SEARCH SITE
VIRGINIA LAW PORTAL
- Code of Virginia
- Virginia Administrative Code
- Constitution of Virginia
- Charters
- Authorities
- Compacts
- Uncodified Acts
- RIS Users (account required)
SEARCHABLE DATABASES
- Bills & Resolutions
session legislation - Bill Summaries
session summaries - Reports to the General Assembly
House and Senate documents - Legislative Liaisons
State agency contacts
ACROSS SESSIONS
- Subject Index: Since 1995
- Bills & Resolutions: Since 1994
- Summaries: Since 1994
Developed and maintained by the Division of Legislative Automated Systems.
2015 SESSION
HB 2031 Health insurance; updating maximum allowable cost pricing lists.
Introduced by: Joseph R. Yost | all patrons ... notes | add to my profiles
SUMMARY AS PASSED: (all summaries)
Health insurance; updating maximum allowable cost pricing lists. Requires any contract between a health insurance carrier and its intermediary, pursuant to which the intermediary has the right or obligation to establish a maximum allowable cost, 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 establish a maximum allowable cost, to contain specific provisions that require the intermediary or carrier to update, not less frequently than once every seven days, the maximum allowable cost list, unless there has been no change to the maximum allowable cost of any drug on the list since the last update. Such contracts are also required to contain specific provisions that require the intermediary or carrier to (i) verify, not less frequently than once every seven days, that the drugs on the maximum allowable cost list are available to participating pharmacy providers from at least one regional or national pharmacy wholesaler and that the amount for each drug is not obsolete and promptly revise the maximum allowable cost if necessary to comply with these required contractual provisions; (ii) provide a process for each participating pharmacy provider to readily access the maximum allowable cost list specific to that provider; and (iii) prohibit the intermediary or carrier from terminating or failing to renew its contractual relationship with a participating pharmacy provider for invoking its rights under any of these required contractual provisions. Such contracts are also required to contain provisions that require the intermediary or carrier to provide a process for an appeal, investigation, and resolution of disputes regarding maximum allowable cost drug pricing. The State Corporation Commission shall not have jurisdiction to adjudicate individual controversies arising out of this measure.
FULL TEXT
- 01/14/15 House: Prefiled and ordered printed; offered 01/14/15 15103472D pdf | impact statement
- 02/05/15 House: Committee substitute printed 15104254D-H1 pdf | impact statement
- 02/26/15 House: Bill text as passed House and Senate (HB2031ER) pdf | impact statement
- 03/23/15 Governor: Acts of Assembly Chapter text (CHAP0518) pdf
AMENDMENTS
HISTORY
- 01/14/15 House: Prefiled and ordered printed; offered 01/14/15 15103472D
- 01/14/15 House: Referred to Committee on Commerce and Labor
- 01/22/15 House: Assigned C & L sub: Subcommittee #2
- 02/05/15 House: Reported from Commerce and Labor with substitute (22-Y 0-N)
- 02/05/15 House: Committee substitute printed 15104254D-H1
- 02/07/15 House: Read first time
- 02/09/15 House: Read second time
- 02/09/15 House: Committee substitute agreed to 15104254D-H1
- 02/09/15 House: Engrossed by House - committee substitute HB2031H1
- 02/10/15 House: Read third time and passed House BLOCK VOTE (100-Y 0-N)
- 02/10/15 House: VOTE: BLOCK VOTE PASSAGE (100-Y 0-N)
- 02/11/15 Senate: Constitutional reading dispensed
- 02/11/15 Senate: Referred to Committee on Commerce and Labor
- 02/16/15 Senate: Reported from Commerce and Labor with amendment (15-Y 0-N)
- 02/18/15 Senate: Constitutional reading dispensed (38-Y 0-N)
- 02/19/15 Senate: Read third time
- 02/19/15 Senate: Reading of amendment waived
- 02/19/15 Senate: Committee amendment agreed to
- 02/19/15 Senate: Engrossed by Senate as amended
- 02/19/15 Senate: Passed Senate with amendment (38-Y 0-N)
- 02/20/15 House: Placed on Calendar
- 02/23/15 House: Senate amendment agreed to by House (97-Y 0-N)
- 02/23/15 House: VOTE: ADOPTION (97-Y 0-N)
- 02/26/15 House: Enrolled
- 02/26/15 House: Bill text as passed House and Senate (HB2031ER)
- 02/26/15 House: Signed by Speaker
- 02/26/15 Senate: Signed by President
- 02/27/15 House: Enrolled Bill communicated to Governor on 2/27/15
- 02/27/15 Governor: Governor's Action Deadline Midnight, Sunday, March 29, 2015
- 03/23/15 Governor: Approved by Governor-Chapter 518 (effective 1/1/16 see bill)
- 03/23/15 Governor: Acts of Assembly Chapter text (CHAP0518)