Fabio
92 lines
6.4 KiB
Markdown
92 lines
6.4 KiB
Markdown
---
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type: "Bill"
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title: "Health insurance; required provisions regarding prior authorization for health care services."
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description: "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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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2025"
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identifier: "SB 1215"
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citation: "Virginia SB 1215 (2025)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Stella G. Pekarsky"]
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version_count: 4
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action_count: 28
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vote_count: 5
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first_action: "2025-01-08"
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last_action: "2025-03-18"
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source: "openstates"
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source_identifier: "ocd-bill/e322ac6c-ac21-45ff-abf2-e1e844508797"
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source_url: "https://lis.virginia.gov/bill-details/20251/SB1215"
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source_hash: "2575e6bbba2ec98fef384d5402803444c8150c164197be32595b4a3b1375739d"
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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 1215 (2025) — Health insurance; required provisions regarding prior authorization for health care services.
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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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## 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. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1018266.PDF)
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2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1071018.PDF)
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3. **Commerce and Labor Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1024029.PDF)
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4. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1047376.PDF)
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## Votes
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- Reported from Commerce and Labor with substitute (15-Y 0-N) — **15–0** (pass) · upper
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- Passed House (94-Y 0-N) — **94–0** (pass) · lower
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- Constitutional reading dispensed (on 1st reading) (40-Y 0-N) — **40–0** (pass) · upper
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- Read third time and passed Senate (38-Y 0-N) — **38–0** (pass) · upper
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- Reported from Labor and Commerce (21-Y 0-N) — **21–0** (pass) · lower
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## Sponsors
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- Stella G. Pekarsky — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2025-01-08** Prefiled and ordered printed; Offered 01-08-2025 25104544D `filing, introduction`
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- **2025-01-08** Referred to Committee on Commerce and Labor `referral-committee`
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- **2025-01-20** Reported from Commerce and Labor with substitute (15-Y 0-N) `committee-passage`
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- **2025-01-20** Committee substitute printed 25105395D-S1 `substitution`
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- **2025-01-22** Rules suspended
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- **2025-01-22** Constitutional reading dispensed (on 1st reading) (40-Y 0-N)
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- **2025-01-22** Passed by for the day
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- **2025-01-23** Read second time `reading-2`
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- **2025-01-23** Reading of substitute waived
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- **2025-01-23** Commerce and Labor Substitute agreed to
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- **2025-01-23** Engrossed by Senate - committee substitute `substitution`
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- **2025-01-24** Read third time and passed Senate (38-Y 0-N) `passage, reading-3`
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- **2025-02-03** Placed on Calendar
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- **2025-02-03** Read first time `reading-1`
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- **2025-02-03** Referred to Committee on Labor and Commerce `referral-committee`
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- **2025-02-06** Reported from Labor and Commerce (21-Y 0-N) `committee-passage`
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- **2025-02-10** Read second time `reading-2`
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- **2025-02-11** Read third time `reading-3`
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- **2025-02-11** Passed House (94-Y 0-N) `passage`
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- **2025-02-13** Enrolled `enrolled`
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- **2025-02-13** Bill text as passed Senate and House (SB1215ER) `passage`
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- **2025-02-13** Signed by Speaker `passage`
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- **2025-02-16** Signed by President `passage`
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- **2025-02-19** Fiscal Impact Statement from State Corporation Commission (SB1215)
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- **2025-02-20** Enrolled Bill Communicated to Governor on February 20, 2025 `enrolled`
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- **2025-02-20** Governor's Action Deadline 11:59 p.m., March 24, 2025 `executive-receipt`
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- **2025-03-18** Approved by Governor-Chapter 68 (Effective 07/01/25) `executive-signature`
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- **2025-03-18** Acts of Assembly Chapter text (CHAP0068)
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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/e322ac6c-ac21-45ff-abf2-e1e844508797`. Confidence: reported (aggregated from official Virginia legislature records).
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