Health coverage; expedited review of appeals of final adverse decisions. (HB3137)

Introduced By

Del. Bill Fralin (R-Roanoke) with support from co-patron Del. Morgan Griffith (R-Salem)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


Expedited review of final adverse health coverage decisions. Establishes requirements for an expedited review by impartial health entities conducting reviews of final adverse decisions regarding the coverage of health care services. If the regular process for reviewing a final adverse decision will delay the rendering of treatment for a patient whose condition would be terminal without the treatment, the impartial health entity shall issue its recommendation no later than one business day following the receipt by the impartial health entity of all necessary information. Currently, the entity has 30 working days to make its recommendation. The measure also requires the Commissioner of Insurance or his designee to issue a final ruling no later than three business days following the receipt of the impartial health entity's recommendation if the regular process for the issuance of a ruling will delay the rendering of for a patient whose condition would be terminal without the treatment. Currently, he has 10 working days to issue his final ruling. Read the Bill »


03/13/2007: signed by governor


01/18/2007Presented and ordered printed 070233302
01/18/2007Referred to Committee on Commerce and Labor
01/25/2007Impact statement from SCC (HB3137)
01/26/2007Assigned C & L sub: Insurance (Hargrove)
02/02/2007Committee substitute printed 070258302-H1
02/03/2007Read first time
02/05/2007Read second time
02/05/2007Committee substitute agreed to 070258302-H1
02/05/2007Engrossed by House - committee substitute HB3137H1
02/06/2007Read third time and passed House BLOCK VOTE (99-Y 0-N)
02/06/2007Communicated to Senate
02/07/2007Constitutional reading dispensed
02/07/2007Referred to Committee on Commerce and Labor
02/12/2007Impact statement from SCC (HB3137H1)
02/20/2007Constitutional reading dispensed (40-Y 0-N)
02/20/2007VOTE: (40-Y 0-N) (see vote tally)
02/21/2007Read third time
02/21/2007Passed Senate (39-Y 0-N)
02/21/2007VOTE: (39-Y 0-N) (see vote tally)
02/21/2007Reconsideration of Senate passage agreed to by Senate (40-Y 0-N)
02/21/2007Passed Senate (40-Y 0-N)
02/21/2007VOTE: (40-Y 0-N) (see vote tally)
03/07/2007Bill text as passed House and Senate (HB3137ER)
03/07/2007Impact statement from SCC (HB3137ER)
03/07/2007Signed by Speaker
03/08/2007Signed by President
03/13/2007G Approved by Governor-Chapter 346 (effective 7/1/07)
03/21/2007G Acts of Assembly Chapter text (CHAP0346)