Health insurance; electronic prior authorization, report.
Summary
Health insurance; electronic prior authorization; work group; report. Requires that the online process a carrier is required by existing law to establish and maintain beginning July 1, 2025, link directly to real-time patient out-of-pocket costs for the prescription drug. The bill also modifies the requirements and reporting timeline of the work group on electronic prior authorization established by the State Corporation Commission's Bureau of Insurance pursuant to existing law.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
House of Delegates Passage
Mar 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 8, 2025
Signed Mar 21, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Enrolled
→
Chaptered
·
3 edits
MINOR
This bill transitions from an enrolled draft to a chaptered law, finalizing HB 2525 which establishes stricter prior authorization rules for health insurance carriers in Virginia. The chaptered version includes formatting changes and minor text adjustments while maintaining the core policy requirements for electronic prior authorization, response timeframes, and protections for patients with mental health and substance use disorders.
Scope change
The bill's scope remains unchanged - it applies to all health insurance carriers and participating healthcare providers in Virginia with contracts entered into, amended, extended, or renewed on or after January 1, 2016, with specific exemptions for Medicare, Medicaid, and certain other insurance types.
TECHNICAL
Formatting and layout changes from draft to final chaptered version, including page breaks, spacing adjustments, and removal of draft session headers
Minor text formatting changes throughout the statute, such as line breaks and paragraph indentation, without substantive policy impact
Date correction in work group reporting timeline from 'November 1, 2025 2028' to proper formatting, maintaining the November 1, 2025 deadline for final report
Floor votes · Senate Feb 18, 2025 · House of Delegates Feb 4, 2025
How they voted
40–0
Passed
Total votes 40
Feb 18, 2025
D
Democratic21
100% Yea
R
Republican19
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
28
Key actions
11
Committee
6
Mar 21, 2025
Signed into law
Approved by Governor-Chapter 284 (Effective 07/01/25)
executive
Mar 10, 2025
Upper · Passed
Signed by President
upper
Mar 7, 2025
Lower · Passed
Signed by Speaker
lower
Mar 7, 2025
Lower · Passed
Bill text as passed House and Senate (HB2525ER)
lower
Feb 19, 2025
Upper · Passed
Passed Senate (40-Y 0-N)
upper
Feb 18, 2025
Upper · Passed
Passed by for the day
upper
Feb 17, 2025
Upper · Passed
Reported from Commerce and Labor (15-Y 0-N)
upper
Feb 5, 2025
Committee
Referred to Committee on Commerce and Labor
upper
Feb 4, 2025
Lower · Passed
Passed House (99-Y 0-N)
lower
Feb 4, 2025
Lower · Passed
Read third time and passed House (97-Y 0-N)
lower
Jan 30, 2025
Lower · Passed
Reported from Labor and Commerce (22-Y 0-N)
lower
Jan 28, 2025
Lower · Passed
Subcommittee recommends reporting (7-Y 0-N)
lower
Jan 21, 2025
Committee
Assigned L & C sub: Subcommittee #1
lower
Jan 8, 2025
Committee
Referred to Committee on Labor and Commerce
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Buddy Fowler
RRepublican
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