All Roll Calls
Yes: 317 • No: 1
Sponsored By: Patrick A. Hope (Democratic)
Signed by Governor
Prior authorization; requiring physician review for denial. Prohibits a health insurance carrier from making an adverse determination of a prior authorization request (i) for prescription drugs unless such denial has been reviewed and approved by a licensed physician or, if a licensed physician is not available, by a licensed pharmacist or (ii) for health care services unless such adverse determination has been reviewed and approved by (a) a licensed physician; (b) in the case of mental health services, a licensed mental health provider if a licensed physician is unavailable; or (c) in the case of dental services, a licensed dentist if a licensed physician is unavailable.
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10 provisions identified: 8 benefits, 1 costs, 1 mixed.
Insurers cannot deny a prior approval request for prescription drugs or health care without a licensed physician reviewing and approving the denial. If no physician is available, a licensed pharmacist can review and approve a drug denial. For mental health services, a licensed mental health provider can do so when no physician is available. For dental services, a licensed dentist can do so when no physician is available.
Virginia insurers cannot require prior approval for at least one covered drug used in medication-assisted treatment for substance-use disorder. The prescription must follow FDA-labeled dosage limits and Board of Medicine regulations. The law does not require coverage of an otherwise excluded drug. This rule covers provider contracts entered, amended, extended, or renewed on or after January 1, 2016.
Virginia insurers cannot require repeated approval for previously approved, covered drugs treating disorders listed in the latest Diagnostic and Statistical Manual. Prescriptions must continue for at least three months and stay within FDA-labeled dosage limits. Prescribers must review effectiveness, health changes, and reasons the drug may be unsafe each year. Qualifying approvals survive later removal from the insurer's drug list, but initial prescriptions for drugs outside that list can require approval. These rules cover provider contracts entered, amended, extended, or renewed on or after January 1, 2016.
Beginning July 1, 2025, Virginia insurers must offer online drug approval tools using NCPDP SCRIPT and Real Time Benefit standards. The tools show patient-specific out-of-pocket costs and lower-cost medicine options when available. Requests meeting the insurer's criteria must receive automatic approval when no extra information or clinical review is needed. Participating providers must connect their owned or contracted prescribing or health-record systems; regulators can grant time-limited undue-hardship waivers. Insurers cannot charge providers for tool access or access provider data without consent, except for access to an enrollee's data. By July 1, 2024, insurers must provide requested vendor contact details or post them online.
A new Virginia insurer must honor a previous drug approval for at least the first 90 days of drug coverage. The prescriber must provide proof of the earlier approval or coverage; the new plan's coverage terms and continued-approval exceptions still apply. When patients switch plans within the same insurer, approvals remain valid if the new plan covers the drug. Insurers must also keep non-opioid drug approvals when doses change within FDA-labeled limits. These rules cover provider contracts entered, amended, extended, or renewed on or after January 1, 2016.
Virginia insurers generally cannot change or limit approved care once it is scheduled or provided as authorized. Drug protection also applies after delivery, with exceptions for fraud, misrepresentation, specified regulatory or manufacturer actions, harmful interactions, or newly listed generics or biosimilars. Beginning January 1, 2027, service-approval exceptions include provider-requested changes, fraud, misrepresentation, and qualifying final federal agency or manufacturer actions affecting the service or safety. Approval protections do not add benefits excluded by the plan. Insurers need not cover drugs or services after the patient's plan coverage ends.
The earlier Virginia drug rules require one website location for covered-drug lists, approval requirements, procedures, and forms, updated within seven days of approved changes. Beginning January 1, 2027, insurers must publicly post services, codes, procedures, forms, and each requirement's effective date, updating them by that date. Providers must receive at least 30 calendar days' notice of changes; older requirements can carry a January 1, 2027 date. Insurers cannot deny claims for missing approval when the applicable requirement was not properly posted for the service date. During pandemics, natural disasters, or other emergencies, insurers may remove approval requirements without the usual notice, but removal is not required.
