VirginiaHB20992025 Regular SessionHouse

Health insurance; required provisions regarding prior authorization for health care services.

Sponsored By: Michelle Lopes Maldonado (Democratic)

To Governor

Summary

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. 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 SB 1215.

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Michelle Lopes Maldonado

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 219 • No: 0

Senate vote • 2/13/2025

Passed Senate Block Vote

Yes: 40 • No: 0

Senate vote • 2/12/2025

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 39 • No: 0

Senate vote • 2/10/2025

Reported from Commerce and Labor Block Vote

Yes: 15 • No: 0

House vote • 1/29/2025

Read third time and passed House Block Vote

Yes: 97 • No: 0

House vote • 1/23/2025

Reported from Labor and Commerce with substitute

Yes: 22 • No: 0

House vote • 1/21/2025

Subcommittee recommends reporting with substitute

Yes: 6 • No: 0 • Other: 1

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0058)

    3/18/2025Governor
  2. Approved by Governor-Chapter 58 (Effective 01/01/27)

    3/18/2025Governor
  3. Governor's Action Deadline 11:59 p.m., March 24, 2025

    3/3/2025Governor
  4. Enrolled Bill communicated to Governor on March 3, 2024

    3/3/2025House
  5. Signed by President

    2/20/2025Senate
  6. Fiscal Impact Statement from State Corporation Commission (HB2099)

    2/19/2025House
  7. Bill text as passed House and Senate (HB2099ER)

    2/18/2025House
  8. Enrolled

    2/18/2025House
  9. Signed by Speaker

    2/18/2025House
  10. Passed Senate Block Vote (40-Y 0-N)

    2/13/2025Senate
  11. Read third time

    2/13/2025Senate
  12. Constitutional reading dispensed Block Vote (on 2nd reading) (39-Y 0-N)

    2/12/2025Senate
  13. Passed by for the day

    2/12/2025Senate
  14. Rules suspended

    2/12/2025Senate
  15. Reported from Commerce and Labor Block Vote (15-Y 0-N)

    2/10/2025Senate
  16. Fiscal Impact Statement from State Corporation Commission (HB2099)

    1/30/2025House
  17. Referred to Committee on Commerce and Labor

    1/30/2025Senate
  18. Constitutional reading dispensed (on 1st reading)

    1/30/2025Senate
  19. Read third time and passed House Block Vote (97-Y 0-N)

    1/29/2025House
  20. Engrossed by House - committee substitute

    1/28/2025House
  21. Labor and Commerce Substitute agreed to

    1/28/2025House
  22. Read second time

    1/28/2025House
  23. Read first time

    1/27/2025House
  24. Reported from Labor and Commerce with substitute (22-Y 0-N)

    1/23/2025House
  25. Committee substitute printed 25105015D-H1

    1/23/2025House

Bill Text

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