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2015 SESSION
HB 1942 Health insurance; carrier business practices, prior authorization provisions.
Introduced by: Gregory D. Habeeb | all patrons ... notes | add to my profiles
SUMMARY AS PASSED HOUSE: (all summaries)
Health insurance plans and programs; preauthorization for drug benefits. Requires certain health insurance contracts under which an insurance carrier or its intermediary has the right or obligation to require preauthorization for a drug benefit to include provisions governing the preauthorization process. Required provisions address (i) acceptance by carriers of telephonic, facsimile, or electronic submission of prior authorization requests that are delivered from e-prescribing systems, electronic health record systems, and health information exchange platforms that utilize certain standards; (ii) time limits for communicating to the prescriber that a request is approved, denied, or requires supplementation; (iii) providing reasons for denial of a request; (iv) honoring a prior authorization approved by another carrier; (v) use of a tracking system for prior authorization requests; and (vi) making formularies, drug benefits subject to prior authorization, prior authorization procedures, and certain forms available through the carrier's website. The measure also requires certain organizations to convene a workgroup to identify common evidence-based parameters for carrier approval of certain prescription drugs. This bill is identical to SB 1262.
FULL TEXT
- 01/13/15 House: Prefiled and ordered printed; offered 01/14/15 15103414D pdf | impact statement
- 02/05/15 House: Committee substitute printed 15104573D-H1 pdf
- 02/24/15 House: Bill text as passed House and Senate (HB1942ER) pdf | impact statement
- 03/23/15 Governor: Acts of Assembly Chapter text (CHAP0515) pdf
HISTORY
- 01/13/15 House: Prefiled and ordered printed; offered 01/14/15 15103414D
- 01/13/15 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 15104573D-H1
- 02/07/15 House: Read first time
- 02/09/15 House: Read second time
- 02/09/15 House: Committee substitute agreed to 15104573D-H1
- 02/09/15 House: Engrossed by House - committee substitute HB1942H1
- 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 (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: Passed Senate (38-Y 0-N)
- 02/24/15 House: Enrolled
- 02/24/15 House: Bill text as passed House and Senate (HB1942ER)
- 02/25/15 House: Signed by Speaker
- 02/26/15 Senate: Signed by President
- 02/26/15 House: Enrolled Bill communicated to Governor on 2/26/15
- 02/26/15 Governor: Governor's Action Deadline Midnight, Sunday, March 29, 2015
- 03/23/15 Governor: Approved by Governor-Chapter 515 (effective 7/1/15)
- 03/23/15 Governor: Acts of Assembly Chapter text (CHAP0515)