Before January 1, 2027, urgent Virginia drug requests require a response within 24 hours, including weekends, using phone or another insurer-directed method. Complete requests and completed answers to requests for more information require responses within two business days. These drug rules cover provider contracts entered, amended, extended, or renewed on or after January 1, 2016. Beginning January 1, 2027, the expanded framework allows longer response windows: 72 hours, including weekends, for expedited requests and seven calendar days for standard requests. Insurers must explain denials by phone or electronically, identify missing information, and decide within the applicable deadline after receiving complete answers.
Virginia insurers must accept drug approval requests by phone, fax, or electronic submission. Electronic routes include prescribing systems, electronic health records, and health information exchanges using NCPDP SCRIPT standards. Insurers must track every request and give prescribers identifying information with responses. When requesting information already in a patient's health record, insurers must name the specific information needed. These rules cover provider contracts entered, amended, extended, or renewed on or after January 1, 2016.
The health care prior approval section does not cover certain health maintenance organizations using a multispecialty physician group. The group's doctors must be both employees and shareholders. The plan must arrange physician care through those doctors or contracted community providers. Patients in qualifying plans do not receive that section's protections.
Patrick A. Hope
Democratic • House
There are no cosponsors for this bill.
All Roll Calls
Yes: 317 • No: 1
House vote • 3/10/2026
Senate substitute agreed to by House
Yes: 98 • No: 1
Senate vote • 3/5/2026
Commerce and Labor Substitute agreed to
Yes: 0 • No: 0
Senate vote • 3/5/2026
Passed Senate with substitute Block Vote
Yes: 39 • 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 substitute
Yes: 13 • No: 0
House vote • 2/4/2026
Read third time and passed House
Yes: 97 • No: 0
House vote • 1/29/2026
Reported from Labor and Commerce with substitute
Yes: 22 • No: 0
House vote • 1/27/2026
Subcommittee recommends reporting with substitute
Yes: 9 • No: 0
Fiscal Impact Statement from State Corporation Commission (HB481)
Acts of Assembly Chapter text (CHAP0925)
Approved by Governor-Chapter 925 (effective 7/1/2026)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 31, 2026
Signed by Speaker
Bill text as passed House and Senate (HB481ER)
Enrolled
Signed by President
Senate substitute agreed to by House (98-Y 1-N 0-A)
Passed by for the day
Fiscal Impact Statement from State Corporation Commission (HB481)
Passed Senate with substitute Block Vote (39-Y 0-N 0-A)
Commerce and Labor Substitute agreed to
Engrossed by Senate - committee substitute
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
Committee substitute printed 26108765D-S1
Senate committee offered
Reported from Commerce and Labor with substitute (13-Y 0-N)
Referred to Committee on Commerce and Labor
Constitutional reading dispensed (on 1st reading)
Read third time and passed House (97-Y 0-N 0-A)
Chaptered
4/13/2026
Enrolled
3/30/2026
Substitute
3/3/2026
Substitute
3/2/2026
Substitute
1/29/2026
Substitute
1/28/2026
Substitute
1/27/2026
Introduced
1/12/2026
HB5, Employment; paid sick leave, civil penalties.
Employment; paid sick leave; civil penalties; civil actions. Requires one hour of paid sick leave for every 30 hours worked for all employees of private employers and state and local governments, with certain exceptions. The bill requires that employees who are employed and compensated on a fee-for-service basis accrue paid sick leave in accordance with regulations adopted by the Commissioner of Labor and Industry. The bill provides that employees transferred to a separate division or location remain entitled to previously accrued paid sick leave and that employees retain their accrued paid sick leave under any successor employer. The bill allows employers to provide a more generous paid sick leave policy than prescribed by its provisions and specifies that employees, in addition to using paid sick leave for their physical or mental illness or to care for a family member, may use paid sick leave to seek or obtain certain services or to relocate or secure an existing home due to domestic abuse, sexual assault, or stalking. The bill requires the Commissioner to promulgate regulations for the implementation and enforcement of the bill's provisions by July 1, 2027.The bill authorizes the Commissioner, in the case of a knowing violation, to subject an employer to a civil penalty not to exceed $150 for the first violation, $300 for the second violation, and $500 for each successive violation. The Commissioner or Attorney General may commence administrative proceedings or bring a civil action to enforce the bill's provisions. Additionally, the bill authorizes an aggrieved employee to bring a civil action against the employer in which he may recover double the amount of any unpaid sick leave and the amount of any actual damages suffered as the result of the employer's violation. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill is identical to SB 199.
