HB 481 — Prior authorization; requiring physician review for denial.
VA 20261 session
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 mental health services, a licensed mental health provider if a licensed physician is unavailable; or (c) in the case of dental services, a licensed dentist if a licensed physician is unavailable.
Latest action: — Acts of Assembly Chapter
Sponsors (5)
- Patrick A. Hope (D, VA) — sponsor
- Elizabeth B. Bennett-Parker (D, VA) — cosponsor
- Rae Cousins (D, VA) — cosponsor
- Marcia S. "Cia" Price (D, VA) — cosponsor
- Kathy K.L. Tran (D, VA) — cosponsor
Action timeline (41)
- · house · H4020 —
- · house · H1401 —
- · house · H1412 —
- · house · H8120 —
- · house · H1418 —
- · house · H1408 —
- · house · H4640 —
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- · house · H4009 —
- · house · H4120 —
- · house · H4410 —
- · house · H4601 —
- · house · H5000 —
- · senate · S4140 —
- · senate · S0201 —
- · senate · S8122 —
- · senate · S0208 —
- · senate · S4640 —
- · senate · S4150 —
- · senate · S4145 —
- · senate · S4160 —
- · senate · S4160 —
- · senate · S4130 —
- · senate · S4130 —
- · senate · S4410 —
- · senate · S4601 —
- · senate · S5022 —
- · house · H8500 —
- · house · H4160 —
- · house · H5432 —
- · house · H5610 —
- · house · H5601 —
- · senate · S5620 —
- · house · H7010 —
- · G7010 —
- · house · H5620 —
- · house · H7010 —
- · G7010 —
- · house · H8500 —
- · G7050 —
- · G9998 —
Text versions (0)
No text versions on file yet — same ingest as the action timeline populates these. Each version has direct links to the XML / HTML / PDF at govinfo.gov.
Bill text (extracted)
Amendments
Congressional Research Service briefs (0)
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No CRS reports cite this bill yet.
Who matters on this bill
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Patrick A. Hope (D, state_lower VA) | sponsor | 0 | — | 5 |
| 2 | Elizabeth B. Bennett-Parker (D, state_lower VA) | cosponsor | 0 | — | 1 |
| 3 | Kathy K.L. Tran (D, state_lower VA) | cosponsor | 0 | — | 1 |
| 4 | Marcia S. "Cia" Price (D, state_lower VA) | cosponsor | 0 | — | 1 |
| 5 | Rae Cousins (D, state_lower VA) | cosponsor | 0 | — | 1 |
Stance (positions taken)
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
0 predicted yes (0%) · 543 predicted no (100%) · 0 unknown (0%)
By party: · R: 0 yes / 277 no · D: 0 yes / 263 no · I: 0 yes / 3 no