VirginiaSB12152025 Regular SessionSenate

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

Sponsored By: Stella G. Pekarsky (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 HB 2099.

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Stella G. Pekarsky

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 208 • No: 0

House vote • 2/11/2025

Passed House Block Vote

Yes: 94 • No: 0

House vote • 2/6/2025

Reported from Labor and Commerce

Yes: 21 • No: 0

Senate vote • 1/24/2025

Read third time and passed Senate Block Vote

Yes: 38 • No: 0

Senate vote • 1/22/2025

Constitutional reading dispensed Block Vote (on 1st reading)

Yes: 40 • No: 0

Senate vote • 1/20/2025

Reported from Commerce and Labor with substitute

Yes: 15 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0068)

    3/18/2025Governor
  2. Approved by Governor-Chapter 68 (Effective 07/01/25)

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

    2/20/2025Governor
  4. Enrolled Bill Communicated to Governor on February 20, 2025

    2/20/2025Senate
  5. Fiscal Impact Statement from State Corporation Commission (SB1215)

    2/19/2025Senate
  6. Signed by President

    2/16/2025Senate
  7. Bill text as passed Senate and House (SB1215ER)

    2/13/2025Senate
  8. Enrolled

    2/13/2025Senate
  9. Signed by Speaker

    2/13/2025House
  10. Passed House Block Vote (94-Y 0-N)

    2/11/2025House
  11. Read third time

    2/11/2025House
  12. Read second time

    2/10/2025House
  13. Reported from Labor and Commerce (21-Y 0-N)

    2/6/2025House
  14. Referred to Committee on Labor and Commerce

    2/3/2025House
  15. Read first time

    2/3/2025House
  16. Placed on Calendar

    2/3/2025House
  17. Read third time and passed Senate Block Vote (38-Y 0-N)

    1/24/2025Senate
  18. Engrossed by Senate - committee substitute

    1/23/2025Senate
  19. Commerce and Labor Substitute agreed to

    1/23/2025Senate
  20. Reading of substitute waived

    1/23/2025Senate
  21. Read second time

    1/23/2025Senate
  22. Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N)

    1/22/2025Senate
  23. Passed by for the day

    1/22/2025Senate
  24. Rules suspended

    1/22/2025Senate
  25. Reported from Commerce and Labor with substitute (15-Y 0-N)

    1/20/2025Senate

Bill Text

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