Fabio
98 lines
7.2 KiB
Markdown
98 lines
7.2 KiB
Markdown
---
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type: "Bill"
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title: "Health insurance; if prior authorization request is approved for prescription drugs."
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description: "Health insurance; prior authorization. Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that require that if a prior authorization request is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, the carrier shall not revoke, limit, condition, modify, or restrict that authorization unless (i) there is evidence that the authorization was obtained based on fraud or misrepresentation; (ii) final actions by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer remove the drug from the market, limit its use in a manner that affects the authorization, or communicate a patient safety issue that would affect the authorization alone or in combination with other authorizations; (iii) a combination of drugs prescribed would cause a drug interaction; or (iv) a generic or biosimilar is added to the prescription drug formulary. The bill provides that such provisions do not require a carrier to cover any benefit not otherwise covered or cover a prescription drug if the enrollee is no longer covered by a health plan on the date the prescription drug was scheduled, provided, or delivered. This bill is identical to HB 1134."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2024"
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identifier: "SB 98"
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citation: "Virginia SB 98 (2024)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Barbara A. Favola"]
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version_count: 4
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action_count: 33
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vote_count: 6
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first_action: "2024-01-02"
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last_action: "2024-04-02"
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source: "openstates"
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source_identifier: "ocd-bill/30ff2f8e-54e8-422c-9041-f6fe858cbf1d"
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source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+SB98"
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source_hash: "1b5fcb469f48e1c51831ec4c2c141009cde99574c81026ed613421dc71c9bcb8"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-va"]
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---
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# Virginia SB 98 (2024) — Health insurance; if prior authorization request is approved for prescription drugs.
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Health insurance; prior authorization. Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that require that if a prior authorization request is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, the carrier shall not revoke, limit, condition, modify, or restrict that authorization unless (i) there is evidence that the authorization was obtained based on fraud or misrepresentation; (ii) final actions by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer remove the drug from the market, limit its use in a manner that affects the authorization, or communicate a patient safety issue that would affect the authorization alone or in combination with other authorizations; (iii) a combination of drugs prescribed would cause a drug interaction; or (iv) a generic or biosimilar is added to the prescription drug formulary. The bill provides that such provisions do not require a carrier to cover any benefit not otherwise covered or cover a prescription drug if the enrollee is no longer covered by a health plan on the date the prescription drug was scheduled, provided, or delivered. This bill is identical to HB 1134.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **CHAP0338** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0338)
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2. **Committee substitute printed 24105929D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB98S1)
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3. **Prefiled and ordered printed; offered 01/10/24 24101001D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB98)
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4. **SB98ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB98ER)
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## Votes
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- Reported from Labor and Commerce with amendment(s) (22-Y 0-N) — **22–0** (pass) · lower
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- VOTE: Block Vote Passage (98-Y 0-N) — **97–0** (pass) · lower
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- Read third time and passed Senate (38-Y 0-N) — **38–0** (pass) · upper
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- House amendment agreed to by Senate (39-Y 0-N) — **39–0** (pass) · upper
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- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
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- Reported from Commerce and Labor with substitute (15-Y 0-N) — **15–0** (pass) · upper
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## Sponsors
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- Barbara A. Favola — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2024-01-02** Prefiled and ordered printed; offered 01/10/24 24101001D `filing, introduction`
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- **2024-01-02** Referred to Committee on Commerce and Labor `referral-committee`
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- **2024-01-22** Senate committee, floor amendments and substitutes offered
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- **2024-01-22** Reported from Commerce and Labor with substitute (15-Y 0-N) `committee-passage`
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- **2024-01-22** Committee substitute printed 24105929D-S1 `substitution`
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- **2024-01-24** Impact statement from SCC (SB98)
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- **2024-01-24** Constitutional reading dispensed (40-Y 0-N)
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- **2024-01-25** Read second time `reading-2`
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- **2024-01-25** Reading of substitute waived
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- **2024-01-25** Committee substitute agreed to 24105929D-S1 `substitution`
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- **2024-01-25** Engrossed by Senate - committee substitute SB98S1 `substitution`
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- **2024-01-26** Read third time and passed Senate (38-Y 0-N) `passage, reading-3`
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- **2024-01-29** Impact statement from SCC (SB98S1)
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- **2024-02-13** Placed on Calendar
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- **2024-02-13** Read first time `reading-1`
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- **2024-02-13** Referred to Committee on Labor and Commerce `referral-committee`
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- **2024-02-20** Reported from Labor and Commerce with amendment(s) (22-Y 0-N) `committee-passage`
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- **2024-02-22** Read second time `reading-2`
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- **2024-02-23** Read third time `reading-3`
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- **2024-02-23** Committee amendment agreed to `amendment-passage`
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- **2024-02-23** Engrossed by House as amended
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- **2024-02-23** Passed House with amendment BLOCK VOTE (98-Y 0-N) `passage`
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- **2024-02-23** VOTE: Block Vote Passage (98-Y 0-N) `passage`
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- **2024-02-27** House amendment agreed to by Senate (39-Y 0-N) `amendment-passage`
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- **2024-03-04** Enrolled `enrolled`
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- **2024-03-04** Bill text as passed Senate and House (SB98ER) `passage`
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- **2024-03-04** Signed by Speaker `passage`
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- **2024-03-07** Signed by President `passage`
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- **2024-03-08** Impact statement from SCC (SB98ER)
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- **2024-03-11** Enrolled Bill Communicated to Governor on March 11, 2024 `enrolled`
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- **2024-03-11** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
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- **2024-04-02** Approved by Governor-Chapter 338 (effective 7/1/24) `executive-signature`
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- **2024-04-02** Acts of Assembly Chapter text (CHAP0338)
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/30ff2f8e-54e8-422c-9041-f6fe858cbf1d`. Confidence: reported (aggregated from official Virginia legislature records).
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