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2023 SESSION
HB 2262 Health insurance; online credentialing system, processing of new applications.
Introduced by: M. Keith Hodges | all patrons ... notes | add to my profiles
SUMMARY AS PASSED HOUSE: (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 SB 1154.
FULL TEXT
- 01/11/23 House: Prefiled and ordered printed; offered 01/11/23 23102318D pdf | impact statement
- 01/31/23 House: Committee substitute printed 23105132D-H1 pdf | impact statement
- 02/21/23 House: Bill text as passed House and Senate (HB2262ER) pdf | impact statement
- 03/23/23 Governor: Acts of Assembly Chapter text (CHAP0376) pdf
AMENDMENTS
- House subcommittee amendments and substitutes offered
- House subcommittee amendments and substitutes adopted
HISTORY
- 01/11/23 House: Prefiled and ordered printed; offered 01/11/23 23102318D
- 01/11/23 House: Referred to Committee on Commerce and Energy
- 01/16/23 House: Assigned sub: Subcommittee #2
- 01/26/23 House: Subcommittee recommends reporting with substitute (10-Y 0-N)
- 01/31/23 House: Reported from Commerce and Energy with substitute (21-Y 0-N)
- 01/31/23 House: Committee substitute printed 23105132D-H1
- 02/02/23 House: Read first time
- 02/03/23 House: Read second time
- 02/03/23 House: Committee substitute agreed to 23105132D-H1
- 02/03/23 House: Engrossed by House - committee substitute HB2262H1
- 02/06/23 House: Read third time and passed House BLOCK VOTE (100-Y 0-N)
- 02/06/23 House: VOTE: Block Vote Passage (100-Y 0-N)
- 02/07/23 Senate: Constitutional reading dispensed
- 02/07/23 Senate: Referred to Committee on Commerce and Labor
- 02/13/23 Senate: Reported from Commerce and Labor (15-Y 0-N)
- 02/15/23 Senate: Constitutional reading dispensed (40-Y 0-N)
- 02/16/23 Senate: Read third time
- 02/16/23 Senate: Passed Senate (40-Y 0-N)
- 02/21/23 House: Enrolled
- 02/21/23 House: Bill text as passed House and Senate (HB2262ER)
- 02/21/23 House: Signed by Speaker
- 02/23/23 Senate: Signed by President
- 03/02/23 House: 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 376 (effective 7/1/23)
- 03/23/23 Governor: Acts of Assembly Chapter text (CHAP0376)