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WV SB822
Bill
Status
Introduced
2/6/2026
Primary Sponsor
Brian Helton
Click for details
AI Summary
- Expands "gold card" prior authorization exemptions to include hospitals and hospital departments, not just individual health care practitioners
- Lowers the qualification threshold from performing 30 procedures per year to submitting at least 10 prior authorizations per year, while maintaining the 90% approval rating requirement
- Extends the gold card exemption period from 6 months to 12 months before review is required
- Requires prior authorization only for services or medications costing over $10,000
- Mandates the Insurance Commissioner implement a standardized gold carding process by January 1, 2027, and increases civil penalties for violations to up to $10,000 per violation
Legislative Description
Revising gold card process to include hospitals or department hospitals
Insurance
Last Action
To Health and Human Resources
2/6/2026
Committee Referrals
Health and Human Resources2/6/2026
Full Bill Text
No bill text available