All Roll Calls
Yes: 345 • No: 0
Sponsored By: Dan I. Helmer (Democratic)
Became Law
Medicare supplement policies; regulations establishing minimum standards; work group; report. Amends provisions related to the State Corporation Commission's issuance of regulations to establish minimum standards regarding Medicare supplement policies to include minimum standards for the disclosure of methodology used in coverage decisions. The bill directs the Bureau of Insurance to convene a work group to review and make recommendations related to minimum standards regarding Medicare supplement policies, implementation of risk adjustment mechanisms, ways to eliminate waste and abuse from overpayments, methodologies used in coverage decisions, ways to improve care under such policies, and the effectiveness and utilization of existing consumer protections related to Medicare supplement policies and to submit a report of its findings and recommendations by December 1, 2026.
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3 provisions identified: 2 benefits, 1 costs, 0 mixed.
The State Corporation Commission can set minimum rules for Medicare supplement (Medigap) policies. The rules cover how claims are processed and paid. They also cover marketing, agent pay, loss‑ratio refunds or credits, Medicare Select plans, and insurer reporting. Regulations can require insurers to disclose how they make coverage decisions.
The Bureau of Insurance convenes a work group on Medicare Advantage and Medigap costs and problems. The group includes consumers and at least two Virginia Medigap policyholders or recent applicants. It reviews claims standards, risk adjustment and stabilization pools, cutting waste and overpayments, coverage decision methods and insurer disclosures, care quality and disparities, and consumer protections like the 60‑day birthday open enrollment and guaranteed‑issue rules. It reports findings and recommendations by December 1, 2026.
The Commission may expand Medigap regulations only as needed to keep federal approval. This limits how far Virginia can add new consumer protections or requirements beyond what federal rules require.
Dan I. Helmer
Democratic • House
There are no cosponsors for this bill.
All Roll Calls
Yes: 345 • No: 0
House vote • 3/9/2026
Senate amendment agreed to by House
Yes: 97 • No: 0
Senate vote • 3/5/2026
Passed Senate with amendment Block Vote
Yes: 39 • No: 0
Senate vote • 3/5/2026
Commerce and Labor Amendment agreed to
Yes: 0 • No: 0
Senate vote • 3/4/2026
Constitutional reading dispensed Block Vote (on 2nd reading)
Yes: 39 • No: 0
Senate vote • 3/4/2026
Passed by for the day Block Vote (Voice Vote)
Yes: 0 • No: 0
Senate vote • 3/2/2026
Reported from Commerce and Labor with amendment
Yes: 13 • No: 0
House vote • 2/17/2026
Read third time and passed House Block Vote
Yes: 97 • No: 0
House vote • 2/11/2026
Reported from Appropriations
Yes: 22 • No: 0
House vote • 2/11/2026
Subcommittee recommends reporting
Yes: 7 • No: 0 • Other: 1
House vote • 1/29/2026
Reported from Labor and Commerce and referred to Appropriations
Yes: 22 • No: 0
House vote • 1/27/2026
Subcommittee recommends reporting and referring to Appropriations
Yes: 9 • No: 0 • Other: 1
Acts of Assembly Chapter text (CHAP0594)
Approved by Governor-Chapter 594 (effective 7/1/2026)
Fiscal Impact Statement from State Corporation Commission (HB358)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 25, 2026
Bill text as passed House and Senate (HB358ER)
Enrolled
Signed by President
Signed by Speaker
Senate amendment agreed to by House (97-Y 0-N 0-A)
Passed Senate with amendment Block Vote (39-Y 0-N 0-A)
Commerce and Labor Amendment agreed to
Engrossed by Senate - as amended
Read third time
Passed by for the day Block Vote (Voice Vote)
Constitutional reading dispensed Block Vote (on 2nd reading) (39-Y 0-N 0-A)
Rules suspended
Reported from Commerce and Labor with amendment (13-Y 0-N)
Referred to Committee on Commerce and Labor
Constitutional reading dispensed (on 1st reading)
Read third time and passed House Block Vote (97-Y 0-N 0-A)
Read second time and engrossed
Read first time
Subcommittee recommends reporting (7-Y 0-N)
Reported from Appropriations (22-Y 0-N)
Chaptered
4/13/2026
Enrolled
3/14/2026
Amendment
3/5/2026
Amendment
3/3/2026
Introduced
1/12/2026
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