# Virginia HB1641: State plan for medical assistance services and health insurance; pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Virginia HB1641, State plan for medical assistance services and health insurance; pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome., is a 2025 Regular Session House bill sponsored by Patrick A. Hope (Democratic); status to governor, last action 2025-03-18 (Acts of Assembly Chapter text (CHAP0008)) (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/VA-HB1641-2025 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia HB1641 - State: Virginia - Session: 2025 Regular Session - Title: State plan for medical assistance services and health insurance; pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. - Status: to governor - Chamber: House - Introduced: 2025-01-03 - Last action: 2025-03-18, Acts of Assembly Chapter text (CHAP0008) - Sponsor: Patrick A. Hope (Democratic) - Cosponsors: 0 - Touches household money: no - Roll calls: 10 (361 yes, 0 no in all) - Economic provisions PRIA read: 0 ## Summary State plan for medical assistance services and health insurance; pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Directs the Board of Medical Assistance Services to amend the state plan for medical assistance services to include a provision for payment of medical assistance for the prophylaxis, diagnosis, and treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS) that includes payment for treatment using antimicrobials, medication, and behavioral therapies to manage neuropsychiatric symptoms, immunomodulating medicines, plasma exchange, and intravenous immunoglobulin therapy.The bill also requires each insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; each corporation providing individual or group accident and sickness subscription contracts; and each health maintenance organization providing a health care plan for health care services to provide coverage for the prophylaxis, diagnosis, and treatment of PANDAS and PANS. The bill requires such coverage to include coverage for treatment using antimicrobials, medication, and behavioral therapies to manage neuropsychiatric symptoms, immunomodulating medicines, plasma exchange, and intravenous immunoglobulin therapy.The bill prohibits an insurer, corporation, or organization from (i) denying or delaying the coverage of PANDAS or PANS because the enrollee previously received treatment or because the enrollee was diagnosed with or received treatment for his condition under a different diagnostic name, including autoimmune encephalopathy; (ii) limiting coverage of immunomodulating therapies for the treatment of PANDAS or PANS in a manner that is inconsistent with the treatment guidelines developed by a consortium convened for the purposes of researching, identifying, and publishing best practice standards for diagnosis and treatment of PANDAS or PANS that are accessible for medical professionals and are based on evidence of positive patient outcomes; (iii) requiring a trial of therapies that treat only neuropsychiatric symptoms before authorizing coverage of immunomodulating therapies for the treatment of PANDAS or PANS; or (iv) denying coverage for out-of-state treatment if the service is not available within the Commonwealth. This bill is a recommendation of the Health Insurance Reform Commission. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Patrick A. Hope (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-02-18 | Senate | Passed Senate Block Vote | pass | 40 | 0 | | | 2025-02-17 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 39 | 0 | | | 2025-02-14 | Senate | Reported from Finance and Appropriations | pass | 14 | 0 | | | 2025-02-10 | Senate | Reported from Commerce and Labor and rereferred to Finance and Appropriations | pass | 15 | 0 | | | 2025-02-04 | House | Read third time and passed House Block Vote | pass | 97 | 0 | | | 2025-02-04 | House | Passed House Block Vote | pass | 99 | 0 | | | 2025-01-31 | House | Reported from Appropriations | pass | 22 | 0 | | | 2025-01-29 | House | Subcommittee recommends reporting | pass | 6 | 0 | 1 | | 2025-01-16 | House | Reported from Labor and Commerce and referred to Appropriations | pass | 22 | 0 | | | 2025-01-14 | House | Subcommittee recommends reporting and referred to Appropriations | pass | 7 | 0 | 1 | ## Actions (32) - 2025-03-18: Acts of Assembly Chapter text (CHAP0008) (Governor) - 2025-03-18: Approved by Governor-Chapter 8 (Effective 07/01/25) (Governor) - 2025-03-11: Governor's Action Deadline 11:59 p.m., March 24, 2025 (Governor) - 2025-03-11: Enrolled Bill communicated to Governor on (date) (House) - 2025-03-10: Signed by President (Senate) - 2025-03-07: Fiscal Impact Statement from Department of Planning and Budget (HB1641) (House) - 2025-03-07: Bill text as passed House and Senate (HB1641ER) (House) - 2025-03-07: Enrolled (House) - 2025-03-07: Signed by Speaker (House) - 2025-02-18: Passed Senate Block Vote (40-Y 0-N) (Senate) - 2025-02-18: Read third time (Senate) - 2025-02-17: Constitutional reading dispensed Block Vote (on 2nd reading) (39-Y 0-N) (Senate) - 2025-02-17: Passed by for the day (Senate) - 2025-02-17: Rules suspended (Senate) - 2025-02-14: Reported from Finance and Appropriations (14-Y 0-N) (Senate) - 2025-02-10: Reported from Commerce and Labor and rereferred to Finance and Appropriations (15-Y 0-N) (Senate) - 2025-02-05: Referred to Committee on Commerce and Labor (Senate) - 2025-02-05: Constitutional reading dispensed (on 1st reading) (Senate) - 2025-02-04: Passed House Block Vote (99-Y 0-N) (House) - 2025-02-04: Reconsideration of passage agreed to by House (House) - 2025-02-04: Read third time and passed House Block Vote (97-Y 0-N) (House) - 2025-02-03: Read second time and engrossed (House) - 2025-02-02: Read first time (House) - 2025-01-31: Reported from Appropriations (22-Y 0-N) (House) - 2025-01-29: Subcommittee recommends reporting (6-Y 0-N) (House) - 2025-01-22: Fiscal Impact Statement from Department of Planning and Budget (HB1641) (House) - 2025-01-17: Assigned Approps sub: Health & Human Resources (House) - 2025-01-16: Reported from Labor and Commerce and referred to Appropriations (22-Y 0-N) (House) - 2025-01-14: Subcommittee recommends reporting and referred to Appropriations (7-Y 0-N) (House) - 2025-01-10: Assigned L & C sub: Subcommittee #1 (House) - 2025-01-03: Referred to Committee on Labor and Commerce (House) - 2025-01-03: Prefiled and ordered printed; Offered 01-08-2025 25101763D (House) ## Bill text - Chaptered, 2025-03-18: [HTML](https://lis.blob.core.windows.net/files/1070931.HTML), [PDF](https://lis.blob.core.windows.net/files/1070930.PDF) - Enrolled, 2025-03-07: [HTML](https://lis.blob.core.windows.net/files/1060943.HTML), [PDF](https://lis.blob.core.windows.net/files/1060942.PDF) - Introduced, 2025-01-03: [HTML](https://lis.blob.core.windows.net/files/1012462.HTML), [PDF](https://lis.blob.core.windows.net/files/1012461.PDF) ## Related bills - HR671: Commending JR's Auto Care. (adopted) - SB941: Robbery; use of air or gas operated weapon, etc., penalty. (failed) - HB1746: Public safety officer; definition. (failed) - HB1600: Budget Bill. (failed) - SB1449: Data centers; site assessment for high energy use facility. (failed) - HB1609: Essential health benefits benchmark plan; Commission to consider coverage for infertility treatment. (to governor) ## Sources - [Chaptered (HTML)](https://lis.blob.core.windows.net/files/1070931.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1070930.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1060943.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1060942.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1012462.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1012461.PDF) ## Related - [HR671: Commending JR's Auto Care.](https://policyrisk.com/state-bill/VA-HR671-2025) - [SB941: Robbery; use of air or gas operated weapon, etc., penalty.](https://policyrisk.com/state-bill/VA-SB941-2025) - [HB1746: Public safety officer; definition.](https://policyrisk.com/state-bill/VA-HB1746-2025) - [HB1600: Budget Bill.](https://policyrisk.com/state-bill/VA-HB1600-2025) - [SB1449: Data centers; site assessment for high energy use facility.](https://policyrisk.com/state-bill/VA-SB1449-2025) - [HB1609: Essential health benefits benchmark plan; Commission to consider coverage for i…](https://policyrisk.com/state-bill/VA-HB1609-2025) - [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-HB1641-2025 (as of 2026-10-17).