# Virginia HB328: Health insurance; essential health benefits benchmark plan selection. Virginia HB328, Health insurance; essential health benefits benchmark plan selection., is a 2026 Regular Session House bill sponsored by Richard C. "Rip" Sullivan, Jr. (Democratic); status signed, last action 2026-04-22 (Senate concurred in Governor's recommendation (22-Y 17-N 0-A)); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-HB328-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia HB328 - State: Virginia - Session: 2026 Regular Session - Title: Health insurance; essential health benefits benchmark plan selection. - Status: signed - Chamber: House - Introduced: 2026-01-11 - Last action: 2026-04-22, Senate concurred in Governor's recommendation (22-Y 17-N 0-A) - Sponsor: Richard C. "Rip" Sullivan, Jr. (Democratic) - Cosponsors: 0 - Touches household money: yes - Roll calls: 14 (360 yes, 138 no in all) - Economic provisions PRIA read: 4 ## Summary Health insurance; essential health benefits benchmark plan. Requires the Bureau of Insurance to select a new essential health benefits benchmark plan for the 2028 plan year, or the soonest plan year thereafter as permitted by the Centers for Medicare and Medicaid Services, that includes, in addition to the essential health benefits package included in the existing benchmark plan, coverage for (i) doula care services; (ii) the treatment of iatrogenic infertility; (iii) fertility treatment and diagnosis, including a maximum of three cycles per lifetime of assisted reproductive technology; (iv) hearing aids for individuals of all ages; (v) pasteurized donor human breast milk; (vi) the prophylaxis, diagnosis, and treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome; and (vii) the treatment of polycystic ovary syndrome. Such mandate for coverage does not apply to the individual or small group markets. The bill has a delayed effective date pursuant to approval by the Centers for Medicare and Medicaid Services of certain coverage as outlined in the bill. As introduced, this bill was a recommendation of the Health Insurance Reform Commission. ## Bill overview: provisions PRIA read - Broader health coverage standards for Virginians: benefit, high. Effective April 22, 2026, Virginia's Bureau of Insurance must select a new essential health benefits benchmark, the state's coverage standard. It applies for 2028, or the first later plan year the federal Centers for Medicare & Medicaid Services (CMS) permits. Required benefits include doula care,… - Hearing aid coverage for Virginia children: benefit, medium. Covered plans must pay up to $1,500 per hearing aid for children age 18 or younger. Coverage includes one aid per affected ear every 24 months, when an ear, nose, and throat doctor recommends it. Plans cannot charge a copayment or fee for this coverage. Families can pay the difference for a higher-… - Stronger coverage for children's neuropsychiatric care: benefit, medium. Covered Virginia plans must cover prevention, diagnosis, and treatment for the pediatric neuropsychiatric conditions PANS and PANDAS. Covered care includes antimicrobials, medicines, behavioral therapies, immune-modifying medicines, plasma exchange, and intravenous immunoglobulin therapy. Plans can… - Hearing aid funding capped and preserved: mixed, low. Virginia's State Corporation Commission cannot use special funds dedicated to its other work to cover hearing-aid mandate costs. Payments cannot exceed the amount appropriated for that purpose. Unspent appropriated money stays available for those costs at year end instead of returning to the genera… ## Sponsors and cosponsors - Sponsor: Richard C. "Rip" Sullivan, Jr. (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-22 | Senate | Senate concurred in Governor's recommendation | pass | 22 | 17 | | | 2026-04-22 | House | House concurred in Governor's recommendation | pass | 69 | 31 | | | 2026-03-12 | House | Senate substitute agreed to by House | pass | 68 | 30 | | | 2026-03-11 | Senate | Passed Senate with substitute | pass | 24 | 16 | | | 2026-03-11 | Senate | Commerce and Labor Substitute agreed to | pass | 0 | 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 Finance and Appropriations | pass | 10 | 4 | | | 2026-03-02 | Senate | Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations | pass | 8 | 5 | | | 2026-02-17 | House | Read third time and passed House | pass | 72 | 25 | | | 2026-02-11 | House | Subcommittee recommends reporting | pass | 7 | 0 | | | 2026-02-11 | House | Reported from Appropriations | pass | 22 | 0 | | | 2026-01-29 | House | Reported from Labor and Commerce with amendment(s) and referred to Appropriations | pass | 15 | 7 | | | 2026-01-27 | House | Subcommittee recommends reporting with amendment(s) and referring to Appropriations | pass | 6 | 3 | | ## Actions (45) - 2026-04-22: Senate concurred in Governor's recommendation (22-Y 17-N 0-A) (Senate) - 2026-04-22: House concurred in Governor's recommendation (69-Y 31-N 0-A) (House) - 2026-04-22: Acts of Assembly Chapter text (CHAP1048) (Governor) - 2026-04-22: Reenrolled bill text (HB328ER2) (House) - 2026-04-22: Approved by Governor - Chapter 1048 (effective - see bill) (Governor) - 2026-04-22: Signed by President (Senate) - 2026-04-22: Signed by Speaker (House) - 2026-04-22: Governor's recommendation adopted (Governor) - 2026-04-11: Governor's recommendation received by House (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 (HB328ER) (House) - 2026-03-30: Enrolled (House) - 2026-03-30: Signed by President (Senate) - 2026-03-12: Senate substitute agreed to by House (68-Y 30-N 0-A) (House) - 2026-03-11: Passed Senate with substitute (24-Y 16-N 0-A) (Senate) - 2026-03-11: Commerce and Labor Substitute agreed to (Senate) - 2026-03-11: Engrossed by Senate - committee substitute (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: Reported from Finance and Appropriations (10-Y 4-N) (Senate) - 2026-03-05: Fiscal Impact Statement from State Corporation Commission (HB328) (House) - 2026-03-03: Committee substitute printed 26108981D-S1 (Senate) - 2026-03-02: Senate committee offered (Senate) - 2026-03-02: Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (8-Y 5-N) (Senate) - 2026-02-18: Referred to Committee on Commerce and Labor (Senate) - 2026-02-18: Constitutional reading dispensed (on 1st reading) (Senate) - 2026-02-17: Read third time and passed House (72-Y 25-N 0-A) (House) - 2026-02-16: Engrossed by House as amended (House) - 2026-02-16: committee amendments agreed to (House) - 2026-02-16: Read second time (House) - 2026-02-13: Read first time (House) - 2026-02-11: Subcommittee recommends reporting (7-Y 0-N) (House) - 2026-02-11: Reported from Appropriations (22-Y 0-N) (House) - 2026-02-06: Assigned HAPP sub: Health & Human Resources (House) - 2026-02-04: Fiscal Impact Statement from State Corporation Commission (HB328) (House) - 2026-01-29: Reported from Labor and Commerce with amendment(s) and referred to Appropriations (15-Y 7-N) (House) - 2026-01-27: House subcommittee offered (House) - 2026-01-27: Subcommittee recommends reporting with amendment(s) and referring to Appropriations (6-Y 3-N) (House) - 2026-01-19: Assigned HCL sub: Subcommittee #1 (House) - 2026-01-11: Referred to Committee on Labor and Commerce (House) - 2026-01-11: Prefiled and ordered printed; Offered 01-14-2026 26102843D (House) ## Bill text - Chaptered, 2026-04-22: [HTML](https://lis.blob.core.windows.net/files/1225253.HTML), [PDF](https://lis.blob.core.windows.net/files/1225252.PDF) - Reenrolled, 2026-04-22: [HTML](https://lis.blob.core.windows.net/files/1219834.HTML), [PDF](https://lis.blob.core.windows.net/files/1219833.PDF) - Gov Recommendation, 2026-04-11: [HTML](https://lis.blob.core.windows.net/files/1219042.HTML) - Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1213453.HTML), [PDF](https://lis.blob.core.windows.net/files/1213452.PDF) - Substitute, 2026-03-03: [HTML](https://lis.blob.core.windows.net/files/1190068.HTML), [PDF](https://lis.blob.core.windows.net/files/1190067.PDF) - Substitute, 2026-03-02: [HTML](https://lis.blob.core.windows.net/files/1189333.HTML), [PDF](https://lis.blob.core.windows.net/files/1189332.PDF) - Engrossed, 2026-02-16: [HTML](https://lis.blob.core.windows.net/files/1143939.HTML), [PDF](https://lis.blob.core.windows.net/files/1143938.PDF) - Amendment, 2026-01-29: [HTML](https://lis.blob.core.windows.net/files/1103486.HTML) - Amendment, 2026-01-28: [HTML](https://lis.blob.core.windows.net/files/1099719.HTML) - Amendment, 2026-01-27: [HTML](https://lis.blob.core.windows.net/files/1098449.HTML) - Substitute, 2026-01-27: [HTML](https://lis.blob.core.windows.net/files/1098445.HTML), [PDF](https://lis.blob.core.windows.net/files/1098444.PDF) - Introduced, 2026-01-11: [HTML](https://lis.blob.core.windows.net/files/1083873.HTML), [PDF](https://lis.blob.core.windows.net/files/1083872.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/1225253.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1225252.PDF) - [Reenrolled (HTML)](https://lis.blob.core.windows.net/files/1219834.HTML) - [Reenrolled (PDF)](https://lis.blob.core.windows.net/files/1219833.PDF) - [Gov Recommendation (HTML)](https://lis.blob.core.windows.net/files/1219042.HTML) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1213453.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1213452.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1190068.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1190067.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1189333.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1189332.PDF) - [Engrossed (HTML)](https://lis.blob.core.windows.net/files/1143939.HTML) - [Engrossed (PDF)](https://lis.blob.core.windows.net/files/1143938.PDF) - [Amendment (HTML)](https://lis.blob.core.windows.net/files/1103486.HTML) - [Amendment (HTML)](https://lis.blob.core.windows.net/files/1099719.HTML) - [Amendment (HTML)](https://lis.blob.core.windows.net/files/1098449.HTML) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1098445.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1098444.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1083873.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1083872.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-HB328-2026 (as of 2026-10-12).