VA HB2008 | 2021 | Regular Session

Note: Carry Foward to future HB2008

Status

Spectrum: Moderate Partisan Bill (Democrat 8-1)
Status: Engrossed on January 28 2021 - 50% progression, died in chamber
Action: 2021-02-05 - Continued to 2021 Sp. Sess. 1 in Commerce and Labor (15-Y 0-N)
Text: Latest bill text (Comm Sub) [HTML]

Summary

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 provides that such provider contracts contain provisions requiring a carrier to honor a prior authorization issued by the carrier for a drug regardless if the drug is removed from the carrier's prescription drug formulary after the initial prescription for that drug is issued. 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 provides that such provider contracts contain provisions requiring a carrier to honor a prior authorization issued by the carrier for a drug regardless if the drug is removed from the carrier's prescription drug formulary after the initial prescription for that drug is issued.

Tracking Information

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Title

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

Sponsors


Roll Calls

2021-02-05 - Senate - Senate: Continued to 2021 Sp. Sess. 1 in Commerce and Labor (15-Y 0-N) (Y: 15 N: 0 NV: 0 Abs: 0) [PASS]
2021-01-29 - House - House: VOTE: Block Vote Passage (99-Y 0-N) (Y: 99 N: 0 NV: 0 Abs: 0) [PASS]
2021-01-26 - House - House: Reported from Labor and Commerce with substitute (22-Y 0-N) (Y: 22 N: 0 NV: 0 Abs: 0) [PASS]
2021-01-21 - House - House: Subcommittee recommends reporting with substitute (8-Y 0-N) (Y: 8 N: 0 NV: 0 Abs: 0) [PASS]
2021-01-21 - House - House: Subcommittee recommends reporting with substitute (8-Y 0-N) (Y: 8 N: 0 NV: 0 Abs: 0) [PASS]

History

DateChamberAction
2021-02-05SenateContinued to 2021 Sp. Sess. 1 in Commerce and Labor (15-Y 0-N)
2021-02-01SenateReferred to Committee on Commerce and Labor
2021-02-01SenateConstitutional reading dispensed
2021-01-29HouseVOTE: Block Vote Passage (99-Y 0-N)
2021-01-29HouseRead third time and passed House BLOCK VOTE (99-Y 0-N)
2021-01-28HouseEngrossed by House - committee substitute HB2008H1
2021-01-28HouseCommittee substitute agreed to 21103490D-H1
2021-01-28HouseRead second time
2021-01-27HouseRead first time
2021-01-26HouseCommittee substitute printed 21103490D-H1
2021-01-26HouseReported from Labor and Commerce with substitute (22-Y 0-N)
2021-01-21HouseSubcommittee recommends reporting with substitute (8-Y 0-N)
2021-01-14HouseAssigned L & C sub: Subcommittee #2
2021-01-11HouseReferred to Committee on Labor and Commerce
2021-01-11HousePrefiled and ordered printed; offered 01/13/21 21101077D

Same As/Similar To

HB2008 (Carry Over) 2021-02-05 - Continued to 2021 Sp. Sess. 1 in Commerce and Labor (15-Y 0-N)

Code Citations

ChapterArticleSectionCitation TypeStatute Text
3823407.15:2(n/a)See Bill Text

Virginia State Sources

TypeSource
Summaryhttps://lis.virginia.gov/cgi-bin/legp604.exe?211+sum+HB2008
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?211+ful+HB2008+hil
Texthttps://lis.virginia.gov/cgi-bin/legp604.exe?211+ful+HB2008H1+hil
Amendmenthttps://committees.lis.virginia.gov/pdfs/drafts/21103490D.pdf
Supplementhttps://lis.virginia.gov/cgi-bin/legp604.exe?211+oth+HB2008F122+PDF
Supplementhttps://lis.virginia.gov/cgi-bin/legp604.exe?211+oth+HB2008FH1122+PDF
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+H1402V0005+HB2008
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+H1402V0008+HB2008
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+H14V0056+HB2008
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+HV1246+HB2008
Roll Callhttps://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+S02V0055+HB2008

Bill Comments

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