Fabio
103 lines
7.0 KiB
Markdown
103 lines
7.0 KiB
Markdown
---
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type: "Bill"
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title: "Accident and sickness insurance; step therapy protocols."
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description: "Requires carriers issuing health benefit plans that develop step therapy protocols for a health benefit plan to ensure that those step therapy protocols are (i) developed and endorsed by a multidisciplinary panel of experts that manages conflicts of interest among the members; (ii) based on peer-reviewed research and medical practice; and (iii) continually updated based on a review of new evidence, research, and newly developed treatments. The measure requires that when coverage of a prescription drug for the treatment of a medical condition is restricted for use by a carrier or utilization review organization through the use of a step therapy protocol, the patient and prescribing provider have access to a clear, readily accessible, and convenient process to request a step therapy exception. The measure establishes conditions under which a request for a step therapy exception shall be granted and authorizes a patient to appeal a step therapy exception request denial. The provisions of the measure shall apply to any health benefit plan delivered, issued for delivery, or renewed on or after January 1, 2020."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2019"
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identifier: "HB 2126"
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citation: "Virginia HB 2126 (2019)"
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classification: ["bill"]
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subjects: ["Insurance"]
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status: "enacted"
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primary_sponsors: ["Glenn R. Davis"]
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version_count: 6
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action_count: 27
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vote_count: 9
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first_action: "2019-01-08"
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last_action: "2019-03-12"
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source: "openstates"
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source_identifier: "ocd-bill/9ccc0681-bfb7-4118-b748-21dae22311c1"
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source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2126"
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source_hash: "8f3a0cfd773e5240ab2c2d0c1dfa1a2a7dce7559e23c76b516131450a4c5a232"
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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 HB 2126 (2019) — Accident and sickness insurance; step therapy protocols.
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Requires carriers issuing health benefit plans that develop step therapy protocols for a health benefit plan to ensure that those step therapy protocols are (i) developed and endorsed by a multidisciplinary panel of experts that manages conflicts of interest among the members; (ii) based on peer-reviewed research and medical practice; and (iii) continually updated based on a review of new evidence, research, and newly developed treatments. The measure requires that when coverage of a prescription drug for the treatment of a medical condition is restricted for use by a carrier or utilization review organization through the use of a step therapy protocol, the patient and prescribing provider have access to a clear, readily accessible, and convenient process to request a step therapy exception. The measure establishes conditions under which a request for a step therapy exception shall be granted and authorizes a patient to appeal a step therapy exception request denial. The provisions of the measure shall apply to any health benefit plan delivered, issued for delivery, or renewed on or after January 1, 2020.
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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. **Governor: Acts of Assembly Chapter text (CHAP0337)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0337)
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2. **House subcommittee amendments and substitutes adopted** (committee substitute) — [source](https://committees.lis.virginia.gov/subcommitteeaction.aspx?ses=191&bil=HB2126)
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3. **House: Bill text as passed House and Senate (HB2126ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2126ER)
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4. **House: Committee substitute printed 19106082D-H1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2126H1)
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5. **House: Prefiled and ordered printed; offered 01/09/19 19102027D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2126)
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6. **Senate amendments engrossed** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+amd+HB2126ASE)
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## Votes
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- Read third time and passed House — **99–0** (pass) · lower
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- Constitutional reading dispensed — **40–0** (pass) · upper
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- Passed Senate with amendments — **40–0** (pass) · upper
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- Subcommittee recommends reporting with substitute — **6–2** (pass) · lower
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- Reported from Commerce and Labor with substitute — **18–1** (pass) · lower
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- Reported from Commerce and Labor with amendments — **14–0** (pass) · upper
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- Reported from Finance with amendment — **15–0** (pass) · upper
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- Finance Committee amendment reconsidered — **40–0** (pass) · upper
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- Senate amendments agreed to by House — **99–0** (pass) · lower
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## Sponsors
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- Glenn R. Davis — primary (person)
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- Christopher K. Peace — cosponsor (person)
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- Christopher P. Stolle — cosponsor (person)
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- Hyland F. "Buddy" Fowler, Jr. — cosponsor (person)
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- Jeion A. Ward — cosponsor (person)
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- Patrick A. Hope — cosponsor (person)
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- Scott A. Surovell — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2019-01-08** Prefiled and ordered printed; offered 01/09/19 19102027D `introduction`
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- **2019-01-08** Referred to Committee on Commerce and Labor `referral-committee`
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- **2019-01-15** Assigned C & L sub: Subcommittee #1 `referral-committee`
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- **2019-02-03** Read first time `reading-1`
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- **2019-02-04** Read second time `reading-2`
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- **2019-02-04** Committee substitute agreed to 19106082D-H1
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- **2019-02-04** Engrossed by House - committee substitute HB2126H1
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- **2019-02-05** Read third time and passed House (99-Y 0-N) `passage, reading-3`
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- **2019-02-06** Constitutional reading dispensed
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- **2019-02-06** Referred to Committee on Commerce and Labor `referral-committee`
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- **2019-02-18** Rereferred to Finance `referral-committee`
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- **2019-02-20** Read third time `reading-3`
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- **2019-02-20** Reading of amendments waived
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- **2019-02-20** Committee amendments agreed to
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- **2019-02-20** Reading of amendment waived
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- **2019-02-20** Committee amendment agreed to
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- **2019-02-20** Passed by for the day
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- **2019-02-21** Read third time `reading-3`
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- **2019-02-21** Committee amendment rejected
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- **2019-02-21** Engrossed by Senate as amended
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- **2019-02-21** Senate amendments agreed to by House (99-Y 0-N)
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- **2019-02-23** Enrolled
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- **2019-02-23** Signed by Speaker
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- **2019-02-23** Signed by President
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- **2019-03-04** Enrolled Bill communicated to Governor on March 4, 2019
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- **2019-03-04** Governor's Action Deadline Midnight, March 26, 2019
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- **2019-03-12** Approved by Governor-Chapter 337 (effective 1/1/20) `executive-signature`
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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/9ccc0681-bfb7-4118-b748-21dae22311c1`. Confidence: reported (aggregated from official Virginia legislature records).
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