VA HB 1471

Title: Health insurance; electronic prior authorization and disclosure of certain information.
Author: Hyland F. Fowler

Summary
Health insurance; electronic prior authorization and disclosure of certain prescription drug information. Requires each health insurance carrier, beginning July 1, 2025, to establish and maintain an online process that (i) links directly to all e-prescribing systems and electronic health record systems that utilize the National Council for Prescription Drug Programs SCRIPT standard; (ii) can accept electronic prior authorization requests from a provider; (iii) can approve electronic prior authorization requests (a) for which no additional information is needed by the carrier to process the prior authorization request, (b) for which no clinical review is required, and (c) that meet the carrier's criteria for approval; (iv) links directly to real-time patient out-of-pocket costs for the encounter; and (v) otherwise meets the requirements for contracts between carriers and participating health care providers. The bill prohibits a carrier from (a) imposing a fee or charge on any person for accessing the required online process who is required to do so or (b) accessing, absent provider consent, provider data via the online process other than for the enrollee. The bill also requires carriers, no later than July 1, 2024, to provide contact information of any third-party vendor or other entity the carrier will use to meet the requirements of the bill to any provider that requests such information. The carrier may post such information on its website to meet such requirement.

Status
House: VOTE: Adoption (99-Y 0-N)

Bill Documents
VA HB 1471 - Senate amendments not adopted
2022-12-30 - VA HB 1471 (Senate amendments not adopted)

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VA HB 1471 - Senate amendments engrossed
2022-12-30 - VA HB 1471 (Senate amendments engrossed)

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VA HB 1471 - Senate amendments
2022-12-30 - VA HB 1471 (Senate amendments)

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VA HB 1471 - Printed as engrossed 23104853D-EH1
2022-12-30 - VA HB 1471 (Printed as engrossed 23104853D-EH1)

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VA HB 1471 - Committee substitute printed 23104853D-H1
2022-12-30 - VA HB 1471 (Committee substitute printed 23104853D-H1)

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VA HB 1471 - House amendments adopted
2022-12-30 - VA HB 1471 (House amendments adopted)

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VA HB 1471 - House committee, floor amendments and substitutes offered
2022-12-30 - VA HB 1471 (House committee, floor amendments and substitutes offered)

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VA HB 1471 - Substitute for Committee: Commerce and Energy, Subcommittee: Subcommittee #2, Recommended on 1/19/2023
2022-12-30 - VA HB 1471 (Substitute for Committee: Commerce and Energy, Subcommittee: Subcommittee #2, Recommended on 1/19/2023)

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VA HB 1471 - Prefiled and ordered printed; offered 01/11/23 23101242D
2022-12-30 - VA HB 1471 (Prefiled and ordered printed; offered 01/11/23 23101242D)

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VA HB 1471 - House subcommittee amendments and substitutes adopted
2022-12-30 - VA HB 1471 (House subcommittee amendments and substitutes adopted)

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VA HB 1471 - House subcommittee amendments and substitutes offered
2022-12-30 - VA HB 1471 (House subcommittee amendments and substitutes offered)

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