All Roll Calls
Yes: 216 • No: 2
Sponsored By: Jen Kiggans - to resign 12/31 (Republican)
Became Law
Health insurance; reporting requirements. Amends various reporting requirements related to health insurance, including by requiring the State Corporation Commission to maintain and publicly post an inventory of mandated benefits and providers, requiring health carriers to report annually on provider terminations and reinstatements, and consolidating reports related to balance billing and arbitration. The bill repeals reporting requirements related to the Comparable Health Care Service Incentive Program and Virginia Health Savings Account Plan. This bill is identical to SB 626.
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11 provisions identified: 9 benefits, 0 costs, 2 mixed.
For dependents from birth to age three who are certified under IDEA Part H, the plan covers early intervention services like speech, occupational, and physical therapy and assistive devices. The plan cannot deny these services for preexisting conditions, and their costs do not count against lifetime maximums. The plan also pays for newborn hearing screening and any needed follow‑up tests. Follow‑up must be recommended by a qualified practitioner and done by a licensed audiologist using FDA‑approved methods.
Plans using a drug list must decide exception requests in one business day and cover a needed nonformulary drug without extra cost‑sharing when appropriate. A plan may choose one mail‑order pharmacy for deliveries. The plan covers FDA‑approved contraceptives and diabetes equipment, supplies, and self‑management education when prescribed. It cannot deny cancer drugs or other drugs for covered uses that are supported by standard compendia or strong peer‑reviewed research. Since July 1, 2002, each covered worker gets a prescription benefit card, and the plan must update it when key data change.
The state runs a health plan for employees and retirees and pays plan costs as provided by law. Part-time workers may enroll but must pay the full premium. You can buy family or dependent coverage, and the state may pay part or all of it. Each planning district must offer at least two unrelated plan options; by July 1, 2006, one must be a high‑deductible plan that qualifies for an HSA. All plan money goes into a separate trust fund used only to pay claims and plan costs.
The plan covers your patient costs in qualifying cancer clinical trials, with payment terms no less favorable than other care. It covers colorectal screening per the latest medical guidelines. It covers one PSA test every 12 months and digital rectal exams at age 50+, and at age 40+ if you are high‑risk under American Cancer Society guidelines. It covers screening mammograms by age and frequency and may limit payment to $50 per mammogram. It also covers an annual Pap smear and, starting July 1, 1999, annual testing with any FDA‑approved gynecologic cytology technology.
Beginning with plans offered or renewed on or after January 1, 2021, insurers must pay incentives if you pick a lower‑cost, comparable in‑network provider. Incentives can be cash, gift cards, credits, or lower copays, deductibles, or premiums. Insurers do not have to pay when their saved cost is $25 or less. Insurers must show you how to request average allowed‑amount information and file program details with the Commission. Each year, insurers report program data by April 1, and the Commission issues an aggregate report by November 1 starting within 18 months.
After birth, the plan covers inpatient care and home visits under current perinatal and OB‑GYN standards, and updates when those standards change. It guarantees at least 48 hours in the hospital after a radical or modified radical mastectomy, and at least 24 hours after a total mastectomy or a partial mastectomy with node removal, unless you and your doctor choose earlier discharge. It guarantees at least a 23‑hour stay after a laparoscopy‑assisted vaginal hysterectomy and 48 hours after a vaginal hysterectomy, unless you and your doctor agree on a shorter stay. It also covers reconstructive breast surgery tied to mastectomy on or after July 1, 1998.
For listed biologically based mental illnesses, the plan must use the same deductibles, copays, coinsurance, and limits as for other illnesses. Medical necessity is decided the same way as for other care. The plan must also offer coverage for treating morbid obesity, including gastric bypass. It cannot require diets or other limits that the NIH has not approved. The law defines morbid obesity using BMI, weight, and comorbidity rules.
If talks fail, either side can start arbitration within 10 calendar days. The other side sends a final offer within 30 days, and the arbitrator must pick one offer and issue a written decision within 30 days. Fees are set by the Commission and usually split; you do not pay arbitration costs. Parties must sign a confidentiality agreement within 10 business days, and the arbitrator sends decisions and information to the Commission. Arbitrators can weigh patient details and approved data sets. A narrow appeal to the Commission is allowed for corruption, bias, overreach, or serious procedural errors. These cases follow the special health‑insurance rules, not the Uniform Arbitration Act. Insurers also file annual network termination reports by September 1; the Commission posts a yearly summary by December 1.
You can see participating specialists directly when allowed by the plan, with standing referrals for ongoing conditions. If your doctor leaves the network for reasons other than misconduct, you can keep care for up to 90 days, with longer help for late pregnancy and terminal illness. The plan must have a clear appeals process and fast emergency appeals. Independent review organizations make final, written decisions on adverse coverage decisions. Plans that use preferred networks cannot drop a doctor solely due to a Board of Medicine reprimand or censure if the doctor meets plan rules.
