# Virginia SB1215: Health insurance; required provisions regarding prior authorization for health care services.

Virginia SB1215, Health insurance; required provisions regarding prior authorization for health care services., is a 2025 Regular Session Senate bill sponsored by Stella G. Pekarsky (Democratic); status to governor, last action 2025-03-18 (Acts of Assembly Chapter text (CHAP0068)) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/VA-SB1215-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia SB1215
- State: Virginia
- Session: 2025 Regular Session
- Title: Health insurance; required provisions regarding prior authorization for health care services.
- Status: to governor
- Chamber: Senate
- Introduced: 2025-01-08
- Last action: 2025-03-18, Acts of Assembly Chapter text (CHAP0068)
- Sponsor: Stella G. Pekarsky (Democratic)
- Cosponsors: 0
- Touches household money: no
- Roll calls: 5 (208 yes, 0 no in all)
- Economic provisions PRIA read: 0

## 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.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Stella G. Pekarsky (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-02-11 | House | Passed House Block Vote | pass | 94 | 0 |   |
| 2025-02-06 | House | Reported from Labor and Commerce | pass | 21 | 0 |   |
| 2025-01-24 | Senate | Read third time and passed Senate Block Vote | pass | 38 | 0 |   |
| 2025-01-22 | Senate | Constitutional reading dispensed Block Vote (on 1st reading) | pass | 40 | 0 |   |
| 2025-01-20 | Senate | Reported from Commerce and Labor with substitute | pass | 15 | 0 |   |

## Actions (28)

- 2025-03-18: Acts of Assembly Chapter text (CHAP0068) (Governor)
- 2025-03-18: Approved by Governor-Chapter 68 (Effective 07/01/25) (Governor)
- 2025-02-20: Governor's Action Deadline 11:59 p.m., March 24, 2025 (Governor)
- 2025-02-20: Enrolled Bill Communicated to Governor on February 20, 2025 (Senate)
- 2025-02-19: Fiscal Impact Statement from State Corporation Commission (SB1215) (Senate)
- 2025-02-16: Signed by President (Senate)
- 2025-02-13: Bill text as passed Senate and House (SB1215ER) (Senate)
- 2025-02-13: Enrolled (Senate)
- 2025-02-13: Signed by Speaker (House)
- 2025-02-11: Passed House Block Vote (94-Y 0-N) (House)
- 2025-02-11: Read third time (House)
- 2025-02-10: Read second time (House)
- 2025-02-06: Reported from Labor and Commerce (21-Y 0-N) (House)
- 2025-02-03: Referred to Committee on Labor and Commerce (House)
- 2025-02-03: Read first time (House)
- 2025-02-03: Placed on Calendar (House)
- 2025-01-24: Read third time and passed Senate Block Vote (38-Y 0-N) (Senate)
- 2025-01-23: Engrossed by Senate - committee substitute (Senate)
- 2025-01-23: Commerce and Labor Substitute agreed to (Senate)
- 2025-01-23: Reading of substitute waived (Senate)
- 2025-01-23: Read second time (Senate)
- 2025-01-22: Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N) (Senate)
- 2025-01-22: Passed by for the day (Senate)
- 2025-01-22: Rules suspended (Senate)
- 2025-01-20: Reported from Commerce and Labor with substitute (15-Y 0-N) (Senate)
- 2025-01-20: Committee substitute printed 25105395D-S1 (Senate)
- 2025-01-08: Referred to Committee on Commerce and Labor (Senate)
- 2025-01-08: Prefiled and ordered printed; Offered 01-08-2025 25104544D (Senate)

## Bill text

- Chaptered, 2025-03-18: [HTML](https://lis.blob.core.windows.net/files/1071019.HTML), [PDF](https://lis.blob.core.windows.net/files/1071018.PDF)
- Enrolled, 2025-02-13: [HTML](https://lis.blob.core.windows.net/files/1047377.HTML), [PDF](https://lis.blob.core.windows.net/files/1047376.PDF)
- Substitute, 2025-01-21: [HTML](https://lis.blob.core.windows.net/files/1024030.HTML), [PDF](https://lis.blob.core.windows.net/files/1024029.PDF)
- Introduced, 2025-01-08: [HTML](https://lis.blob.core.windows.net/files/1018267.HTML), [PDF](https://lis.blob.core.windows.net/files/1018266.PDF)

## Related bills

- HR671: Commending JR's Auto Care. (adopted)
- SB941: Robbery; use of air or gas operated weapon, etc., penalty. (failed)
- HB1746: Public safety officer; definition. (failed)
- HB1600: Budget Bill. (failed)
- SB1449: Data centers; site assessment for high energy use facility. (failed)
- HB1609: Essential health benefits benchmark plan; Commission to consider coverage for infertility treatment. (to governor)

## Sources
- [Chaptered (HTML)](https://lis.blob.core.windows.net/files/1071019.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1071018.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1047377.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1047376.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1024030.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1024029.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1018267.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1018266.PDF)

## Related
- [HR671: Commending JR's Auto Care.](https://policyrisk.com/state-bill/VA-HR671-2025)
- [SB941: Robbery; use of air or gas operated weapon, etc., penalty.](https://policyrisk.com/state-bill/VA-SB941-2025)
- [HB1746: Public safety officer; definition.](https://policyrisk.com/state-bill/VA-HB1746-2025)
- [HB1600: Budget Bill.](https://policyrisk.com/state-bill/VA-HB1600-2025)
- [SB1449: Data centers; site assessment for high energy use facility.](https://policyrisk.com/state-bill/VA-SB1449-2025)
- [HB1609: Essential health benefits benchmark plan; Commission to consider coverage for i…](https://policyrisk.com/state-bill/VA-HB1609-2025)
- [Virginia bills](https://policyrisk.com/states/virginia/bills)
- [Virginia state hub](https://policyrisk.com/states/virginia)
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Source: PRIA, https://policyrisk.com/state-bill/VA-SB1215-2025 (as of 2026-10-17).