Fabio
96 lines
7.1 KiB
Markdown
96 lines
7.1 KiB
Markdown
---
|
||
type: "Bill"
|
||
title: "Health insurance; if prior authorization request is approved for prescription drugs."
|
||
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 SB 98."
|
||
jurisdiction: "us/states/va"
|
||
legislature: "Virginia General Assembly"
|
||
session: "2024"
|
||
identifier: "HB 1134"
|
||
citation: "Virginia HB 1134 (2024)"
|
||
classification: ["bill"]
|
||
subjects: []
|
||
status: "enacted"
|
||
primary_sponsors: ["Rodney T. Willett"]
|
||
version_count: 4
|
||
action_count: 30
|
||
vote_count: 6
|
||
first_action: "2024-01-10"
|
||
last_action: "2024-04-02"
|
||
source: "openstates"
|
||
source_identifier: "ocd-bill/896d19e8-cff5-49d7-8f95-960eac7cf95b"
|
||
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB1134"
|
||
source_hash: "edd445962066fc1402791c298843e7e9b1deddc9eab31e52c39a11295b6e27b1"
|
||
vintage: "2026-07-01"
|
||
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
|
||
retrieved_at: "2026-07-06"
|
||
confidence: "reported"
|
||
tags: ["legislation", "bill", "us-va"]
|
||
---
|
||
|
||
# Virginia HB 1134 (2024) — Health insurance; if prior authorization request is approved for prescription drugs.
|
||
|
||
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 SB 98.
|
||
|
||
## Version chain
|
||
|
||
The bill's text revisions, in order — the diff chain from filing to enrollment.
|
||
|
||
1. **CHAP0320** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0320)
|
||
2. **Committee substitute printed 24105981D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1134H1)
|
||
3. **HB1134ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1134ER)
|
||
4. **Prefiled and ordered printed; offered 01/10/24 24101235D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1134)
|
||
|
||
## Votes
|
||
|
||
- Reported from Labor and Commerce with substitute (22-Y 0-N) — **22–0** (pass) · lower
|
||
- Reported from Commerce and Labor (15-Y 0-N) — **15–0** (pass) · upper
|
||
- Passed Senate (39-Y 0-N) — **39–0** (pass) · upper
|
||
- Subcommittee recommends reporting with substitute (7-Y 0-N) — **7–0** (pass) · lower
|
||
- VOTE: Block Vote Passage (99-Y 0-N) — **98–0** (pass) · lower
|
||
- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
|
||
|
||
## Sponsors
|
||
|
||
- Rodney T. Willett — primary (person)
|
||
- Irene Shin — cosponsor (person)
|
||
|
||
## Timeline
|
||
|
||
The legislative action history — every referral, reading, and vote.
|
||
|
||
- **2024-01-10** Prefiled and ordered printed; offered 01/10/24 24101235D `filing, introduction`
|
||
- **2024-01-10** Referred to Committee on Labor and Commerce `referral-committee`
|
||
- **2024-01-23** Assigned L & C sub: Subcommittee #1 `referral-committee`
|
||
- **2024-01-24** Impact statement from SCC (HB1134)
|
||
- **2024-02-06** House subcommittee amendments and substitutes offered
|
||
- **2024-02-06** Subcommittee recommends reporting with substitute (7-Y 0-N) `substitution`
|
||
- **2024-02-08** Reported from Labor and Commerce with substitute (22-Y 0-N) `committee-passage`
|
||
- **2024-02-08** Committee substitute printed 24105981D-H1 `substitution`
|
||
- **2024-02-11** Read first time `reading-1`
|
||
- **2024-02-12** Read second time `reading-2`
|
||
- **2024-02-12** Committee substitute agreed to 24105981D-H1 `substitution`
|
||
- **2024-02-12** Engrossed by House - committee substitute HB1134H1 `substitution`
|
||
- **2024-02-13** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
|
||
- **2024-02-13** VOTE: Block Vote Passage (99-Y 0-N) `passage`
|
||
- **2024-02-14** Constitutional reading dispensed
|
||
- **2024-02-14** Referred to Committee on Commerce and Labor `referral-committee`
|
||
- **2024-02-16** Impact statement from SCC (HB1134H1)
|
||
- **2024-02-26** Reported from Commerce and Labor (15-Y 0-N) `committee-passage`
|
||
- **2024-02-28** Constitutional reading dispensed (39-Y 0-N)
|
||
- **2024-02-29** Read third time `reading-3`
|
||
- **2024-02-29** Passed Senate (39-Y 0-N) `passage`
|
||
- **2024-03-06** Enrolled `enrolled`
|
||
- **2024-03-06** Bill text as passed House and Senate (HB1134ER) `passage`
|
||
- **2024-03-06** Signed by Speaker `passage`
|
||
- **2024-03-07** Signed by President `passage`
|
||
- **2024-03-08** Impact statement from SCC (HB1134ER)
|
||
- **2024-03-11** Enrolled Bill communicated to Governor on March 11, 2024 `enrolled, executive-receipt`
|
||
- **2024-03-11** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
|
||
- **2024-04-02** Approved by Governor-Chapter 320 (effective 7/1/24) `executive-signature`
|
||
- **2024-04-02** Acts of Assembly Chapter text (CHAP0320)
|
||
|
||
## Source
|
||
|
||
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/896d19e8-cff5-49d7-8f95-960eac7cf95b`. Confidence: reported (aggregated from official Virginia legislature records).
|
||
|