Accident and sickness insurance; step therapy protocols. (HB2126)
Introduced By
Del. Glenn Davis (R-Virginia Beach) with support from co-patrons Del. Buddy Fowler (R-Ashland), Del. Patrick Hope (D-Arlington), and Del. Chris Peace (R-Mechanicsville)
Progress
✓ |
Introduced |
✓ |
Passed Committee |
✓ |
Passed House |
✓ |
Passed Senate |
✓ |
Signed by Governor |
☐ |
Became Law |
Description
Health insurance; step therapy protocols. 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.
Outcome
History
| Date | Action |
|---|---|
| 01/08/2019 | Committee |
| 01/08/2019 | Prefiled and ordered printed; offered 01/09/19 19102027D |
| 01/08/2019 | Referred to Committee on Commerce and Labor |
| 01/15/2019 | Assigned C & L sub: Subcommittee #1 |
| 01/23/2019 | Impact statement from SCC (HB2126) |
| 01/29/2019 | House subcommittee amendments and substitutes offered |
| 01/29/2019 | Subcommittee recommends reporting with substitute (6-Y 2-N) |
| 01/31/2019 | Reported from Commerce and Labor with substitute (18-Y 1-N) (see vote tally) |
| 01/31/2019 | Committee substitute printed 19106082D-H1 |
| 02/03/2019 | Read first time |
| 02/04/2019 | Read second time |
| 02/04/2019 | Committee substitute agreed to 19106082D-H1 |
| 02/04/2019 | Engrossed by House - committee substitute HB2126H1 |
| 02/05/2019 | Read third time and passed House (99-Y 0-N) |
| 02/05/2019 | VOTE: PASSAGE (99-Y 0-N) (see vote tally) |
| 02/06/2019 | Constitutional reading dispensed |
| 02/06/2019 | Referred to Committee on Commerce and Labor |
| 02/11/2019 | Impact statement from SCC (HB2126H1) |
| 02/18/2019 | Reported from Commerce and Labor with amendments (14-Y 0-N) (see vote tally) |
| 02/18/2019 | Rereferred to Finance |
| 02/18/2019 | Reported from Finance with amendment (15-Y 0-N) (see vote tally) |
| 02/19/2019 | Constitutional reading dispensed (40-Y 0-N) (see vote tally) |
| 02/19/2019 | Impact statement from SCC (HB2126H1) |
| 02/20/2019 | Read third time |
| 02/20/2019 | Reading of amendments waived |
| 02/20/2019 | Committee amendments agreed to |
| 02/20/2019 | Reading of amendment waived |
| 02/20/2019 | Committee amendment agreed to |
| 02/20/2019 | Passed by for the day |
| 02/21/2019 | Read third time |
| 02/21/2019 | Finance Committee amendment reconsidered (40-Y 0-N) (see vote tally) |
| 02/21/2019 | Committee amendment rejected |
| 02/21/2019 | Engrossed by Senate as amended |
| 02/21/2019 | Passed Senate with amendments (40-Y 0-N) (see vote tally) |
| 02/21/2019 | Senate amendments agreed to by House (99-Y 0-N) |
| 02/21/2019 | VOTE: ADOPTION (99-Y 0-N) (see vote tally) |
| 02/23/2019 | Enrolled |
| 02/23/2019 | Bill text as passed House and Senate (HB2126ER) |
| 02/23/2019 | Signed by Speaker |
| 02/23/2019 | Signed by President |
| 02/25/2019 | Impact statement from SCC (HB2126ER) |
| 03/04/2019 | Enrolled Bill communicated to Governor on March 4, 2019 |
| 03/04/2019 | G Governor's Action Deadline Midnight, March 26, 2019 |
| 03/12/2019 | G Approved by Governor-Chapter 337 (effective 1/1/20) |
| 03/12/2019 | G Acts of Assembly Chapter text (CHAP0337) |