VA HB108 | 2014 | Regular Session

Status

Completed Legislative Action
Spectrum: Partisan Bill (Republican 1-0)
Status: Passed on March 27 2014 - 100% progression
Action: 2014-03-27 - Governor: Acts of Assembly Chapter text (CHAP0308)
Text: Latest bill text (Chaptered) [HTML]

Summary

Health insurance; carrier contracts with pharmacy providers. Requires any contract between a carrier and its intermediary, pursuant to which the intermediary has the right or obligation to conduct audits of participating pharmacy providers, and any provider contract between a carrier and a participating pharmacy provider or its contracting agent, pursuant to which the carrier has the right or obligation to conduct audits of participating pharmacy providers, that is entered into, amended, extended, or renewed on or after January 1, 2015, to contain provisions that prohibit the carrier or intermediary, in the absence of fraud, from recouping amounts calculated from or arising out of specified acts, claims, or methods. Recoupment is not allowed with regard to any claim authorized and dispensed more than 24 months prior to the date of the audit unless the claim is adjusted at the direction of the State Corporation Commission, except that this time period shall be tolled while the denial of the claim is being appealed. Such contracts are also required to contain provisions prohibiting the carrier or intermediary, in the absence of fraud by the provider, from terminating or failing to renew the contractual relationship with a participating pharmacy provider for invoking its rights under these required contractual provisions.

Tracking Information

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Title

Health insurance; carrier contracts with pharmacy providers, definition of overpayment.

Sponsors


Roll Calls

2014-02-27 - Senate - Senate: Passed Senate (40-Y 0-N) (Y: 40 N: 0 NV: 0 Abs: 0) [PASS]
2014-02-26 - Senate - Senate: Constitutional reading dispensed (38-Y 0-N) (Y: 38 N: 0 NV: 2 Abs: 0) [PASS]
2014-02-24 - Senate - Senate: Reported from Commerce and Labor (16-Y 0-N) (Y: 16 N: 0 NV: 0 Abs: 0) [PASS]
2014-01-20 - House - House: VOTE: BLOCK VOTE PASSAGE (96-Y 0-N) (Y: 98 N: 0 NV: 4 Abs: 0) [PASS]
2014-01-14 - House - House: Reported from Commerce and Labor with substitute (21-Y 0-N) (Y: 22 N: 0 NV: 1 Abs: 0) [PASS]

History

DateChamberAction
2014-03-27 Governor: Acts of Assembly Chapter text (CHAP0308)
2014-03-27 Governor: Approved by Governor-Chapter 308 (effective 1/1/15)
2014-03-07SenateSigned by President
2014-03-04HouseSigned by Speaker
2014-03-04HouseBill text as passed House and Senate (HB108ER)
2014-03-04HouseEnrolled
2014-02-27SenatePassed Senate (40-Y 0-N)
2014-02-27SenateRead third time
2014-02-26SenateConstitutional reading dispensed (38-Y 0-N)
2014-02-24SenateReported from Commerce and Labor (16-Y 0-N)
2014-01-21SenateReferred to Committee on Commerce and Labor
2014-01-21SenateConstitutional reading dispensed
2014-01-20HouseVOTE: BLOCK VOTE PASSAGE (96-Y 0-N)
2014-01-20HouseRead third time and passed House BLOCK VOTE (96-Y 0-N)
2014-01-17HouseEngrossed by House - committee substitute HB108H1
2014-01-17HouseCommittee substitute agreed to 14103935D-H1
2014-01-17HouseRead second time
2014-01-16HouseRead first time
2014-01-14HouseCommittee substitute printed 14103935D-H1
2014-01-14HouseReported from Commerce and Labor with substitute (21-Y 0-N)
2013-12-16HouseReferred to Committee on Commerce and Labor
2013-12-16HousePrefiled and ordered printed; offered 01/08/14 14101849D

Subjects


Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823407.15:1(n/a)See Bill Text

Virginia State Sources


Bill Comments

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