Health insurance; authorization of drug prescribed for the treatment of a mental disorder. (SB1269)

Introduced By

Sen. Jeremy McPike (D-Dale City) with support from co-patron Sen. Jennifer Boysko (D-Herndon)


Passed Committee
Passed House
Passed Senate
Signed by Governor
Became Law


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 HB 2008. Read the Bill »


03/11/2021: signed by governor


01/12/2021Prefiled and ordered printed; offered 01/13/21 21101311D
01/12/2021Referred to Committee on Commerce and Labor
01/18/2021Impact statement from DPB (SB1269)
01/25/2021Senate committee, floor amendments and substitutes offered
01/25/2021Reported from Commerce and Labor with substitute (15-Y 0-N) (see vote tally)
01/25/2021Committee substitute printed 21103534D-S1
01/27/2021Constitutional reading dispensed (39-Y 0-N) (see vote tally)
01/28/2021Read second time
01/28/2021Reading of substitute waived
01/28/2021Committee substitute agreed to 21103534D-S1
01/28/2021Engrossed by Senate - committee substitute SB1269S1
01/28/2021Impact statement from DPB (SB1269S1)
01/29/2021Read third time and passed Senate (37-Y 0-N) (see vote tally)
02/02/2021Placed on Calendar
02/02/2021Read first time
02/02/2021Referred to Committee on Labor and Commerce
02/08/2021Continued to Special Session 1 in Labor and Commerce
02/11/2021Reported from Labor and Commerce (22-Y 0-N) (see vote tally)
02/15/2021Read second time
02/16/2021Read third time
02/16/2021Passed House BLOCK VOTE (99-Y 0-N)
02/16/2021VOTE: Block Vote Passage (99-Y 0-N) (see vote tally)
02/19/2021Bill text as passed Senate and House (SB1269ER)
02/19/2021Impact statement from DPB (SB1269ER)
02/22/2021Signed by President
02/22/2021Signed by Speaker
02/24/2021Enrolled Bill Communicated to Governor on February 24, 2021
02/24/2021G Governor's Action Deadline 11:59 p.m., March 31, 2021
03/11/2021G Approved by Governor-Chapter 67 (effective 7/1/21)
03/11/2021G Acts of Assembly Chapter text (CHAP0067)