HB1452 — Medicaid; expedited review process for service authorization requests, report.

Summary

Medicaid; expedited review process for service authorization requests, report.

Bill Text

Compared against the Code of Virginia as published AI-generated reading aid — verify against the official bill.

This bill amends 1 section(s) of the Code of Virginia: 32.1-325.1:2.

• 32.1-325.1:2

  A. The Department shall, conditional on the receipt of all necessary approvals and the securing of federal financial participation pursuant to subsection

  Inserts “A. The Department shall, conditional on the receipt of all necessary approvals and the securing of federal financial participation pursuant to subsection”.

• 32.1-325.1:2

  D

  Inserts “D”.

• 32.1-325.1:2

  ,

  Inserts “,”.

• 32.1-325.1:2

  establish an expedited review process for Medicaid service authorization requests involvin

  Inserts “establish an expedited review process for Medicaid service authorization requests involvin”.

• 32.1-325.1:2

  g time-sensitive, life-sustaining

  Inserts “g time-sensitive, life-sustaining”.

• 32.1-325.1:2

  treatment

  Inserts “treatment”.

• 32.1-325.1:2

  when a delay in

  Inserts “when a delay in”.

• 32.1-325.1:2

  issuance of

  Inserts “issuance of”.

• 32.1-325.1:2

  such service authoriza

  Inserts “such service authoriza”.

• 32.1-325.1:2

  tion would pose a significant risk to the health or safety of an individual.

  Inserts “tion would pose a significant risk to the health or safety of an individual.”.

• 32.1-325.1:2

  Such expedited review process shall include:

  Inserts “Such expedited review process shall include:”.

• 32.1-325.1:2

  1. Review timeframes consistent with the leve

  Inserts “1. Review timeframes consistent with the leve”.

• 32.1-325.1:2

  l of medical urgency of the service authorization request;

  Inserts “l of medical urgency of the service authorization request;”.

• 32.1-325.1:2

  2. Documentation and verification requirements;

  Inserts “2. Documentation and verification requirements;”.

• 32.1-325.1:2

  3. Prioritization for hospital discharge planning, continuity of care, or emergency circumstances;

  Inserts “3. Prioritization for hospital discharge planning, continuity of care, or emergency circumstances;”.

• 32.1-325.1:2

  4. Criteria for ineligibility for expedited review

  Inserts “4. Criteria for ineligibility for expedited review”.

• 32.1-325.1:2

  ; and

  Inserts “; and”.

• 32.1-325.1:2

  5. Any additional requirements or procedures determined necessary by the Department to implement the provisions of this section.

  Inserts “5. Any additional requirements or procedures determined necessary by the Department to implement the provisions of this section.”.

• 32.1-325.1:2

  B.

  Inserts “B.”.

• 32.1-325.1:2

  A service authorization request shall be eligible for expedited

  Inserts “A service authorization request shall be eligible for expedited”.

• 32.1-325.1:2

  service authorization

  Inserts “service authorization”.

• 32.1-325.1:2

  review

  Inserts “review”.

• 32.1-325.1:2

  pursuant to subsection A

  Inserts “pursuant to subsection A”.

• 32.1-325.1:2

  if

  Inserts “if”.

• 32.1-325.1:2

  t

  Inserts “t”.

• 32.1-325.1:2

  he provider obtains a certification of medical urgency from a physician duly authorized to practice medicine in the Commonwealth or

  Inserts “he provider obtains a certification of medical urgency from a physician duly authorized to practice medicine in the Commonwealth or”.

• 32.1-325.1:2

  other licensed health care professional authorized to order or recommend treatment.

  Inserts “other licensed health care professional authorized to order or recommend treatment.”.

• 32.1-325.1:2

  The certification required pursuant to this subsection shall describe (i) the circumstances indicating medical urgency and (ii) the potential risk of harm associated with a delay in service authorization.

  Inserts “The certification required pursuant to this subsection shall describe (i) the circumstances indicating medical urgency and (ii) the potential risk of harm associated with a delay in service authorization.”.

