Health insurance; authorization of drug prescribed for the treatment of a mental disorder. (HB2008)

Introduced By

Del. Steve Heretick (D-Portsmouth) with support from 8 copatrons, whose average partisan position is:

Those copatrons are Del. Dawn Adams (D-Richmond), Del. Glenn Davis (R-Virginia Beach), Del. Dan Helmer (D-Fairfax Station), Del. Kaye Kory (D-Falls Church), Del. Mark Levine (D-Alexandria), Del. David Reid (D-Loudoun), Del. Ibraheem Samirah (D-Herndon), Del. Marcus Simon (D-Falls Church)

Progress

Introduced
Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law

Description

Health insurance; authorization of drug prescribed for the treatment of a mental disorder. Requires that any provider contract between a carrier and a participating health care provider with prescriptive authority, or its contracting agent, contain provisions that require, when a carrier has previously approved prior authorization for any drug prescribed for the treatment of a mental disorder listed in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, no additional prior authorization can be required if (i) the drug is a covered benefit; (ii) the prescription does not exceed the U.S. Food and Drug Administration-labeled dosages; (iii) the prescription has been continuously issued for no fewer than three months; and (iv) the prescriber performs an annual review of the patient to evaluate the drug's continued efficacy, changes in the patient's health status, and potential contraindications. The bill provides that this requirement does not prohibit a carrier from requiring prior authorization for any drug that is not listed on its prescription drug formulary at the time the initial prescription is issued. The bill also requires that such provider contracts contain provisions requiring a carrier to honor a prior authorization issued by the carrier for a drug regardless of whether the drug is removed from the carrier's prescription drug formulary after the initial prescription for that drug is issued. Under the bill, provisions related to provider contracts and prior authorization shall apply to the state insurance health plan. This bill is identical to SB 1269. Read the Bill »

Status

03/11/2021: signed by governor

History

DateAction
01/11/2021Prefiled and ordered printed; offered 01/13/21 21101077D
01/11/2021Referred to Committee on Labor and Commerce
01/14/2021Assigned L & C sub: Subcommittee #2
01/20/2021Impact statement from DPB (HB2008)
01/21/2021House subcommittee amendments and substitutes offered
01/21/2021Subcommittee recommends reporting with substitute (8-Y 0-N)
01/26/2021Reported from Labor and Commerce with substitute (22-Y 0-N) (see vote tally)
01/26/2021Committee substitute printed 21103490D-H1
01/27/2021Read first time
01/28/2021Read second time
01/28/2021Committee substitute agreed to 21103490D-H1
01/28/2021Engrossed by House - committee substitute HB2008H1
01/29/2021Impact statement from DPB (HB2008H1)
01/29/2021Read third time and passed House BLOCK VOTE (99-Y 0-N)
01/29/2021VOTE: Block Vote Passage (99-Y 0-N) (see vote tally)
02/01/2021Constitutional reading dispensed
02/01/2021Referred to Committee on Commerce and Labor
02/05/2021Continued to 2021 Sp. Sess. 1 in Commerce and Labor (15-Y 0-N) (see vote tally)
02/15/2021Reported from Commerce and Labor with substitute (15-Y 0-N) (see vote tally)
02/15/2021Committee substitute printed 21200210D-S1
02/17/2021Constitutional reading dispensed (39-Y 0-N) (see vote tally)
02/17/2021Impact statement from DPB (HB2008S1)
02/18/2021Read third time
02/18/2021Reading of substitute waived
02/18/2021Committee substitute agreed to 21200210D-S1
02/18/2021Engrossed by Senate - committee substitute HB2008S1
02/18/2021Passed Senate with substitute (38-Y 0-N) (see vote tally)
02/18/2021Reconsideration of Senate passage agreed to by Senate (39-Y 0-N) (see vote tally)
02/18/2021Passed Senate with substitute (39-Y 0-N) (see vote tally)
02/22/2021Placed on Calendar
02/22/2021Senate substitute agreed to by House 21200210D-S1 (98-Y 0-N)
02/22/2021VOTE: Adoption (98-Y 0-N)
02/25/2021Enrolled
02/25/2021Bill text as passed House and Senate (HB2008ER)
02/25/2021Signed by President
02/26/2021Impact statement from DPB (HB2008ER)
02/26/2021Signed by Speaker
03/01/2021Enrolled Bill communicated to Governor on March 1, 2021
03/01/2021G Governor's Action Deadline 11:59 p.m., March 31, 2021
03/11/2021G Approved by Governor-Chapter 66 (effective 7/1/21)
03/11/2021G Acts of Assembly Chapter text (CHAP0066)

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