VirginiaHealth insurance; required provisions regarding prior authorization for prescription drugs.
What it does
Health insurance; carrier contracts; required provisions regarding prior authorization for prescription drugs. Amends existing required provisions for health carrier contracts related to prior authorizations for prescription drugs. Current law requires that if prior authorization is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, health carriers may not revoke, limit, condition, modify, or restrict that authorization except in certain circumstances.
More detail
The bill requires this limitation on carriers to apply for the duration of the authorization, which the bill requires to be a minimum of six months for initial authorizations and a minimum of 12 months for continued authorizations. The bill adds circumstances under which a prior authorization may be revoked, limited, conditioned, modified, or restricted by a carrier, including (i) a final action by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer communicating a patient efficacy issue that would affect the authorization and (ii) when additional safety and efficacy monitoring is clinically appropriate or recommended by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer.
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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 6Acts of Assembly Chapter text (CHAP0213)Latest
- Apr 6Approved by Governor Abigail Spanberger-Chapter 213 (effective 7/1/2026)Became Law
- Mar 14Governor's Action Deadline 11:59 p.m., April 13, 2026To Governor
- Mar 14Enrolled Bill communicated to Governor on March 14, 2026Minor
- Mar 12Signed by PresidentMajor
- Mar 12Signed by SpeakerMajor
- Mar 12Fiscal Impact Statement from Department of Planning and Budget (HB736)
- Mar 12Bill text as passed House and Senate (HB736ER)Major
- Mar 12EnrolledMinor
- Mar 5Passed Senate (39-Y 0-N 0-A)Passed Senate
- Vote recorded Passage R. Result: pass.Upper
- 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 2Reported from Commerce and Labor (13-Y 0-N)Minor
- Vote recorded Reported from Commerce and Labor. Result: pass.Upper
- Feb 18Referred to Committee on Commerce and LaborMinor
- Feb 18Constitutional reading dispensed (on 1st reading)
- Feb 17Read third time and passed House (97-Y 0-N 0-A)Passed House
- Vote recorded H VOTE:. Result: pass.Lower
- Feb 17Fiscal Impact Statement from Department of Planning and Budget (HB736)
- Feb 16Engrossed by House as amended
- Feb 16committee amendments agreed toMajor
- Feb 16Read second timeMinor
- Feb 15Read first timeMinor
- Feb 13Reported from Appropriations (22-Y 0-N)Minor
- Vote recorded Reported from Appropriations. Result: pass.Lower
- Vote recorded Subcommittee recommends reporting. Result: pass.Lower
- Feb 13Subcommittee recommends reporting (7-Y 0-N)
- Feb 5Assigned HAPP sub: Compensation and RetirementMinor
- Vote recorded Reported from Labor and Commerce with amendment(s). Result: pass.Lower
- Feb 5Reported from Labor and Commerce with amendment(s) and referred to Appropriations (22-Y 0-N)Minor
- Feb 3Subcommittee recommends reporting with amendment(s) and referring to Appropriations (9-Y 0-N)
- Vote recorded Subcommittee recommends reporting with amendment(s). Result: pass.Lower
- Jan 20Assigned HCL sub: Subcommittee #1Minor
- Jan 13Referred to Committee on Labor and CommerceMinor
- Jan 13Prefiled and ordered printed; Offered 01-14-2026 26105188DIntroduced