VirginiaHB23292025 Regular SessionHouse

Health insurance; prescription drug formularies.

Sponsored By: Mark D. Sickles (Democratic)

Failed

Summary

Health insurance; prescription drug formularies. Requires health insurance carriers to provide coverage for a generic drug or a biosimilar when the carrier provides coverage for the brand drug or product and the generic drug or biosimilar has a lower wholesale acquisition cost than the brand drug or product with more favorable cost-sharing, including actual out-of-pocket costs, relative to the brand drug or product. Additionally, the bill requires carriers to publish an up-to-date, accurate, and complete list of all covered drugs on its formulary, including any tiering structure that it has adopted and any restrictions on the manner in which a drug can be obtained, in a manner that is easily accessible to plan enrollees, prospective enrollees, and the general public.

Labor and Commerce

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Mark D. Sickles

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 7 • No: 0

House vote • 1/28/2025

Subcommittee recommends laying on the table

Yes: 7 • No: 0 • Other: 1

Actions Timeline

  1. Left in Labor and Commerce

    2/5/2025House
  2. Subcommittee recommends laying on the table (7-Y 0-N)

    1/28/2025House
  3. Assigned L & C sub: Subcommittee #1

    1/21/2025House
  4. Referred to Committee on Labor and Commerce

    1/8/2025House
  5. Prefiled and ordered printed; Offered 01-08-2025 25104567D

    1/8/2025House

Bill Text

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