Virginia Senate Bill 1269 (Prior Session Legislation)

---

Spectrum: Partisan Bill (Democrat 2-0)
Status: Engrossed on January 28 2021 - 50% progression, died in chamber
Action: 2021-02-08 - Continued to Special Session 1 in Labor and Commerce by voice vote
Text: Latest bill text (Comm Sub) [HTML]

Health insurance; authorization of drug prescribed for the treatment of a mental disorder. Requires that any provider contract between a carrier and a participating health care provider with prescriptive authority, or its contracting agent, contain provisions that require, when a carrier has previously approved prior authorization for any drug prescribed for the treatment of a mental disorder listed in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, no additional prior authorization can be required if (i) the drug is a covered benefit, (ii) the prescription does not exceed the U.S. Food and Drug Administration-labeled dosages, (iii) the prescription has been continuously issued for no fewer than three months, and (iv) the prescriber performs an annual review of the patient to evaluate the drug's continued efficacy, changes in the patient's health status, and potential contraindications. The bill provides that this requirement does not prohibit a carrier from requiring prior authorization for any drug that is not listed on its prescription drug formulary at the time the initial prescription is issued. The bill also provides that such provider contracts contain provisions requiring a carrier to honor a prior authorization issued by the carrier for a drug regardless if the drug is removed from the carrier's prescription drug formulary after the initial prescription for that drug is issued. Under the bill, provisions related to provider contracts and prior authorization will apply to the state insurance health plan. Health insurance; authorization of drug prescribed for the treatment of a mental disorder. Requires that any provider contract between a carrier and a participating health care provider with prescriptive authority, or its contracting agent, contain provisions that require, when a carrier has previously approved prior authorization for any drug prescribed for the treatment of a mental disorder listed in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, no additional prior authorization can be required if (i) the drug is a covered benefit, (ii) the prescription does not exceed the U.S. Food and Drug Administration-labeled dosages, (iii) the prescription has been continuously issued for no fewer than three months, and (iv) the prescriber performs an annual review of the patient to evaluate the drug's continued efficacy, changes in the patient's health status, and potential contraindications. The bill provides that this requirement does not prohibit a carrier from requiring prior authorization for any drug that is not listed on its prescription drug formulary at the time the initial prescription is issued. The bill also provides that such provider contracts contain provisions requiring a carrier to honor a prior authorization issued by the carrier for a drug regardless if the drug is removed from the carrier's prescription drug formulary after the initial prescription for that drug is issued. Under the bill, provisions related to provider contracts and prior authorization will apply to the state insurance health plan.

Health insurance; authorization of drug prescribed for the treatment of a mental disorder.

Sen. Jeremy McPike [D]

Sen. Jennifer Boysko [D]

2021-01-29 - Senate - Senate: Read third time and passed Senate (37-Y 0-N) (Y: 37 N: 0 NV: 0 Abs: 2) [PASS]
2021-01-27 - Senate - Senate: Constitutional reading dispensed (39-Y 0-N) (Y: 39 N: 0 NV: 0 Abs: 0) [PASS]
2021-01-25 - Senate - Senate: Reported from Commerce and Labor with substitute (15-Y 0-N) (Y: 15 N: 0 NV: 0 Abs: 0) [PASS]

Date	Chamber	Action
2021-02-08	House	Continued to Special Session 1 in Labor and Commerce by voice vote
2021-02-02	House	Referred to Committee on Labor and Commerce
2021-02-02	House	Read first time
2021-02-02	House	Placed on Calendar
2021-01-29	Senate	Read third time and passed Senate (37-Y 0-N)
2021-01-28	Senate	Engrossed by Senate - committee substitute SB1269S1
2021-01-28	Senate	Committee substitute agreed to 21103534D-S1
2021-01-28	Senate	Reading of substitute waived
2021-01-28	Senate	Read second time
2021-01-27	Senate	Constitutional reading dispensed (39-Y 0-N)
2021-01-25	Senate	Committee substitute printed 21103534D-S1
2021-01-25	Senate	Reported from Commerce and Labor with substitute (15-Y 0-N)
2021-01-12	Senate	Referred to Committee on Commerce and Labor
2021-01-12	Senate	Prefiled and ordered printed; offered 01/13/21 21101311D

SB1269 (Carry Over) 2021-02-08 - Continued to Special Session 1 in Labor and Commerce by voice vote

Chapter	Article	Section	Citation Type	Statute Text
38	2	3407.15:2	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?211+sum+SB1269
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?211+ful+SB1269+hil
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?211+ful+SB1269S1+hil
Amendment	https://committees.lis.virginia.gov/pdfs/drafts/21103534D.pdf
Supplement	https://lis.virginia.gov/cgi-bin/legp604.exe?211+oth+SB1269F122+PDF
Supplement	https://lis.virginia.gov/cgi-bin/legp604.exe?211+oth+SB1269FS1122+PDF
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+S02V0026+SB1269
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+SV0148SB1269+SB1269
Roll Call	https://lis.virginia.gov/cgi-bin/legp604.exe?211+vot+SV0168SB1269+SB1269