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2024 SESSION
HB 1134 Health insurance; if prior authorization request is approved for prescription drugs.
Introduced by: Rodney T. Willett | all patrons ... notes | add to my profiles
SUMMARY AS PASSED HOUSE: (all summaries)
Health insurance; prior authorization. Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that require that if a prior authorization request is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, the carrier shall not revoke, limit, condition, modify, or restrict that authorization unless (i) there is evidence that the authorization was obtained based on fraud or misrepresentation; (ii) final actions by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer remove the drug from the market, limit its use in a manner that affects the authorization, or communicate a patient safety issue that would affect the authorization alone or in combination with other authorizations; (iii) a combination of drugs prescribed would cause a drug interaction; or (iv) a generic or biosimilar is added to the prescription drug formulary. The bill provides that such provisions do not require a carrier to cover any benefit not otherwise covered or cover a prescription drug if the enrollee is no longer covered by a health plan on the date the prescription drug was scheduled, provided, or delivered. This bill is identical to SB 98.
FULL TEXT
- 01/10/24 House: Prefiled and ordered printed; offered 01/10/24 24101235D pdf | impact statement
- 02/08/24 House: Committee substitute printed 24105981D-H1 pdf | impact statement
- 03/06/24 House: Bill text as passed House and Senate (HB1134ER) pdf | impact statement
- 04/02/24 Governor: Acts of Assembly Chapter text (CHAP0320) pdf
AMENDMENTS
- House subcommittee amendments and substitutes offered
- House subcommittee amendments and substitutes adopted
HISTORY
- 01/10/24 House: Prefiled and ordered printed; offered 01/10/24 24101235D
- 01/10/24 House: Referred to Committee on Labor and Commerce
- 01/23/24 House: Assigned L & C sub: Subcommittee #1
- 02/06/24 House: Subcommittee recommends reporting with substitute (7-Y 0-N)
- 02/08/24 House: Reported from Labor and Commerce with substitute (22-Y 0-N)
- 02/08/24 House: Committee substitute printed 24105981D-H1
- 02/11/24 House: Read first time
- 02/12/24 House: Read second time
- 02/12/24 House: Committee substitute agreed to 24105981D-H1
- 02/12/24 House: Engrossed by House - committee substitute HB1134H1
- 02/13/24 House: Read third time and passed House BLOCK VOTE (99-Y 0-N)
- 02/13/24 House: VOTE: Block Vote Passage (99-Y 0-N)
- 02/14/24 Senate: Constitutional reading dispensed
- 02/14/24 Senate: Referred to Committee on Commerce and Labor
- 02/26/24 Senate: Reported from Commerce and Labor (15-Y 0-N)
- 02/28/24 Senate: Constitutional reading dispensed (39-Y 0-N)
- 02/29/24 Senate: Read third time
- 02/29/24 Senate: Passed Senate (39-Y 0-N)
- 03/06/24 House: Enrolled
- 03/06/24 House: Bill text as passed House and Senate (HB1134ER)
- 03/06/24 House: Signed by Speaker
- 03/07/24 Senate: Signed by President
- 03/11/24 House: Enrolled Bill communicated to Governor on March 11, 2024
- 03/11/24 Governor: Governor's Action Deadline 11:59 p.m., April 8, 2024
- 04/02/24 Governor: Approved by Governor-Chapter 320 (effective 7/1/24)
- 04/02/24 Governor: Acts of Assembly Chapter text (CHAP0320)