VirginiaHB11822026 Regular SessionHouseWALLET

Health insurance; coverage for contraceptive drugs & devices, including over-the-counter.

Sponsored By: Joshua E. Thomas (Democratic)

Signed by Governor

Summary

Health insurance; coverage for contraceptive drugs and devices. Requires health insurance carriers to provide coverage, under any health insurance contract, policy, or plan that includes coverage for prescription drugs on an outpatient basis, for contraceptive drugs and contraceptive devices approved by the U.S. Food and Drug Administration, including those available over-the-counter. The bill prohibits a health insurance carrier from imposing upon any person receiving prescription contraceptive benefits pursuant to the provisions of the bill any copayment, coinsurance payment, or fee, except in certain circumstances. Additionally, the bill requires any health benefit plan that provides coverage for hormonal contraceptives to provide point-of-sale coverage without cost-sharing at in-network pharmacies for hormonal contraceptives available over-the-counter. This bill is identical to SB 361.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Lower birth control costs for Virginians

Beginning January 1, 2027, these rules apply to Virginia policies delivered, issued for delivery, or renewed. Plans with outpatient prescription benefits must cover FDA-approved birth control drugs and devices, including over-the-counter products. Coverage generally has no copay, coinsurance, or deductible. Plans can charge for an equivalent option only when another option with the same clinical effect and safety is free. A provider's choice based on medical need must have no cost sharing. Plans cannot require prescriptions for over-the-counter products, extra coverage requests beyond routine pharmacy claims, or burdensome exceptions for otherwise free products. Over-the-counter hormonal birth control must be covered at checkout without cost sharing at in-network pharmacies. Plans covering hormonal birth control must cover up to a 12-month supply at once, including over-the-counter options. The law retains the supply rule's January 1, 2018 applicability date for plans amended, renewed, or delivered. Without a clinical reason, plans cannot limit supplies below 12 months, but providers need not dispense that much. Network rules still apply; out-of-network coverage depends on state law and plan terms. Exclusions include travel-only, accident-only, limited or specified-disease, Medicare-related, similar government, and nonrenewable short-term policies lasting six months or less. Plans must explain coverage clearly online and by mail on request.

Sponsors & Cosponsors

Sponsor

  • Joshua E. Thomas

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 342 • No: 138

Senate vote • 4/22/2026

Senate concurred in Governor's recommendation

Yes: 24 • No: 15

House vote • 4/22/2026

House concurred in Governor's recommendation

Yes: 64 • No: 35

Senate vote • 3/11/2026

Passed Senate

Yes: 23 • No: 17

Senate vote • 3/11/2026

Reconsideration of Senate passage agreed to by Senate

Yes: 40 • No: 0

Senate vote • 3/11/2026

Passed Senate

Yes: 24 • No: 16

Senate vote • 3/10/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 3/10/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 37 • No: 0

Senate vote • 3/9/2026

Reported from Finance and Appropriations

Yes: 10 • No: 3 • Other: 1

Senate vote • 3/9/2026

Reported from Commerce and Labor and rereferred to Finance and Appropriations

Yes: 9 • No: 6

House vote • 2/17/2026

Read third time and passed House

Yes: 63 • No: 34

House vote • 2/13/2026

Subcommittee recommends reporting

Yes: 6 • No: 1

House vote • 2/13/2026

Reported from Appropriations

Yes: 21 • No: 1

House vote • 2/5/2026

Reported from Labor and Commerce with amendment(s) and referred to Appropriations

Yes: 15 • No: 7

House vote • 2/3/2026

Subcommittee recommends reporting with amendment(s) and referring to Appropriations

Yes: 6 • No: 3

Actions Timeline

  1. Senate concurred in Governor's recommendation (24-Y 15-N 0-A)

    4/22/2026Senate
  2. House concurred in Governor's recommendation (64-Y 35-N 0-A)

    4/22/2026House
  3. Acts of Assembly Chapter text (CHAP1092)

    4/22/2026Governor
  4. Reenrolled bill text (HB1182ER2)

    4/22/2026House
  5. Reenrolled

    4/22/2026House
  6. Approved by Governor-Chapter 1092 (effective 7/1/2026)

    4/22/2026Governor
  7. Signed by President

    4/22/2026Senate
  8. Signed by Speaker

    4/22/2026House
  9. Governor's recommendation adopted

    4/22/2026Governor
  10. Governor's recommendation received by House

    4/11/2026Governor
  11. Fiscal Impact Statement from Department of Planning and Budget (HB1182)

    4/1/2026House
  12. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/31/2026Governor
  13. Enrolled Bill communicated to Governor on March 31, 2026

    3/31/2026House
  14. Signed by Speaker

    3/31/2026House
  15. Bill text as passed House and Senate (HB1182ER)

    3/30/2026House
  16. Enrolled

    3/30/2026House
  17. Signed by President

    3/30/2026Senate
  18. Passed Senate (24-Y 16-N 0-A)

    3/11/2026Senate
  19. Reconsideration of Senate passage agreed to by Senate (40-Y 0-N 0-A)

    3/11/2026Senate
  20. Passed Senate (23-Y 17-N 0-A)

    3/11/2026Senate
  21. Read third time

    3/11/2026Senate
  22. Passed by for the day Block Vote (Voice Vote)

    3/10/2026Senate
  23. Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)

    3/10/2026Senate
  24. Rules suspended

    3/10/2026Senate
  25. Reported from Finance and Appropriations (10-Y 3-N 1-A)

    3/9/2026Senate

Bill Text

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