The Office of the Managed Care Ombudsman helps people in managed care plans. It answers questions, explains rights, and tracks complaints. With your written consent, it helps with utilization‑review appeals and protects your privacy. It also watches timely access to care, publishes plain‑English information on benefits, and provides material for the Commission’s annual report due January 1.
The law repeals three named sections of the Virginia Code (38.2‑3419.1, 38.2‑3445.2, and 38.2‑5601). Those rules are removed and replaced by updated provisions elsewhere in the act.
Jen Kiggans - to resign 12/31
Republican • Senate
There are no cosponsors for this bill.
All Roll Calls
Yes: 216 • No: 2
Senate vote • 2/26/2026
Passed Senate Block Vote
Yes: 40 • No: 0
Senate vote • 2/25/2026
Constitutional reading dispensed Block Vote (on 2nd reading)
Yes: 40 • No: 0
Senate vote • 2/25/2026
Passed by for the day Block Vote (Voice Vote)
Yes: 0 • No: 0
Senate vote • 2/23/2026
Reported from Commerce and Labor
Yes: 14 • No: 0
House vote • 2/11/2026
Read third time and passed House
Yes: 92 • No: 1
House vote • 2/5/2026
Reported from Labor and Commerce
Yes: 21 • No: 1
House vote • 2/3/2026
Subcommittee recommends reporting
Yes: 9 • No: 0 • Other: 1
Acts of Assembly Chapter text (CHAP0187)
Approved by Governor-Chapter 187 (effective 7/1/2026)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 10, 2026
Fiscal Impact Statement from State Corporation Commission (HB618)
Bill text as passed House and Senate (HB618ER)
Enrolled
Signed by President
Signed by Speaker
Passed Senate Block Vote (40-Y 0-N 0-A)
Read third time
Passed by for the day Block Vote (Voice Vote)
Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
Rules suspended
Reported from Commerce and Labor (14-Y 0-N)
Referred to Committee on Commerce and Labor
Constitutional reading dispensed (on 1st reading)
Read third time and passed House (92-Y 1-N 0-A)
Read second time and engrossed
Read first time
Reported from Labor and Commerce (21-Y 1-N)
Subcommittee recommends reporting (9-Y 0-N)
Fiscal Impact Statement from State Corporation Commission (HB618)
Assigned HCL sub: Subcommittee #1
Referred to Committee on Labor and Commerce
Chaptered
4/6/2026
Enrolled
3/3/2026
Introduced
1/13/2026
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SB731 — Private companies providing public transportation services; employee protections.
Private companies providing public transportation services; employee protections; report. Requires the governing body of any county or city that contracts with a private company to provide transportation services to (i) require such company to provide any employee of such company providing such services compensation and benefits that are, at a minimum, equivalent to the compensation and benefits provided to a public employee, as defined in the bill, with a position requiring equivalent qualifications and years of service; (ii) provide transportation services through such company's own employees; and (iii) if such county or city subsequently elects to provide its own system of public transportation, adopt an ordinance or resolution providing for collective bargaining and ensure all employees of such private company are offered employment with such subsequent public transportation system without loss of compensation or benefits. The bill clarifies that the bill only applies to actions occurring on or after the effective date and excludes any action taken, contract signed, liability incurred, or right accrued prior to July 1, 2026, from the requirements. Finally, the bill directs the Director of the Department of Rail and Public Transportation to convene a work group to develop recommendations on how to implement the provisions of the bill and requires the work group to report its findings and recommendations to the Chairs of the House Committee on Labor and Commerce and Senate Committee on Local Government by November 1, 2026. This bill is identical to HB 547.
SB620 — Va. ABC Authority; permitting of retail tobacco product retailers, etc.
Virginia Alcoholic Beverage Control Authority; permitting of retail tobacco product retailers; purchase, possession, and sale of retail tobacco products; penalties; report. Transitions and provides a more comprehensive structure for the current licensing and enforcement responsibilities related to liquid nicotine and retail tobacco products from the Department of Taxation to a permitting system administered by the Virginia Alcoholic Beverage Control Authority. The bill requires the Board of Directors of the Virginia Alcoholic Beverage and Control Authority to conduct an unannounced buyer operation at least once every 24 months to verify that a permittee, defined in the bill, is not selling retail tobacco products to persons under 21 years of age. Portions of the bill have a delayed effective date of October 1, 2026. This bill is identical to HB 308.
SB666 — Residential land development and construction; fee transparency, local housing development.
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