SB 1215: Health insurance; required provisions regarding prior authorization for health care services.

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 health care services; work group; report. Requires certain health insurance contracts under which an insurance carrier has the right or obligation to require prior authorization for a health care service, as defined in the bill, to include provisions governing the prior authorization process. Such required provisions include (i) time limits for a carrier to respond to prior authorization requests, (ii) a prohibition on revoking, limiting, making conditional, modifying, or restricting a previously approved prior authorization except under certain circumstances, and (iii) a requirement that a carrier shall provide the reasons for denial of a request. The bill requires a carrier to make publicly available on its website a list of health care services and codes for which prior authorization is required. The foregoing provisions have a delayed effective date of January 1, 2027. The bill requires the State Corporation Commission's Bureau of Insurance to establish a work group to develop and deliver a report related to the bill's provisions by November 1, 2025. This bill is identical to HB 2099.

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. March 18, 2025Acts of Assembly Chapter text (CHAP0068)
2. March 18, 2025Approved by Governor-Chapter 68 (Effective 07/01/25)
3. February 20, 2025Governor's Action Deadline 11:59 p.m., March 24, 2025
4. February 20, 2025Enrolled Bill Communicated to Governor on February 20, 2025
5. February 19, 2025Fiscal Impact Statement from State Corporation Commission (SB1215)
6. February 16, 2025Signed by President
7. February 13, 2025Signed by Speaker
8. February 13, 2025Bill text as passed Senate and House (SB1215ER)
9. February 13, 2025Enrolled
10. February 11, 2025Passed House (94-Y 0-N)
11. February 11, 2025Read third time
12. February 10, 2025Read second time

Showing 12 most recent of 28 actions. Full history