VirginiaHB14522026 Regular SessionHouseWALLET

Medicaid; expedited review process for service authorization requests, report.

Sponsored By: Bonita G. Anthony (Democratic)

Became Law

Summary

Department of Medical Assistance Services; expedited review process for Medicaid service authorization requests; report. Directs the Department of Medical Assistance Services to (i) implement expedited review of Medicaid service authorization requests consistent with applicable federal law and (ii) annually transmit the prior authorization report required by the Centers for Medicare and Medicaid Services to the Chairs of the House Committees on Appropriations and Health and Human Services and the Senate Committees on Finance and Appropriations and Education and Health.

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 1 costs, 1 mixed.

Limits on Medicaid fast-review obligations

The law limits what the agency must do to run fast reviews. It does not create a new private right to sue. The agency does not have to start new testing or data collection, provide equipment, or hire consultants. The Department also sends its annual CMS prior‑authorization report to Virginia legislative committees within 30 days of posting and may add summary data on expedited decisions.

Faster Medicaid service authorization reviews

Virginia must use a faster review for Medicaid service authorization requests, following federal rules. This speeds decisions but does not set exact timelines. A fast review does not guarantee approval or expand what Medicaid covers. The same medical‑necessity rules still apply. You and your provider must send complete records and the usual proof of medical urgency.

Sponsors & Cosponsors

Sponsor

  • Bonita G. Anthony

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 234 • No: 4

Senate vote 3/2/2026

Passed Senate Block Vote

Yes: 40 • No: 0

Senate vote 2/27/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote 2/27/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 37 • No: 0

Senate vote 2/26/2026

Reported from Education and Health

Yes: 15 • No: 0

House vote 2/17/2026

Read third time and passed House Block Vote

Yes: 97 • No: 0

House vote 2/12/2026

Reported from Health and Human Services with substitute

Yes: 21 • No: 0

House vote 2/10/2026

Reported from Health and Human Services with substitute

Yes: 17 • No: 3

House vote 2/10/2026

Reconsidered by Health and Human Services (Voice Vote)

Yes: 0 • No: 0

House vote 2/5/2026

Subcommittee recommends reporting with substitute

Yes: 7 • No: 1

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0314)

    4/6/2026Governor
  2. Approved by Governor-Chapter 314 (effective 7/1/2026)

    4/6/2026Governor
  3. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/10/2026Governor
  4. Enrolled Bill communicated to Governor on March 10, 2026

    3/10/2026House
  5. Fiscal Impact Statement from Department of Planning and Budget (HB1452)

    3/9/2026House
  6. Bill text as passed House and Senate (HB1452ER)

    3/9/2026House
  7. Enrolled

    3/9/2026House
  8. Signed by President

    3/9/2026Senate
  9. Signed by Speaker

    3/9/2026House
  10. Passed Senate Block Vote (40-Y 0-N 0-A)

    3/2/2026Senate
  11. Read third time

    3/2/2026Senate
  12. Passed by for the day Block Vote (Voice Vote)

    2/27/2026Senate
  13. Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)

    2/27/2026Senate
  14. Rules suspended

    2/27/2026Senate
  15. Reported from Education and Health (15-Y 0-N)

    2/26/2026Senate
  16. Assigned Education sub: Health

    2/24/2026Senate
  17. Referred to Committee on Education and Health

    2/18/2026Senate
  18. Constitutional reading dispensed (on 1st reading)

    2/18/2026Senate
  19. Read third time and passed House Block Vote (97-Y 0-N 0-A)

    2/17/2026House
  20. Engrossed by House - committee substitute

    2/16/2026House
  21. committee substitute agreed to

    2/16/2026House
  22. Read second time

    2/16/2026House
  23. Read first time

    2/15/2026House
  24. Fiscal Impact Statement from Department of Planning and Budget (HB1452)

    2/13/2026House
  25. Committee substitute printed 26107855D-H1

    2/12/2026House

Bill Text

Related Bills

Back to State Legislation