All Roll Calls
Yes: 320 • No: 0
Sponsored By: Jen Kiggans - to resign 12/31 (Republican)
Became Law
Health insurance; application of cost-sharing prohibitions. Provides that provisions of state law that prohibit a health insurance carrier from imposing a cost-sharing requirement on an enrollee for receiving a health care service (i) apply only when such enrollee receives such health care service from a participating provider under the health benefit plan and (ii) do not apply if the application of such prohibition would disqualify a high-deductible health benefit plan from eligibility for a health savings account under federal law.
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2 provisions identified: 0 benefits, 0 costs, 2 mixed.
The law applies the no‑cost‑sharing rule only when you use in‑network providers. Carriers must count what you pay—or what others pay for you—toward your out‑of‑pocket maximum, as federal law allows. For high‑deductible plans, these no‑cost‑sharing rules do not apply to the deductible until you meet the federal minimum; preventive care still stays no‑cost. The law defines cost‑sharing (copays, coinsurance, deductibles), expands who counts as a carrier, and lists plan types not covered by these state rules (for example, Medicare, Medicaid, CHIP, federal employee plans, TRICARE, accident‑only, long‑term care, workers’ comp). These changes apply to plans entered into, amended, or renewed on or after January 1, 2020, and the State Corporation Commission can issue rules to enforce them.
Health plans must cover prostate cancer screening for people age 50+, and for age 40+ if high risk under American Cancer Society guidelines. Screening includes one PSA test every 12 months and digital rectal exams. Plans cannot charge a deductible, copay, or coinsurance for this screening, unless doing so is needed to keep a high‑deductible plan HSA‑eligible until you meet the federal minimum deductible. Some policies are excluded, like short‑term or accident‑only plans and plans for people eligible for Medicare. These rules apply to policies delivered, issued, or renewed on or after July 1, 1998.
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Jen Kiggans - to resign 12/31
Republican • Senate
There are no cosponsors for this bill.
All Roll Calls
Yes: 320 • No: 0
Senate vote • 2/26/2026
Passed Senate Block Vote
Yes: 40 • No: 0
Senate vote • 2/25/2026
Passed by for the day Block Vote (Voice Vote)
Yes: 0 • No: 0
Senate vote • 2/25/2026
Constitutional reading dispensed Block Vote (on 2nd reading)
Yes: 40 • No: 0
Senate vote • 2/23/2026
Reported from Commerce and Labor
Yes: 15 • No: 0
House vote • 2/11/2026
Read third time and passed House Block Vote
Yes: 96 • No: 0
House vote • 2/11/2026
Passed House Block Vote
Yes: 98 • No: 0
House vote • 2/5/2026
Reported from Labor and Commerce
Yes: 22 • No: 0
House vote • 2/3/2026
Subcommittee recommends reporting
Yes: 9 • No: 0 • Other: 1
Acts of Assembly Chapter text (CHAP0224)
Approved by Governor-Chapter 224 (effective 7/1/2026)
Fiscal Impact Statement from State Corporation Commission (HB813)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 10, 2026
Bill text as passed House and Senate (HB813ER)
Enrolled
Signed by President
Signed by Speaker
Passed Senate Block Vote (40-Y 0-N 0-A)
Read third time
Passed by for the day Block Vote (Voice Vote)
Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
Rules suspended
Reported from Commerce and Labor (15-Y 0-N)
Referred to Committee on Commerce and Labor
Constitutional reading dispensed (on 1st reading)
Passed House Block Vote (98-Y 0-N 0-A)
Reconsideration of passage agreed to by House
Read third time and passed House Block Vote (96-Y 0-N 0-A)
Read second time and engrossed
Read first time
Reported from Labor and Commerce (22-Y 0-N)
Subcommittee recommends reporting (9-Y 0-N)
Assigned HCL sub: Subcommittee #1
Chaptered
4/6/2026
Enrolled
3/3/2026
Introduced
1/13/2026
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SB648 — Counties, cities, & towns; members of governing body, continuing personal interest in transactions.
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