# Virginia HB1452: Medicaid; expedited review process for service authorization requests, report.

Virginia HB1452, Medicaid; expedited review process for service authorization requests, report., is a 2026 Regular Session House bill sponsored by Bonita G. Anthony (Democratic); status signed, last action 2026-04-06 (Acts of Assembly Chapter text (CHAP0314)); PRIA reads it as touching household money (as of 2026-11-06).

- Canonical: https://policyrisk.com/state-bill/VA-HB1452-2026
- As of: 2026-11-06
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB1452
- State: Virginia
- Session: 2026 Regular Session
- Title: Medicaid; expedited review process for service authorization requests, report.
- Status: signed
- Chamber: House
- Introduced: 2026-01-23
- Last action: 2026-04-06, Acts of Assembly Chapter text (CHAP0314)
- Sponsor: Bonita G. Anthony (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 9 (234 yes, 4 no in all)
- Economic provisions PRIA read: 2

## 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.

## Bill overview: provisions PRIA read

- Limits on Medicaid fast-review obligations: cost, low. 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 legisl…
- Faster Medicaid service authorization reviews: mixed, low. 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 provid…

## Sponsors and cosponsors

- Sponsor: Bonita G. Anthony (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-02 | Senate | Passed Senate Block Vote | pass | 40 | 0 |   |
| 2026-02-27 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 37 | 0 |   |
| 2026-02-27 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-02-26 | Senate | Reported from Education and Health | pass | 15 | 0 |   |
| 2026-02-17 | House | Read third time and passed House Block Vote | pass | 97 | 0 |   |
| 2026-02-12 | House | Reported from Health and Human Services with substitute | pass | 21 | 0 |   |
| 2026-02-10 | House | Reconsidered by Health and Human Services (Voice Vote) | pass | 0 | 0 |   |
| 2026-02-10 | House | Reported from Health and Human Services with substitute | pass | 17 | 3 |   |
| 2026-02-05 | House | Subcommittee recommends reporting with substitute | pass | 7 | 1 |   |

## Actions (35)

- 2026-04-06: Acts of Assembly Chapter text (CHAP0314) (Governor)
- 2026-04-06: Approved by Governor-Chapter 314 (effective 7/1/2026) (Governor)
- 2026-03-10: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor)
- 2026-03-10: Enrolled Bill communicated to Governor on March 10, 2026 (House)
- 2026-03-09: Fiscal Impact Statement from Department of Planning and Budget (HB1452) (House)
- 2026-03-09: Bill text as passed House and Senate (HB1452ER) (House)
- 2026-03-09: Enrolled (House)
- 2026-03-09: Signed by President (Senate)
- 2026-03-09: Signed by Speaker (House)
- 2026-03-02: Passed Senate Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-02: Read third time (Senate)
- 2026-02-27: Passed by for the day Block Vote (Voice Vote) (Senate)
- 2026-02-27: Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A) (Senate)
- 2026-02-27: Rules suspended (Senate)
- 2026-02-26: Reported from Education and Health (15-Y 0-N) (Senate)
- 2026-02-24: Assigned Education sub: Health (Senate)
- 2026-02-18: Referred to Committee on Education and Health (Senate)
- 2026-02-18: Constitutional reading dispensed (on 1st reading) (Senate)
- 2026-02-17: Read third time and passed House Block Vote (97-Y 0-N 0-A) (House)
- 2026-02-16: Engrossed by House - committee substitute (House)
- 2026-02-16: committee substitute agreed to (House)
- 2026-02-16: Read second time (House)
- 2026-02-15: Read first time (House)
- 2026-02-13: Fiscal Impact Statement from Department of Planning and Budget (HB1452) (House)
- 2026-02-12: Committee substitute printed 26107855D-H1 (House)
- 2026-02-12: House committee offered (House)
- 2026-02-12: Reported from Health and Human Services with substitute (21-Y 0-N) (House)
- 2026-02-10: Reconsidered by Health and Human Services (Voice Vote) (House)
- 2026-02-10: Reported from Health and Human Services with substitute (17-Y 3-N) (House)
- 2026-02-05: House subcommittee offered (House)
- 2026-02-05: Subcommittee recommends reporting with substitute (7-Y 1-N) (House)
- 2026-02-03: Fiscal Impact Statement from Department of Planning and Budget (HB1452) (House)
- 2026-01-30: Assigned sub: Social Services (House)
- 2026-01-23: Referred to Committee on Health and Human Services (House)
- 2026-01-23: Presented and ordered printed 26104871D (House)

## Bill text

- Chaptered, 2026-04-06: [HTML](https://lis.blob.core.windows.net/files/1217375.HTML), [PDF](https://lis.blob.core.windows.net/files/1217374.PDF)
- Enrolled, 2026-03-09: [HTML](https://lis.blob.core.windows.net/files/1194244.HTML), [PDF](https://lis.blob.core.windows.net/files/1194243.PDF)
- Substitute, 2026-02-12: [HTML](https://lis.blob.core.windows.net/files/1143276.HTML), [HTML](https://lis.blob.core.windows.net/files/1142999.HTML), [PDF](https://lis.blob.core.windows.net/files/1142998.PDF), [PDF](https://lis.blob.core.windows.net/files/1143275.PDF)
- Substitute, 2026-02-06: [HTML](https://lis.blob.core.windows.net/files/1132655.HTML), [PDF](https://lis.blob.core.windows.net/files/1132654.PDF)
- Substitute, 2026-02-05: [HTML](https://lis.blob.core.windows.net/files/1130832.HTML), [PDF](https://lis.blob.core.windows.net/files/1130831.PDF)
- Introduced, 2026-01-22: [HTML](https://lis.blob.core.windows.net/files/1094935.HTML), [PDF](https://lis.blob.core.windows.net/files/1094933.PDF)

## Related bills

- HB20: Minimum wage; farm laborers or farm employees, temporary foreign workers. (signed)
- HB5: Employment; paid sick leave, civil penalties. (signed)
- SB199: Employment; paid sick leave, civil penalties. (signed)
- HB1444: Virginia Clean Energy Innovation Bank; created, report, membership. (signed)
- HB1393: Electric utilities; pilot program for energy assistance and weatherization for certain individuals. (signed)
- HB1011: Compost and other products containing organic soil amendments; waste disposal infrastructure, etc. (signed)

## Sources
- [Chaptered (HTML)](https://lis.blob.core.windows.net/files/1217375.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1217374.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1194244.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1194243.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1143276.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1142999.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1142998.PDF)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1143275.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1132655.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1132654.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1130832.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1130831.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1094935.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1094933.PDF)

## Related
- [HB20: Minimum wage; farm laborers or farm employees, temporary foreign workers.](https://policyrisk.com/state-bill/VA-HB20-2026)
- [HB5: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-HB5-2026)
- [SB199: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-SB199-2026)
- [HB1444: Virginia Clean Energy Innovation Bank; created, report, membership.](https://policyrisk.com/state-bill/VA-HB1444-2026)
- [HB1393: Electric utilities; pilot program for energy assistance and weatherization for…](https://policyrisk.com/state-bill/VA-HB1393-2026)
- [HB1011: Compost and other products containing organic soil amendments; waste disposal i…](https://policyrisk.com/state-bill/VA-HB1011-2026)
- [Virginia bills](https://policyrisk.com/states/virginia/bills)
- [Virginia state hub](https://policyrisk.com/states/virginia)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/VA-HB1452-2026 (as of 2026-11-06).