Washington D.C. Council Bill 250124

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Completed Legislative Action
Spectrum: Moderate Partisan Bill (Democrat 6-1)
Status: Passed on November 15 2023 - 100% progression
Action: 2023-11-28 - Transmitted to Congress, Projected Law Date is Feb 01, 2024
Text: Latest bill text (Enrolled) [PDF]

As introduced, Bill 25-124 would regulate the practice of health insurers that require patients and their medical providers to seek prior authorization for certain medications, medical procedures, or other medical care. It would set explicit timelines for insurers to respond to prior authorization requests and appeals and establishes what qualifications personnel must have to make these determinations. It would also clarify how insurers are to make information on prior authorization determinations available to patients and their medical providers. It would also prohibit insurers from requiring prior authorization for a treatment based solely on cost and require employers to provide timely notice to employees of medications and treatments covered under their insurer’s standard health benefit plan. FUNDING NOTE - This bill is passed Subject to Appropriations. Please see the Fiscal Impact Statement (FIS) for more information.

Prior Authorization Reform Amendment Act of 2023

Cnc. Janeese Lewis George [D]	Cnc. Vincent Gray [D]	Cnc. Robert White [D]	Cnc. Charles Allen [D]
Cnc. Anita Bonds [D]	Cnc. Christina Henderson [I]	Cnc. Trayon White [D]

2023-11-07 - Council - Final Reading, CC (Y: 13 N: 0 NV: 0 Abs: 0) [PASS]
2023-10-03 - Council - First Reading, CC (Y: 12 N: 0 NV: 0 Abs: 1) [PASS]

Date	Chamber	Action
2023-11-28	Council	Transmitted to Congress, Projected Law Date is Feb 01, 2024
2023-11-24	Council	Act A25-0301 Published in DC Register Vol 70 and Page 015238
2023-11-20	Council	Returned from Mayor
2023-11-15	Council	Signed by the Mayor and Enacted with Act Number A25-0301
2023-11-13	Council	Transmitted to Mayor, Response Due on November 28, 2023
2023-11-07	Council	Final Reading, CC
2023-10-03	Council	First Reading, CC
2023-09-27	Council	Committee Report Filed
2023-09-26	Council	Committee Mark-up of B25-0124
2023-09-11	Council	Notice of Mark-up filed in the Office of Secretary
2023-06-29	Council	Notice of Mark-up Cancellation filed in the Office of Secretary
2023-06-15	Council	Notice of Mark-up filed in the Office of Secretary
2023-05-24	Council	Public Hearing Held
2023-04-07	Council	Notice of Public Hearing Published in the DC Register
2023-03-29	Council	Notice of Public Hearing Published in the DC Register
2023-03-17	Council	Referred to Committee on Health
2023-03-07	Council	Referred to Committee on Health
2023-02-21	Council	Referred to Committee on Business and Economic Development
2023-02-17	Council	Notice of Intent to Act on B25-0124 Published in the DC Register
2023-02-07	Council	Introduced in Office of the Secretary

Type	Source
Summary	https://lims.dccouncil.gov/Legislation/B25-0124
Text	https://lims.dccouncil.gov/downloads/LIMS/52301/Introduction/B25-0124-Introduction.pdf
Text	https://lims.dccouncil.gov/downloads/LIMS/52301/Meeting1/Engrossment/B25-0124-Engrossment1.pdf
Text	https://lims.dccouncil.gov/downloads/LIMS/52301/Meeting2/Enrollment/B25-0124-Enrollment1.pdf
Roll Call	https://lims.dccouncil.gov/Legislation/B25-0124