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. The provisions of the measure shall apply to any health benefit plan delivered, issued for delivery, or renewed on or after January 1, 2020. Read the Bill »

Status

02/06/2019: In Committee

History

DateAction
01/08/2019Committee
01/08/2019Prefiled and ordered printed; offered 01/09/19 19102027D
01/08/2019Referred to Committee on Commerce and Labor
01/15/2019Assigned C & L sub: Subcommittee #1
01/23/2019Impact statement from SCC (HB2126)
01/29/2019House subcommittee amendments and substitutes offered
01/29/2019Subcommittee recommends reporting with substitute (6-Y 2-N)
01/31/2019Reported from Commerce and Labor with substitute (18-Y 1-N) (see vote tally)
01/31/2019Committee substitute printed 19106082D-H1
02/03/2019Read first time
02/04/2019Read second time
02/04/2019Committee substitute agreed to 19106082D-H1
02/04/2019Engrossed by House - committee substitute HB2126H1
02/05/2019Read third time and passed House (99-Y 0-N)
02/05/2019VOTE: PASSAGE (99-Y 0-N) (see vote tally)
02/06/2019Constitutional reading dispensed
02/06/2019Referred to Committee on Commerce and Labor
02/11/2019Impact statement from SCC (HB2126H1)

Hearing Scheduled

This bill is scheduled to be heard in the Senate Commerce and Labor committee on 02/18/2019. It meets on Monday, 1/2 hour after adjournment - Senate Room B.

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