajor
- Mar 30Bill text as passed House and Senate (HB481ER)Major
- Mar 30EnrolledMinor
- Mar 10Senate substitute agreed to by House (98-Y 1-N 0-A)Major
- Vote recorded H VOTE:. Result: pass.Lower
- Mar 9Passed by for the day
- Mar 5Fiscal Impact Statement from State Corporation Commission (HB481)
- Vote recorded Passage R. Result: pass.Upper
- Mar 5Passed Senate with substitute Block Vote (39-Y 0-N 0-A)Passed Senate
- Mar 5Engrossed by Senate - committee substituteMajor
- Mar 5Commerce and Labor Substitute agreed to
- Mar 5Read third timeMinor
- Mar 4Passed by for the day (Voice Vote)
- Vote recorded Constitutional reading dispensed (on 2nd reading). Result: pass.Upper
- Mar 4Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)
- Mar 4Rules suspended
- Mar 3Committee substitute printed 26108765D-S1Major
- Mar 2Reported from Commerce and Labor with substitute (13-Y 0-N)Minor
- Vote recorded Reported from Commerce and Labor with substitute. Result: pass.Upper
- Mar 2Senate committee offered
- Feb 5Referred to Committee on Commerce and LaborMinor
- Feb 5Constitutional reading dispensed (on 1st reading)
- Feb 4Read third time and passed House (97-Y 0-N 0-A)Passed House
- Vote recorded H VOTE:. Result: pass.Lower
- Feb 3Engrossed by House - committee substituteMajor
- Feb 3committee substitute agreed toMajor
- Feb 3Read second timeMinor
- Feb 3Moved from Uncontested Calendar to Regular Calendar
- Feb 2Read first timeMinor
- Jan 29Committee substitute printed 26106401D-H1Major
- Vote recorded Reported from Labor and Commerce with substitute. Result: pass.Lower
- Jan 29Reported from Labor and Commerce with substitute (22-Y 0-N)Minor
- Jan 27Subcommittee recommends reporting with substitute (9-Y 0-N)Major
- Vote recorded Subcommittee recommends reporting with substitute. Result: pass.Lower
- Jan 27House subcommittee offered
- Jan 19Assigned HCL sub: Subcommittee #1Minor
- Jan 12Referred to Committee on Labor and CommerceMinor
- Jan 12Prefiled and ordered printed; Offered 01-14-2026 26105194DIntroduced