HB 736: Health insurance; required provisions regarding prior authorization for prescription drugs.

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

Health insurance; carrier contracts; required provisions regarding prior authorization for prescription drugs. Amends existing required provisions for health carrier contracts related to prior authorizations for prescription drugs. Current law requires that if prior authorization is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, health carriers may not revoke, limit, condition, modify, or restrict that authorization except in certain circumstances. The bill requires this limitation on carriers to apply for the duration of the authorization, which the bill requires to be a minimum of six months for initial authorizations and a minimum of 12 months for continued authorizations. The bill adds circumstances under which a prior authorization may be revoked, limited, conditioned, modified, or restricted by a carrier, including (i) a final action by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer communicating a patient efficacy issue that would affect the authorization and (ii) when additional safety and efficacy monitoring is clinically appropriate or recommended by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer.

Sponsors

Sponsors by party (alphabetical): Democratic 1

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. April 6, 2026Acts of Assembly Chapter text (CHAP0213)
2. April 6, 2026Approved by Governor-Chapter 213 (effective 7/1/2026)
3. March 14, 2026Governor's Action Deadline 11:59 p.m., April 13, 2026
4. March 14, 2026Enrolled Bill communicated to Governor on March 14, 2026
5. March 12, 2026Signed by President
6. March 12, 2026Signed by Speaker
7. March 12, 2026Fiscal Impact Statement from Department of Planning and Budget (HB736)
8. March 12, 2026Bill text as passed House and Senate (HB736ER)
9. March 12, 2026Enrolled
10. March 5, 2026Passed Senate (39-Y 0-N 0-A)
11. March 5, 2026Read third time
12. March 4, 2026Passed by for the day (Voice Vote)

Showing 12 most recent of 31 actions. Full history