Health insurance; ethics and fairness in carrier business practices, downcoded claims.

Added a new section requiring carriers to approve or deny prior authorization requests within 72 hours for expedited cases and seven calendar days for standard cases.

Added a requirement for carriers to publish a publicly accessible list of services requiring prior authorization and notify providers of changes at least 30 days in advance.

Added a mandate for carriers to implement electronic prior authorization application program interfaces by January 1, 2027, aligning with federal standards.

Added a requirement for providers to ensure their electronic health record systems can access the carrier's prior authorization interface within one year of the carrier's implementation.

Added a provision stating that carriers cannot deny claims for failure to obtain prior authorization if the requirements were not properly posted on the carrier's website.

Added a requirement to establish a work group to monitor federal developments and report on the implementation of electronic prior authorization by November 1, 2028.

Changed the bill header from 'House Substitute' to 'Offered for Consideration' and updated the sponsor from the House Committee to the Senate Committee.

Expanded the bill's scope to amend two separate sections of the Code of Virginia instead of one.