• 32.1-325.1:2

  C. Implementation of the expedited review process established pursuant to subsection A

  Inserts “C. Implementation of the expedited review process established pursuant to subsection A”.

• 32.1-325.1:2

  shall not be construed to:

  Inserts “shall not be construed to:”.

• 32.1-325.1:2

  1. Guarantee approval of any request under review;

  Inserts “1. Guarantee approval of any request under review;”.

• 32.1-325.1:2

  2. Create a new entitlement to coverage or payment;

  Inserts “2. Create a new entitlement to coverage or payment;”.

• 32.1-325.1:2

  3. Expand the scope of Medicaid benefits;

  Inserts “3. Expand the scope of Medicaid benefits;”.

• 32.1-325.1:2

  4. Alter existing medical necessity criteria;

  Inserts “4. Alter existing medical necessity criteria;”.

• 32.1-325.1:2

  5. Create a private cause of action; or

  Inserts “5. Create a private cause of action; or”.

• 32.1-325.1:2

  6. Require the Department to

  Inserts “6. Require the Department to”.

• 32.1-325.1:2

  :

  Inserts “:”.

• 32.1-325.1:2

  a.

  Inserts “a.”.

• 32.1-325.1:2

  A

  Inserts “A”.

• 32.1-325.1:2

  ccept

  Inserts “ccept”.

Action History

1. April 06, 2026

   Acts of Assembly Chapter text (CHAP0314)

2. April 06, 2026

   Approved by Governor-Chapter 314 (effective 7/1/2026)

3. March 10, 2026

   Governor's Action Deadline 11:59 p.m., April 13, 2026

4. March 10, 2026

   H Enrolled Bill communicated to Governor on March 10, 2026

5. March 09, 2026

   S Signed by President

6. March 09, 2026

   H Signed by Speaker

7. March 09, 2026

   H Fiscal Impact Statement from Department of Planning and Budget (HB1452)

8. March 09, 2026

   H Bill text as passed House and Senate (HB1452ER)

9. March 09, 2026

   H Enrolled

10. March 02, 2026

    S Passed Senate (40-Y 0-N 0-A)

11. March 02, 2026

    S Read third time

12. February 27, 2026

    S Passed by for the day Block Vote (Voice Vote)

13. February 27, 2026

    S Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)

14. February 27, 2026

    S Rules suspended

15. February 26, 2026

    S Reported from Education and Health (15-Y 0-N)

16. February 24, 2026

    S Assigned Education sub: Health

17. February 18, 2026

    S Referred to Committee on Education and Health

18. February 18, 2026

    S Constitutional reading dispensed (on 1st reading)

19. February 17, 2026

    H Read third time and passed House (97-Y 0-N 0-A)

20. February 16, 2026

    H Engrossed by House - committee substitute

21. February 16, 2026

    H committee substitute agreed to

22. February 16, 2026

    H Read second time

23. February 15, 2026

    H Read first time

24. February 13, 2026

    H Fiscal Impact Statement from Department of Planning and Budget (HB1452)

25. February 12, 2026

    H Committee substitute printed 26107855D-H1

26. February 12, 2026

    H Reported from Health and Human Services with substitute (21-Y 0-N)

27. February 12, 2026

    H House committee offered

28. February 11, 2026

    H Placed on Health and Human Services Agenda

29. February 10, 2026

    H Reconsidered by Health and Human Services (Voice Vote)

30. February 10, 2026

    H Reported from Health and Human Services with substitute (17-Y 3-N)

31. February 09, 2026

    H Placed on Health and Human Services Agenda

32. February 05, 2026

    H Subcommittee recommends reporting with substitute (7-Y 1-N)

33. February 05, 2026

    H House subcommittee offered

34. February 04, 2026

    H Placed on Health and Human Services Agenda

35. February 03, 2026

    H Fiscal Impact Statement from Department of Planning and Budget (HB1452)

36. January 30, 2026

    H Assigned sub: Social Services

37. January 23, 2026

    H Referred to Committee on Health and Human Services

38. January 23, 2026

    H Presented and ordered printed 26104871D

Sponsors

• Bonita G. Anthony · Primary

Votes

Subjects