# Virginia HB1214: Health insurance; cost-sharing payments for insulin and diabetes equipment and supplies, limit.

Virginia HB1214, Health insurance; cost-sharing payments for insulin and diabetes equipment and supplies, limit., is a 2026 Regular Session House bill sponsored by Karrie K. Delaney (Democratic); status signed, last action 2026-04-13 (Fiscal Impact Statement from State Corporation Commission (HB1214)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-HB1214-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB1214
- State: Virginia
- Session: 2026 Regular Session
- Title: Health insurance; cost-sharing payments for insulin and diabetes equipment and supplies, limit.
- Status: signed
- Chamber: House
- Introduced: 2026-01-14
- Last action: 2026-04-13, Fiscal Impact Statement from State Corporation Commission (HB1214)
- Sponsor: Karrie K. Delaney (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 12 (493 yes, 0 no in all)
- Economic provisions PRIA read: 1

## 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.

## Bill overview: provisions PRIA read

- Lower insulin and diabetes supply costs: benefit, low. 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 p…

## Sponsors and cosponsors

- Sponsor: Karrie K. Delaney (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-12 | House | Senate amendment agreed to by House | pass | 97 | 0 |   |
| 2026-03-11 | Senate | Reconsideration of Senate passage agreed to by Senate Block Vote | pass | 40 | 0 |   |
| 2026-03-11 | Senate | Commerce and Labor Amendment agreed to | pass | 0 | 0 |   |
| 2026-03-11 | Senate | Passed Senate with amendment Block Vote | pass | 39 | 0 |   |
| 2026-03-11 | Senate | Passed Senate with amendment Block Vote | pass | 40 | 0 |   |
| 2026-03-10 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 37 | 0 |   |
| 2026-03-10 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-03-09 | Senate | Reported from Commerce and Labor with amendment | pass | 15 | 0 |   |
| 2026-02-11 | House | Read third time and passed House Block Vote | pass | 96 | 0 |   |
| 2026-02-11 | House | Passed House Block Vote | pass | 98 | 0 |   |
| 2026-02-05 | House | Reported from Labor and Commerce | pass | 22 | 0 |   |
| 2026-02-03 | House | Subcommittee recommends reporting | pass | 9 | 0 |   |

## Actions (34)

- 2026-04-13: Fiscal Impact Statement from State Corporation Commission (HB1214) (House)
- 2026-04-13: Acts of Assembly Chapter text (CHAP0752) (Governor)
- 2026-04-13: Approved by Governor-Chapter 752 (effective 7/1/2026) (Governor)
- 2026-03-31: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor)
- 2026-03-31: Enrolled Bill communicated to Governor on March 31, 2026 (House)
- 2026-03-31: Signed by Speaker (House)
- 2026-03-30: Bill text as passed House and Senate (HB1214ER) (House)
- 2026-03-30: Enrolled (House)
- 2026-03-30: Signed by President (Senate)
- 2026-03-12: Senate amendment agreed to by House (97-Y 0-N 0-A) (House)
- 2026-03-11: Passed Senate with amendment Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-11: Reconsideration of Senate passage agreed to by Senate Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-11: Passed Senate with amendment Block Vote (39-Y 0-N 0-A) (Senate)
- 2026-03-11: Commerce and Labor Amendment agreed to (Senate)
- 2026-03-11: Engrossed by Senate as amended (Senate)
- 2026-03-11: Read third time (Senate)
- 2026-03-10: Passed by for the day Block Vote (Voice Vote) (Senate)
- 2026-03-10: Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A) (Senate)
- 2026-03-10: Rules suspended (Senate)
- 2026-03-09: Senate committee offered (Senate)
- 2026-03-09: Reported from Commerce and Labor with amendment (15-Y 0-N) (Senate)
- 2026-02-17: Fiscal Impact Statement from State Corporation Commission (HB1214) (House)
- 2026-02-12: Referred to Committee on Commerce and Labor (Senate)
- 2026-02-12: Constitutional reading dispensed (on 1st reading) (Senate)
- 2026-02-11: Passed House Block Vote (98-Y 0-N 0-A) (House)
- 2026-02-11: Reconsideration of passage agreed to by House (House)
- 2026-02-11: Read third time and passed House Block Vote (96-Y 0-N 0-A) (House)
- 2026-02-10: Read second time and engrossed (House)
- 2026-02-09: Read first time (House)
- 2026-02-05: Reported from Labor and Commerce (22-Y 0-N) (House)
- 2026-02-03: Subcommittee recommends reporting (9-Y 0-N) (House)
- 2026-01-27: Assigned HCL sub: Subcommittee #1 (House)
- 2026-01-14: Referred to Committee on Labor and Commerce (House)
- 2026-01-14: Prefiled and ordered printed; Offered 01-14-2026 26101381D (House)

## Bill text

- Chaptered, 2026-04-13: [HTML](https://lis.blob.core.windows.net/files/1222543.HTML), [PDF](https://lis.blob.core.windows.net/files/1222542.PDF)
- Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1213517.HTML), [PDF](https://lis.blob.core.windows.net/files/1213516.PDF)
- Amendment, 2026-03-11: [HTML](https://lis.blob.core.windows.net/files/1205988.HTML)
- Amendment, 2026-03-10: [HTML](https://lis.blob.core.windows.net/files/1202087.HTML)
- Amendment, 2026-03-09: [HTML](https://lis.blob.core.windows.net/files/1200698.HTML)
- Introduced, 2026-01-14: [HTML](https://lis.blob.core.windows.net/files/1087789.HTML), [PDF](https://lis.blob.core.windows.net/files/1087788.PDF)

## Related bills

- HB5: Employment; paid sick leave, civil penalties. (signed)
- SB199: Employment; paid sick leave, civil penalties. (signed)
- HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with rental agreement. (signed)
- HB1393: Electric utilities; pilot program for energy assistance and weatherization for certain individuals. (signed)
- HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, termination by landlord. (signed)
- HB675: Protection of employees; coercion or threat based on immigration status, civil penalty. (signed)

## Sources
- [Chaptered (HTML)](https://lis.blob.core.windows.net/files/1222543.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1222542.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1213517.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1213516.PDF)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1205988.HTML)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1202087.HTML)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1200698.HTML)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1087789.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1087788.PDF)

## Related
- [HB5: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-HB5-2026)
- [SB199: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-SB199-2026)
- [HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with…](https://policyrisk.com/state-bill/VA-HB95-2026)
- [HB1393: Electric utilities; pilot program for energy assistance and weatherization for…](https://policyrisk.com/state-bill/VA-HB1393-2026)
- [HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, terminat…](https://policyrisk.com/state-bill/VA-HB834-2026)
- [HB675: Protection of employees; coercion or threat based on immigration status, civil…](https://policyrisk.com/state-bill/VA-HB675-2026)
- [Virginia bills](https://policyrisk.com/states/virginia/bills)
- [Virginia state hub](https://policyrisk.com/states/virginia)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/VA-HB1214-2026 (as of 2026-10-12).