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Prior authorization; requiring physician review for denial. Prohibits a health insurance carrier from denying or making an adverse determination of a prior authorization request for prescription drugs or health care services unless such denial has been reviewed and approved by a licensed physician or, if a licensed physician is not available, by a licensed pharmacist.
Introduced
Jan 12, 2026
Last Action
Mar 10, 2026
Session
VA 2026
Sponsors
1 primary · 4 co
Senate substitute agreed to by House (98-Y 1-N 0-A)
Passed by for the day
Passed Senate with substitute Block Vote (39-Y 0-N 0-A)
Engrossed by Senate - committee substitute
Commerce and Labor Substitute agreed to
Fiscal Impact Statement from State Corporation Commission (HB481)
Read third time
Passed by for the day (Voice Vote)
Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)
Rules suspended
Committee substitute printed 26108765D-S1
Reported from Commerce and Labor with substitute (13-Y 0-N)
Senate committee offered
Referred to Committee on Commerce and Labor
Constitutional reading dispensed (on 1st reading)
Read third time and passed House (97-Y 0-N 0-A)
Engrossed by House - committee substitute
committee substitute agreed to
Read second time
Moved from Uncontested Calendar to Regular Calendar
Read first time
Committee substitute printed 26106401D-H1
Reported from Labor and Commerce with substitute (22-Y 0-N)
House subcommittee offered
Subcommittee recommends reporting with substitute (9-Y 0-N)
Assigned HCL sub: Subcommittee #1
Referred to Committee on Labor and Commerce
Prefiled and ordered printed; Offered 01-14-2026 26105194D
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
Senate substitute agreed to by House (98-Y 1-N 0-A)
Patrick A. Hope