SB199, Employment; paid sick leave, civil penalties.
Employment; paid sick leave; civil penalties; civil actions. Requires one hour of paid sick leave for every 30 hours worked for all employees of private employers and state and local governments, with certain exceptions. The bill requires that employees who are employed and compensated on a fee-for-service basis accrue paid sick leave in accordance with regulations adopted by the Commissioner of Labor and Industry. The bill provides that employees transferred to a separate division or location remain entitled to previously accrued paid sick leave and that employees retain their accrued paid sick leave under any successor employer. The bill allows employers to provide a more generous paid sick leave policy than prescribed by its provisions and specifies that employees, in addition to using paid sick leave for their physical or mental illness or to care for a family member, may use paid sick leave to seek or obtain certain services or to relocate or secure an existing home due to domestic abuse, sexual assault, or stalking. The bill requires the Commissioner to promulgate regulations for the implementation and enforcement of the bill's provisions by July 1, 2027. The bill authorizes the Commissioner, in the case of a knowing violation, to subject an employer to a civil penalty not to exceed $150 for the first violation, $300 for the second violation, and $500 for each successive violation. The Commissioner or Attorney General may commence administrative proceedings or bring a civil action to enforce the bill's provisions. Additionally, the bill authorizes an aggrieved employee to bring a civil action against the employer in which he may recover double the amount of any unpaid sick leave and the amount of any actual damages suffered as the result of the employer's violation. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill incorporates SB 372 and is identical to HB 5.
HB95, Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with rental agreement.
Virginia Residential Landlord and Tenant Act; landlord remedies; noncompliance with rental agreement; payment plan. Requires a landlord who owns more than four rental dwelling units or more than a 10 percent interest in more than four rental dwelling units, before terminating a rental agreement due to nonpayment of rent if the exact amount of rent owed is less than or equal to one month's rent plus any late charges contracted for in the rental agreement and as provided by law, to serve upon such tenant a written notice informing the tenant of the exact amount due and owed and offer the tenant a payment plan under which the tenant must pay the exact amount due and owed in equal monthly installments over a period of the lesser of six months or the time remaining under the rental agreement. The bill prohibits the landlord from charging any additional late fees during the payment plan period in connection with the unpaid rental amount for which the tenant entered into the payment plan so long as the tenant makes timely payments in accordance with the terms of the payment plan. The bill also outlines the remedies a landlord has if a tenant fails to pay the exact amount due and owed or enter into a payment plan within five days of receiving notice or if a tenant enters into a payment plan and after such plan becomes effective fails to pay rent when due or fails to make a payment under the terms of the agreed-upon payment plan. The bill has a delayed effective date of January 1, 2027.
HB1393, Electric utilities; pilot program for energy assistance and weatherization for certain individuals.
