Virginia House Bill 435 (Prior Session Legislation)

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Spectrum: Bipartisan Bill
Status: Introduced on January 6 2018 - 25% progression, died in committee
Action: 2018-02-13 - Left in Commerce and Labor
Pending: House Commerce and Labor Committee
Text: Latest bill text (Prefiled) [HTML]

Expedited external review of adverse health insurance coverage decisions; cancer treatments. Provides that if an independent review organization conducting an expedited external review fails to make a decision to uphold or reverse a health insurer's adverse determination or final adverse determination regarding coverage for treatment of cancer of the covered person within 72 hours after receiving an eligible request for an expedited external review, the organization shall be deemed to have reversed the adverse determination or final adverse determination denying coverage for the cancer treatment. The measure also provides that if an independent review organization conducts an external review of an experimental or investigational treatment for the cancer of a covered person and fails to make a decision to uphold or reverse the health insurer's determination within the 20-day period allowed for making a decision after receiving opinions from clinical reviewers, the organization shall be deemed to have reversed the insurer's determination denying coverage for the experimental or investigational cancer treatment.

Health insurance; expedited external review of adverse coverage decisions, cancer treatments.

Del. David Yancey [R]

Del. Lee Carter [D]

Date	Chamber	Action
2018-02-13	House	Left in Commerce and Labor
2018-01-18	House	Assigned C & L sub: Subcommittee #2
2018-01-06	House	Referred to Committee on Commerce and Labor
2018-01-06	House	Prefiled and ordered printed; offered 01/10/18 18102934D

Chapter	Article	Section	Citation Type	Statute Text
38	2	3562	(n/a)	See Bill Text
38	2	3563	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?181+sum+HB435
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+HB435+hil