Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
6.4 KiB
type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
| type | title | description | jurisdiction | legislature | session | identifier | citation | classification | subjects | status | primary_sponsors | version_count | action_count | vote_count | first_action | last_action | source | source_identifier | source_url | source_hash | vintage | source_snapshot | retrieved_at | confidence | tags | |||||
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| Bill | Health insurance; required provisions regarding prior authorization for health care services. | 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. | us/states/va | Virginia General Assembly | 2025 | SB 1215 | Virginia SB 1215 (2025) |
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enacted |
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4 | 28 | 5 | 2025-01-08 | 2025-03-18 | openstates | ocd-bill/e322ac6c-ac21-45ff-abf2-e1e844508797 | https://lis.virginia.gov/bill-details/20251/SB1215 | 2575e6bbba2ec98fef384d5402803444c8150c164197be32595b4a3b1375739d | 2026-07-01 | https://data.openstates.org/daily/2026-07-01/public.pgdump | 2026-07-06 | reported |
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Virginia SB 1215 (2025) — Health insurance; required provisions regarding prior authorization for health care services.
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.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
- Introduced (filed) — source
- Chaptered (committee substitute) — source
- Commerce and Labor Substitute (committee substitute) — source
- Enrolled (enrolled) — source
Votes
- Reported from Commerce and Labor with substitute (15-Y 0-N) — 15–0 (pass) · upper
- Passed House (94-Y 0-N) — 94–0 (pass) · lower
- Constitutional reading dispensed (on 1st reading) (40-Y 0-N) — 40–0 (pass) · upper
- Read third time and passed Senate (38-Y 0-N) — 38–0 (pass) · upper
- Reported from Labor and Commerce (21-Y 0-N) — 21–0 (pass) · lower
Sponsors
- Stella G. Pekarsky — primary (person)
Timeline
The legislative action history — every referral, reading, and vote.
- 2025-01-08 Prefiled and ordered printed; Offered 01-08-2025 25104544D
filing, introduction - 2025-01-08 Referred to Committee on Commerce and Labor
referral-committee - 2025-01-20 Reported from Commerce and Labor with substitute (15-Y 0-N)
committee-passage - 2025-01-20 Committee substitute printed 25105395D-S1
substitution - 2025-01-22 Rules suspended
- 2025-01-22 Constitutional reading dispensed (on 1st reading) (40-Y 0-N)
- 2025-01-22 Passed by for the day
- 2025-01-23 Read second time
reading-2 - 2025-01-23 Reading of substitute waived
- 2025-01-23 Commerce and Labor Substitute agreed to
- 2025-01-23 Engrossed by Senate - committee substitute
substitution - 2025-01-24 Read third time and passed Senate (38-Y 0-N)
passage, reading-3 - 2025-02-03 Placed on Calendar
- 2025-02-03 Read first time
reading-1 - 2025-02-03 Referred to Committee on Labor and Commerce
referral-committee - 2025-02-06 Reported from Labor and Commerce (21-Y 0-N)
committee-passage - 2025-02-10 Read second time
reading-2 - 2025-02-11 Read third time
reading-3 - 2025-02-11 Passed House (94-Y 0-N)
passage - 2025-02-13 Enrolled
enrolled - 2025-02-13 Bill text as passed Senate and House (SB1215ER)
passage - 2025-02-13 Signed by Speaker
passage - 2025-02-16 Signed by President
passage - 2025-02-19 Fiscal Impact Statement from State Corporation Commission (SB1215)
- 2025-02-20 Enrolled Bill Communicated to Governor on February 20, 2025
enrolled - 2025-02-20 Governor's Action Deadline 11:59 p.m., March 24, 2025
executive-receipt - 2025-03-18 Approved by Governor-Chapter 68 (Effective 07/01/25)
executive-signature - 2025-03-18 Acts of Assembly Chapter text (CHAP0068)
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/e322ac6c-ac21-45ff-abf2-e1e844508797. Confidence: reported (aggregated from official Virginia legislature records).