Electric utilities; pilot programs for energy assistance and weatherization for certain individuals. Amends annual funding commitments for the purposes of the annual pilot program for energy assistance and weatherization for low-income, elderly, and disabled individuals conducted by Dominion Energy Virginia and Appalachian Power Company. Under the bill, Appalachian Power Company is required to continue its pilot program at no less than $1 million and no greater than $1.5 million annually. Dominion Energy Virginia is required to continue its pilot program at no less than $156 million and no greater than $204 million for the time period beginning July 1, 2026, and ending July 1, 2038. The bill extends the sunset date of such pilot programs from July 1, 2028, to July 1, 2038.The bill also provides that Dominion Energy Virginia may recover costs associated with certain electrical facilities that have been approved by the State Corporation Commission as of December 1, 2033, provided that certain requirements are met and notwithstanding any limitations on such cost recovery in current law. The bill directs Dominion Energy Virginia to propose to the Commission, in any proceeding to determine rates for generation and distribution services commencing after January 1, 2027, and before July 1, 2033, that certain costs related to capacity procurement requirements and distribution infrastructure investments are allocated to the utility's customer class approved to serve customers with a contracted or measured electric demand of 25 megawatts or greater and an anticipated or measured average annual electric load factor of 75 percent or greater. The bill provides that certain customers in manufacturing, industrial, or consumer goods warehousing and distribution activities other than data storage may elect to remain on their existing rate schedule. The bill requires Dominion Energy Virginia, in connection with its first proceeding to determine rates for generation and distribution services commencing after July 1, 2026, to include in its petition to the Commission a proposal to revise its tariff for supplementary, maintenance, or standby service for customers with power plants, effective as of January 1, 2028. The bill provides that the Commission shall only approve such proposal if it determines that such tariff will not adversely affect other retail customers or the utility in a manner contrary to the public interest, and any revised tariff terms shall include protections against stranded cost risks to the utility customer base. Additionally, the bill authorizes Dominion Energy Virginia to file a petition for the securitization of certain deferred fuel costs. The bill requires the Commission, in evaluating certain petitions, to require to the greatest extent it finds in the public interest the use of wages, salaries, benefits, and other remuneration to any mechanic, laborer, or worker employed, retained, or otherwise hired to perform services in connection with a contract contemplated pursuant to such petition at the prevailing wage rate and to the greatest extent practicable, the use of a skilled workforce through registered apprenticeship programs for any authorized demand flexibility programs, utility-related procurement through utility-owned or third-party providers, and an evaluation of other potential opportunities to develop Virginia's skilled workforce by requiring minimum apprenticeship program requirements for such electric generation or energy storage facility work. This bill incorporates HB 634.
HB834, Virginia Residential Landlord and Tenant Act; fire or casualty damage, termination by landlord.
Virginia Residential Landlord and Tenant Act; fire or casualty damage; termination by landlord. Requires a landlord, prior to giving a tenant 21 days' notice of his intention to terminate the rental agreement for a dwelling unit that has been damaged or destroyed by fire or casualty, to (i) make a reasonable effort to meet with the tenant to discuss reasonable alternatives and offer the tenant a substantially similar dwelling unit, if one is available, or (ii) determine that the damage was caused by the tenant's failure to maintain the dwelling unit in accordance with relevant law. Current law allows the landlord to terminate such agreement by giving the tenant 14 days' notice of his intention to terminate on the basis of the landlord's determination that such damage requires the removal of the tenant and that the use of the premises is substantially impaired. The bill requires the landlord, upon receiving a request from the tenant after the tenant has received such notice, to reevaluate the extent of damage and habitability of such dwelling unit unless the landlord has determined that the damage was caused by the tenant's failure to maintain the dwelling unit. The bill has a delayed effective date of January 1, 2027.
HB675, Protection of employees; coercion or threat based on immigration status, civil penalty.
Protection of employees; coercion or threat based on immigration status; civil penalty. Prohibits an employer, including the Commonwealth and its agencies and political subdivisions, from using coercion or issuing a threat to an employee based on immigration status in furtherance of committing a violation of the Virginia Minimum Wage Act or provisions related to the payment of wages. An aggrieved employee is permitted to file a complaint with the Commissioner of Labor and Industry within 180 days of the alleged coercive action or threat. The bill authorizes the Commissioner to investigate such complaints and, if the allegation is substantiated, to impose a civil penalty in the following amounts: (i) up to $5,000 for the first violation, (ii) up to $9,000 for the second violation, and (iii) up to $12,000 for any subsequent violation. The bill provides that any such penalty assessed shall be paid to the Commissioner for deposit into the General Fund. The bill also authorizes the Commissioner to seek injunctive relief as may be necessary for enforcement.