# Virginia HB424: Health insurance; definitions, prohibited restrictions on in-network referrals.

Virginia HB424, Health insurance; definitions, prohibited restrictions on in-network referrals., is a 2026 Regular Session House bill sponsored by Destiny LeVere Bolling (Democratic); status signed, last action 2026-04-13 (Fiscal Impact Statement from State Corporation Commission (HB424)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-HB424-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB424
- State: Virginia
- Session: 2026 Regular Session
- Title: Health insurance; definitions, prohibited restrictions on in-network referrals.
- Status: signed
- Chamber: House
- Introduced: 2026-01-12
- Last action: 2026-04-13, Fiscal Impact Statement from State Corporation Commission (HB424)
- Sponsor: Destiny LeVere Bolling (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 9 (334 yes, 1 no in all)
- Economic provisions PRIA read: 5

## Summary

Health insurance; prohibited restrictions on in-network referrals. Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws. This bill is identical to SB 745.

## Bill overview: provisions PRIA read

- Insurers cannot block in-network lab referrals: benefit, medium. The law stops insurers from blocking your in-network doctor from sending you or your sample to any in-network lab or pathology provider under your plan. This applies only to in-network labs and providers. It does not protect referrals that break Virginia self-referral rules or the federal anti-kick…
- Medicaid and CHIP get referral protection: benefit, medium. If your Medicaid or CHIP plan is run by DMAS, your HMO cannot block in-network lab or pathology referrals. Your in-network doctor can send you or your specimen to any in-network lab. Referrals that break self-referral or anti-kickback laws are not protected.
- State Commission won't hear referral disputes: cost, low. You cannot bring an individual complaint about these referral limits to the State Corporation Commission. The Commission does not decide these disputes. You must use other enforcement or legal routes.
- HMOs can deny out-of-area workers: cost, low. An HMO that offers employer plans does not have to enroll an employee who lives outside its service area. If you live out of area, you may need a different plan from your job.
- Virginia rules on HMO marketing and status: mixed, low. Virginia limits which insurance rules apply to licensed HMOs. When the law says “insurer,” it can include HMOs for the listed sections. HMOs can market and solicit enrollees without breaking health-professional ad rules. An HMO is not treated as practicing medicine, and individual providers must st…

## Sponsors and cosponsors

- Sponsor: Destiny LeVere Bolling (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-10 | Senate | Passed Senate Block Vote | pass | 40 | 0 |   |
| 2026-03-09 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 40 | 0 |   |
| 2026-03-09 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-03-06 | Senate | Reported from Finance and Appropriations | pass | 14 | 0 |   |
| 2026-02-23 | Senate | Reported from Commerce and Labor and rereferred to Finance and Appropriations | pass | 14 | 0 |   |
| 2026-02-04 | House | Passed House Block Vote | pass | 98 | 0 |   |
| 2026-02-04 | House | Read third time and passed House Block Vote | pass | 97 | 1 |   |
| 2026-01-29 | House | Reported from Labor and Commerce with substitute | pass | 22 | 0 |   |
| 2026-01-27 | House | Subcommittee recommends reporting with substitute | pass | 9 | 0 |   |

## Actions (34)

- 2026-04-13: Fiscal Impact Statement from State Corporation Commission (HB424) (House)
- 2026-04-06: Acts of Assembly Chapter text (CHAP0138) (Governor)
- 2026-04-06: Approved by Governor-Chapter 138 (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 (HB424ER) (House)
- 2026-03-30: Enrolled (House)
- 2026-03-30: Signed by President (Senate)
- 2026-03-10: Passed Senate Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-10: Read third time (Senate)
- 2026-03-09: Passed by for the day Block Vote (Voice Vote) (Senate)
- 2026-03-09: Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) (Senate)
- 2026-03-09: Rules suspended (Senate)
- 2026-03-06: Reported from Finance and Appropriations (14-Y 0-N) (Senate)
- 2026-03-03: Fiscal Impact Statement from State Corporation Commission (HB424) (House)
- 2026-02-23: Reported from Commerce and Labor and rereferred to Finance and Appropriations (14-Y 0-N) (Senate)
- 2026-02-05: Referred to Committee on Commerce and Labor (Senate)
- 2026-02-05: Constitutional reading dispensed (on 1st reading) (Senate)
- 2026-02-04: Passed House Block Vote (98-Y 0-N 0-A) (House)
- 2026-02-04: Reconsideration of passage agreed to by House (House)
- 2026-02-04: Read third time and passed House Block Vote (97-Y 1-N 0-A) (House)
- 2026-02-03: Engrossed by House - committee substitute (House)
- 2026-02-03: committee substitute agreed to (House)
- 2026-02-03: Read second time (House)
- 2026-02-02: Read first time (House)
- 2026-01-29: Substitute bill reprinted 26106236D (House)
- 2026-01-29: Committee substitute printed 26106236D-H1 (House)
- 2026-01-29: Reported from Labor and Commerce with substitute (22-Y 0-N) (House)
- 2026-01-27: House subcommittee offered (House)
- 2026-01-27: Subcommittee recommends reporting with substitute (9-Y 0-N) (House)
- 2026-01-19: Assigned HCL sub: Subcommittee #1 (House)
- 2026-01-12: Referred to Committee on Labor and Commerce (House)
- 2026-01-12: Prefiled and ordered printed; Offered 01-14-2026 26102329D (House)

## Bill text

- Chaptered, 2026-04-06: [HTML](https://lis.blob.core.windows.net/files/1216622.HTML), [PDF](https://lis.blob.core.windows.net/files/1216621.PDF)
- Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1210807.HTML), [PDF](https://lis.blob.core.windows.net/files/1210806.PDF)
- Substitute, 2026-01-29: [HTML](https://lis.blob.core.windows.net/files/1103505.HTML), [PDF](https://lis.blob.core.windows.net/files/1103504.PDF)
- Substitute, 2026-01-28: [HTML](https://lis.blob.core.windows.net/files/1098960.HTML), [PDF](https://lis.blob.core.windows.net/files/1098959.PDF)
- Substitute, 2026-01-27: [HTML](https://lis.blob.core.windows.net/files/1098407.HTML), [PDF](https://lis.blob.core.windows.net/files/1098406.PDF)
- Introduced, 2026-01-12: [HTML](https://lis.blob.core.windows.net/files/1084392.HTML), [PDF](https://lis.blob.core.windows.net/files/1084391.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/1216622.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1216621.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1210807.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1210806.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1103505.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1103504.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1098960.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1098959.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1098407.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1098406.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1084392.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1084391.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-HB424-2026 (as of 2026-10-12).