Virginia House Bill 362 (Prior Session Legislation)

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Spectrum: Partisan Bill (Republican 1-0)
Status: Introduced on January 5 2016 - 25% progression, died in committee
Action: 2016-02-02 - Continued to 2017 in Commerce and Labor by voice vote
Pending: House Commerce and Labor Committee
Text: Latest bill text (Prefiled) [HTML]

Step therapy protocols; disclosures. Requires health insurers that limit coverage for prescription drugs through the use of a step therapy protocol to have in place a process for a prescribing provider to request an override of the protocol for a patient. A step therapy protocol is a protocol or program that establishes the specific sequence in which prescription drugs for a specified medical condition are medically appropriate for a particular patient and are covered by a health benefit plan or that conditions coverage of a prescription medication on a patient first trying an alternative medication without success. The measure requires the granting of a step therapy protocol override in certain circumstances. Finally, the measure requires an insurer that offers a health benefit plan that uses a step therapy protocol to provide (i) written notice of a determination that the protocol requires denial of coverage of a provider's selected prescription drug, (ii) an explanation of the basis for such determination, and (iii) notice of the procedures for submitting a request for an override of the restrictions of the step therapy protocol.

Accident and sickness insurance; step therapy protocols, disclosure of information.

Del. Glenn Davis [R]

Date	Chamber	Action
2016-02-02	House	Continued to 2017 in Commerce and Labor by voice vote
2016-01-28	House	Subcommittee recommends continuing to 2017 by voice vote
2016-01-19	House	Assigned C & L sub: Subcommittee #2
2016-01-05	House	Referred to Committee on Commerce and Labor
2016-01-05	House	Prefiled and ordered printed; offered 01/13/16 16102438D

Chapter	Article	Section	Citation Type	Statute Text
38	2	3407.13:3	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?161+sum+HB362
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?161+ful+HB362+hil