HB2099
Health insurance; required provisions regarding prior authorization for health care services.
Summary
As Passed House of Origin. Health insurance; carrier contracts; required provisions regarding prior authorization for health care services; work group; report.
Requires certain health insurance contracts under which an insurance carrier has the right or obligation to require prior authorization for a health care service, as defined in the bill, to include provisions governing the prior authorization process. Such required provisions include (i) time limits for a carrier to respond to ... (More) prior authorization requests, (ii) a prohibition on revoking, limiting, making conditional, modifying, or restricting a previously approved prior authorization except under certain circumstances, and (iii) a requirement that a carrier shall provide the reasons for denial of a request. The bill requires a carrier to make publicly available on its website a list of health care services and codes for which prior authorization is required. The foregoing provisions have a delayed effective date of January 1, 2027. The bill requires the State Corporation Commission's Bureau of Insurance to establish a work group to develop and deliver a report related to the bill's provisions by November 1, 2025. This bill is identical to SB 1215. (Less)-
Bill History
- 01/07/2025 - House: Prefiled and ordered printed; Offered 01-13-2025 25104651D
- 01/07/2025 - House: Referred to Committee on Labor and Commerce
- 01/14/2025 - House: Assigned L & C sub: Subcommittee #1
- 01/20/2025 - House: Placed on Labor and Commerce Agenda
- 01/21/2025 - House: Subcommittee recommends reporting with substitute (6-Y 0-N)
- 01/22/2025 - House: Placed on Labor and Commerce Agenda
- 01/23/2025 - House: Reported from Labor and Commerce with substitute (22-Y 0-N)
- 01/23/2025 - House: Committee substitute printed 25105015D-H1
- 01/27/2025 - House: Read first time
- 01/28/2025 - House: Read second time
- 01/28/2025 - House: Labor and Commerce Substitute agreed to
- 01/28/2025 - House: Engrossed by House - committee substitute
- 01/29/2025 - House: Read third time and passed House (97-Y 0-N)
- 01/30/2025 - Senate: Constitutional reading dispensed (on 1st reading)
- 01/30/2025 - Senate: Referred to Committee on Commerce and Labor
- 01/30/2025 - House: Fiscal Impact Statement from State Corporation Commission (HB2099)
- 02/10/2025 - Senate: Reported from Commerce and Labor (15-Y 0-N)
- 02/12/2025 - Senate: Rules suspended
- 02/12/2025 - Senate: Constitutional reading dispensed (on 2nd reading) (39-Y 0-N)
- 02/12/2025 - Senate: Passed by for the day
- 02/13/2025 - Senate: Read third time
- 02/13/2025 - Senate: Passed Senate (40-Y 0-N)
- 02/18/2025 - House: Enrolled
- 02/18/2025 - House: Bill text as passed House and Senate (HB2099ER)
- 02/18/2025 - House: Signed by Speaker
- 02/19/2025 - House: Fiscal Impact Statement from State Corporation Commission (HB2099)
- 02/20/2025 - Senate: Signed by President
- 03/03/2025 - House: Enrolled Bill communicated to Governor on March 3, 2024
- 03/03/2025 - Governor's Action Deadline 11:59 p.m., March 24, 2025
- 03/18/2025 - Approved by Governor-Chapter 58 (Effective 01/01/27)
- 03/18/2025 - Acts of Assembly Chapter text (CHAP0058)
