VirginiaHB12142026 Regular SessionHouseWALLET

Health insurance; cost-sharing payments for insulin and diabetes equipment and supplies, limit.

Sponsored By: Karrie K. Delaney (Democratic)

Signed by Governor

Summary

Health insurance; cost-sharing payments for insulin and diabetes equipment and supplies; limit. Decreases the cap on the cost-sharing payment that a covered person is required to pay for a covered prescription insulin drug from $50 to $35 for a 30-day supply of the prescription insulin drug and provides such cap is an aggregate cap that applies in situations where the covered person is prescribed more than one insulin drug. The bill also establishes such an aggregate cap of $35 for a 30-day supply of diabetes equipment and supplies.

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Bill Overview

Analyzed Economic Effects

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

Lower insulin and diabetes supply costs

Beginning January 1, 2027, covered insulin has a $35 total patient cost-sharing cap per 30-day supply in Virginia plans. Covered diabetes equipment and supplies have a separate $35 total cap per 30-day supply. Each cap applies regardless of the number, amount, or type of covered drugs or supplies prescribed. Eligible supplies include glucose meters and strips, urine-testing strips, syringes, continuous glucose monitors and supplies, and insulin pump supplies. The caps apply to policies, contracts, and plans delivered, issued, reissued, amended, or extended on or after that date. Plans may set lower insulin charges, and pharmacy contracts cannot require charges above the plan's limit. The law also requires coverage for diabetes equipment, supplies, and related training. The supply cap still applies to individual and small-group plans when required benchmark benefits already include that coverage. The supply provisions exclude short-term travel, accident-only, limited or specified disease policies, and policies designed for Medicare-eligible people or those eligible for similar government coverage.

Sponsors & Cosponsors

Sponsor

  • Karrie K. Delaney

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 493 • No: 0

House vote • 3/12/2026

Senate amendment agreed to by House

Yes: 97 • No: 0

Senate vote • 3/11/2026

Reconsideration of Senate passage agreed to by Senate Block Vote

Yes: 40 • No: 0

Senate vote • 3/11/2026

Commerce and Labor Amendment agreed to

Yes: 0 • No: 0

Senate vote • 3/11/2026

Passed Senate with amendment Block Vote

Yes: 39 • No: 0

Senate vote • 3/11/2026

Passed Senate with amendment Block Vote

Yes: 40 • No: 0

Senate vote • 3/10/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 37 • No: 0

Senate vote • 3/10/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 3/9/2026

Reported from Commerce and Labor with amendment

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

Actions Timeline

  1. Fiscal Impact Statement from State Corporation Commission (HB1214)

    4/13/2026House
  2. Acts of Assembly Chapter text (CHAP0752)

    4/13/2026Governor
  3. Approved by Governor-Chapter 752 (effective 7/1/2026)

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

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

    3/31/2026House
  6. Signed by Speaker

    3/31/2026House
  7. Bill text as passed House and Senate (HB1214ER)

    3/30/2026House
  8. Enrolled

    3/30/2026House
  9. Signed by President

    3/30/2026Senate
  10. Senate amendment agreed to by House (97-Y 0-N 0-A)

    3/12/2026House
  11. Passed Senate with amendment Block Vote (40-Y 0-N 0-A)

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

    3/11/2026Senate
  13. Passed Senate with amendment Block Vote (39-Y 0-N 0-A)

    3/11/2026Senate
  14. Commerce and Labor Amendment agreed to

    3/11/2026Senate
  15. Engrossed by Senate as amended

    3/11/2026Senate
  16. Read third time

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

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

    3/10/2026Senate
  19. Rules suspended

    3/10/2026Senate
  20. Senate committee offered

    3/9/2026Senate
  21. Reported from Commerce and Labor with amendment (15-Y 0-N)

    3/9/2026Senate
  22. Fiscal Impact Statement from State Corporation Commission (HB1214)

    2/17/2026House
  23. Referred to Committee on Commerce and Labor

    2/12/2026Senate
  24. Constitutional reading dispensed (on 1st reading)

    2/12/2026Senate
  25. Passed House Block Vote (98-Y 0-N 0-A)

    2/11/2026House

Bill Text

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