SB 5 – West Virginia

Status: Inactive / Dead
Year Introduced: 2019
Link: http://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=5&year=2019&sessiontype=RS&btype=bill

Requiring certain insurers and managed care organizations develop prior authorization forms: A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §33-4-24, relating to requiring the Public Employees Insurance Agency, managed care organizations, and private commercial insurers to develop prior authorization forms; providing for electronically transmitted prior authorization forms; establishing procedures for submission and acceptance of forms; establishing form requirements; providing what health care practitioners may submit a prior authorization; providing for a provision for an incomplete submission; providing for an audit; granting enforcement powers to the Insurance Commissioner; setting forth peer review procedures; providing for mandatory medication provisions upon discharge or substation; requiring certain information to be included on the insurers web page and the form; and setting deadlines.


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