SB1215
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 HB 2099.(Less)
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Bill History
- 01/08/2025 - Senate: Prefiled and ordered printed; Offered 01-08-2025 25104544D
- 01/08/2025 - Senate: Referred to Committee on Commerce and Labor
- 01/20/2025 - Senate: Reported from Commerce and Labor with substitute (15-Y 0-N)
- 01/20/2025 - Senate: Committee substitute printed 25105395D-S1
- 01/22/2025 - Senate: Rules suspended
- 01/22/2025 - Senate: Constitutional reading dispensed (on 1st reading) (40-Y 0-N)
- 01/22/2025 - Senate: Passed by for the day
- 01/23/2025 - Senate: Read second time
- 01/23/2025 - Senate: Reading of substitute waived
- 01/23/2025 - Senate: Commerce and Labor Substitute agreed to
- 01/23/2025 - Senate: Engrossed by Senate - committee substitute
- 01/24/2025 - Senate: Read third time and passed Senate (38-Y 0-N)
- 02/03/2025 - House: Placed on Calendar
- 02/03/2025 - House: Read first time
- 02/03/2025 - House: Referred to Committee on Labor and Commerce
- 02/05/2025 - House: Placed on Labor and Commerce Agenda
- 02/06/2025 - House: Reported from Labor and Commerce (21-Y 0-N)
- 02/10/2025 - House: Read second time
- 02/11/2025 - House: Read third time
- 02/11/2025 - House: Passed House (94-Y 0-N)
- 02/13/2025 - Senate: Enrolled
- 02/13/2025 - Senate: Bill text as passed Senate and House (SB1215ER)
- 02/13/2025 - House: Signed by Speaker
- 02/16/2025 - Senate: Signed by President
- 02/19/2025 - Senate: Fiscal Impact Statement from State Corporation Commission (SB1215)
- 02/20/2025 - Senate: Enrolled Bill Communicated to Governor on February 20, 2025
- 02/20/2025 - Governor's Action Deadline 11:59 p.m., March 24, 2025
- 03/18/2025 - Approved by Governor-Chapter 68 (Effective 07/01/25)
- 03/18/2025 - Acts of Assembly Chapter text (CHAP0068)
