Prior authorization; requiring physician review for denial.
Introduced
Moved
Reached a final decision
Became law
Derived from the official record below.
Officially: “An Act to amend and reenact §§ 38.2-3407.15:2, as it is currently effective and as it shall become effective, and 38.2-3407.15:8 of the Code of Virginia, relating to prior authorization; requiring physician review for denial.” Read the full text
2026 session
What it does
Prior authorization; requiring physician review for denial. Prohibits a health insurance carrier from making an adverse determination of a prior authorization request (i) for prescription drugs unless such denial has been reviewed and approved by a licensed physician or, if a licensed physician is not available, by a licensed pharmacist or (ii) for health care services unless such adverse determination has been reviewed and approved by (a) a licensed physician; (b) in the case of menta
From the official legislative record, shown verbatim. Not legal advice.
Where it is
Introduced · Jan 12, 2026
Acts of Assembly Chapter 925 (latest official status)
Latest official status shown, exactly as the official record states it. The step by step history lives on the official page linked below.
The numbers
5
sponsors on the bill
Sponsors
Patrick A. HopeElizabeth B. Bennett-ParkerRae CousinsMarcia S. "Cia" PriceKathy K.L. Tran
Recorded votes
Senate substitute agreed to by House (98-Y 1-N 0-A)House of Delegates · 2026-03-10 · P · Y 98, N 1
Passed Senate with substitute Block Vote (39-Y 0-N 0-A)Senate · 2026-03-05 · P · Y 39, X 1
Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)Senate · 2026-03-04 · P · Y 39, X 1
Reported from Commerce and Labor with substitute (13-Y 0-N)Senate · 2026-03-02 · P · Y 13, X 2
Read third time and passed House (97-Y 0-N 0-A)House of Delegates · 2026-02-04 · P · Y 97, X 3
Reported from Labor and Commerce with substitute (22-Y 0-N)House of Delegates · 2026-01-29 · P · Y 22
Subcommittee recommends reporting with substitute (9-Y 0-N)House of Delegates · 2026-01-27 · P · Y 9
Roll-call results shown verbatim from the Virginia legislature’s records. A result reflects that roll call’s own motion, not the bill’s overall outcome.
Every fact on this page links to its source, starting with the official bill record. Last action: Acts of Assembly Chapter 925.