HB2351 SFAT #5 Maroney 1-25

Dellinger  7965

Senator Maroney moved to amend the bill by striking out the title and substituting therefor a new title, to read as follows:

Eng. House Bill No. 2351—A Bill to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §5-16-7f; to amend said code by adding thereto a new section, designated §33-15-4s; to amend said code by adding thereto a new section, designated §33-16-3dd; to amend said code by adding thereto a new section, designated §33-24-7s; to amend said code by adding thereto a new section, designated §33-25-8p; and to amend said code by adding thereto a new section, designated §33-25A-8s, all relating to requiring health insurers to develop prior authorization forms and portals; adding definitions; providing for electronically transmitted prior authorization forms; establishing procedures for submission and acceptance of forms; establishing form requirements; providing for a provision for an incomplete submission; providing for an audit; granting enforcement powers to the Department of Health and Human Resources; setting forth peer review procedures; providing for mandatory medication provisions upon discharge; requiring an exemption for health care practitioners meeting specified criteria; requiring certain information to be included on the health insurer’s web page and the form; establishing deadlines and submission format for pharmacy benefits; setting forth an effective date; providing for implementation applicability; and setting deadlines.