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

02/18/2019: passed committee

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)
02/19/2019	Impact statement from SCC (HB2126H1)