DC B25-0124 | 2023-2024 | 25th Council

Status

Completed Legislative Action
Spectrum: Moderate Partisan Bill (Democrat 8-1)
Status: Passed on February 16 2024 - 100% progression
Action: 2024-02-16 - Law L25-0100, Effective from Jan 17, 2024 Published in DC Register Vol 71 and Page 001648
Text: Latest bill text (Enrolled) [PDF]

Summary

As introduced, Bill 25-124 would regulate the practice of health insurers that require patients and their medical providers to seek prior authorization for certain medications, medical procedures, or other medical care. It would set explicit timelines for insurers to respond to prior authorization requests and appeals and establishes what qualifications personnel must have to make these determinations. It would also clarify how insurers are to make information on prior authorization determinations available to patients and their medical providers. It would also prohibit insurers from requiring prior authorization for a treatment based solely on cost and require employers to provide timely notice to employees of medications and treatments covered under their insurer’s standard health benefit plan. FUNDING NOTE - This bill is passed Subject to Appropriations. Please see the Fiscal Impact Statement (FIS) for more information.

Tracking Information

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Title

Prior Authorization Reform Amendment Act of 2023

Sponsors


Roll Calls

2023-11-07 - Council - Final Reading, CC (Y: 13 N: 0 NV: 0 Abs: 0) [PASS]
2023-10-03 - Council - First Reading, CC (Y: 12 N: 0 NV: 0 Abs: 1) [PASS]

History

DateChamberAction
2024-02-16CouncilLaw L25-0100, Effective from Jan 17, 2024 Published in DC Register Vol 71 and Page 001648
2023-11-28CouncilTransmitted to Congress
2023-11-24CouncilAct A25-0301 Published in DC Register Vol 70 and Page 015238
2023-11-20CouncilReturned from Mayor
2023-11-15CouncilSigned by the Mayor and Enacted with Act Number A25-0301
2023-11-13CouncilTransmitted to Mayor, Response Due on November 28, 2023
2023-11-07CouncilFinal Reading, CC
2023-10-03CouncilFirst Reading, CC
2023-09-27CouncilCommittee Report Filed
2023-09-26CouncilCommittee Mark-up of B25-0124
2023-09-11CouncilNotice of Mark-up filed in the Office of Secretary
2023-06-29CouncilNotice of Mark-up Cancellation filed in the Office of Secretary
2023-06-15CouncilNotice of Mark-up filed in the Office of Secretary
2023-05-24CouncilPublic Hearing Held
2023-04-07CouncilNotice of Public Hearing Published in the DC Register
2023-03-29CouncilNotice of Public Hearing Published in the DC Register
2023-03-17CouncilReferred to Committee on Health
2023-03-07CouncilReferred to Committee on Health
2023-02-21CouncilReferred to Committee on Business and Economic Development
2023-02-17CouncilNotice of Intent to Act on B25-0124 Published in the DC Register
2023-02-07CouncilIntroduced in Office of the Secretary

Washington D.C. State Sources


Bill Comments

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