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2023 SESSION
SB 1154 Health insurance; online credentialing system, processing of new applications.
Introduced by: T. Montgomery "Monty" Mason | all patrons ... notes | add to my profiles
SUMMARY AS PASSED SENATE: (all summaries)
Health insurance; provider credentialing; processing of new applications. Requires a health insurance carrier that credentials the physicians, mental health professionals, or other providers in its network to establish reasonable protocols and procedures for processing of new provider credentialing applications. The bill requires that if the carrier accepts applications through an online credentialing system, the carrier must notify a new provider applicant through the online credentialing system that the application is received. If the carrier does not accept applications through an online credentialing system, the bill requires the carrier to provide, within 10 days of receiving an application, notification to the new provider applicant that the application was received. The bill provides that, beginning January 1, 2024, a new provider applicant's application will be deemed complete within 30 days of the carrier receiving the application, unless the carrier has provided notice that the application is not complete. Under the bill, a carrier must approve or deny new provider applicant credentialing applications within 60 days of receiving a completed application and claims submitted according to carrier claims submittal policies must be adjudicated and paid no later than 40 days after the new provider applicant is credentialed and contracted. The bill directs the Virginia Department of Health to adopt emergency regulations to implement the provisions of the bill. This bill is identical to HB 2262.
FULL TEXT
- 01/10/23 Senate: Prefiled and ordered printed; offered 01/11/23 23102836D pdf
- 01/23/23 Senate: Committee substitute printed 23105129D-S1 pdf | impact statement
- 02/16/23 Senate: Bill text as passed Senate and House (SB1154ER) pdf | impact statement
- 03/23/23 Governor: Acts of Assembly Chapter text (CHAP0377) pdf
AMENDMENTS
HISTORY
- 01/10/23 Senate: Prefiled and ordered printed; offered 01/11/23 23102836D
- 01/10/23 Senate: Referred to Committee on Commerce and Labor
- 01/23/23 Senate: Reported from Commerce and Labor with substitute (14-Y 0-N)
- 01/23/23 Senate: Committee substitute printed 23105129D-S1
- 01/25/23 Senate: Constitutional reading dispensed (39-Y 0-N)
- 01/26/23 Senate: Read second time
- 01/26/23 Senate: Reading of substitute waived
- 01/26/23 Senate: Committee substitute agreed to 23105129D-S1
- 01/26/23 Senate: Engrossed by Senate - committee substitute SB1154S1
- 01/27/23 Senate: Read third time and passed Senate (40-Y 0-N)
- 02/08/23 House: Placed on Calendar
- 02/08/23 House: Read first time
- 02/08/23 House: Referred to Committee on Commerce and Energy
- 02/09/23 House: Reported from Commerce and Energy (21-Y 0-N)
- 02/13/23 House: Read second time
- 02/14/23 House: Read third time
- 02/14/23 House: Passed House BLOCK VOTE (99-Y 0-N)
- 02/14/23 House: VOTE: Block Vote Passage (99-Y 0-N)
- 02/16/23 Senate: Enrolled
- 02/16/23 Senate: Bill text as passed Senate and House (SB1154ER)
- 02/16/23 Senate: Signed by President
- 02/16/23 House: Signed by Speaker
- 03/02/23 Senate: Enrolled Bill Communicated to Governor on March 2, 2023
- 03/02/23 Governor: Governor's Action Deadline 11:59 p.m., March 27, 2023
- 03/23/23 Governor: Approved by Governor-Chapter 377 (effective 7/1/23)
- 03/23/23 Governor: Acts of Assembly Chapter text (CHAP0377)