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)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


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.


Bill Has Passed


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)
02/18/2019Reported from Commerce and Labor with amendments (14-Y 0-N) (see vote tally)
02/18/2019Rereferred to Finance
02/18/2019Reported from Finance with amendment (15-Y 0-N) (see vote tally)
02/19/2019Constitutional reading dispensed (40-Y 0-N) (see vote tally)
02/19/2019Impact statement from SCC (HB2126H1)
02/20/2019Read third time
02/20/2019Reading of amendments waived
02/20/2019Committee amendments agreed to
02/20/2019Reading of amendment waived
02/20/2019Committee amendment agreed to
02/20/2019Passed by for the day
02/21/2019Read third time
02/21/2019Finance Committee amendment reconsidered (40-Y 0-N) (see vote tally)
02/21/2019Committee amendment rejected
02/21/2019Engrossed by Senate as amended
02/21/2019Passed Senate with amendments (40-Y 0-N) (see vote tally)
02/21/2019Senate amendments agreed to by House (99-Y 0-N)
02/21/2019VOTE: ADOPTION (99-Y 0-N) (see vote tally)
02/23/2019Bill text as passed House and Senate (HB2126ER)
02/23/2019Signed by Speaker
02/23/2019Signed by President
02/25/2019Impact statement from SCC (HB2126ER)
03/04/2019Enrolled Bill communicated to Governor on March 4, 2019
03/04/2019G Governor's Action Deadline Midnight, March 26, 2019
03/12/2019G Approved by Governor-Chapter 337 (effective 1/1/20)
03/12/2019G Acts of Assembly Chapter text (CHAP0337)