# Virginia HB701: Health and insurance; notice of adverse determination.

Virginia HB701, Health and insurance; notice of adverse determination., is a 2026 Regular Session House bill sponsored by Michelle Lopes Maldonado (Democratic); status signed, last action 2026-04-08 (Acts of Assembly Chapter text (CHAP0411)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-HB701-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB701
- State: Virginia
- Session: 2026 Regular Session
- Title: Health and insurance; notice of adverse determination.
- Status: signed
- Chamber: House
- Introduced: 2026-01-13
- Last action: 2026-04-08, Acts of Assembly Chapter text (CHAP0411)
- Sponsor: Michelle Lopes Maldonado (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 12 (493 yes, 0 no in all)
- Economic provisions PRIA read: 2

## Summary

Health insurance; notice of adverse determination. Requires health carriers to send in writing to a covered person the notice of an adverse determination or final adverse determination and the covered person's right to request an external review, as required by current law, within five business days after the adverse determination or final adverse determination has been made. The bill also requires such notice to include certain information related to the person who made the adverse determination or final adverse determination.

## Bill overview: provisions PRIA read

- Patients get clearer outside review rights: benefit, low. Virginia health carriers must send covered patients written notice within five business days after an adverse or final adverse decision. The notice must explain outside review rights in prominent bold text and include required decision-maker or appeal contacts, steps, and forms. Faster review is av…
- Stronger safeguards for patients facing care denials: benefit, low. Virginia law requires entities making adverse care decisions to make a good-faith effort to get information from the treating provider first. Before a final decision, the provider can discuss medical need with the entity's physician adviser or peer. For prescriptions to relieve cancer pain, a physi…

## Sponsors and cosponsors

- Sponsor: Michelle Lopes Maldonado (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-12 | House | Senate amendment agreed to by House | pass | 98 | 0 |   |
| 2026-03-11 | Senate | Reconsideration of Senate passage agreed to by Senate Block Vote | pass | 40 | 0 |   |
| 2026-03-11 | Senate | Commerce and Labor Amendment agreed to | pass | 0 | 0 |   |
| 2026-03-11 | Senate | Passed Senate with amendment Block Vote | pass | 39 | 0 |   |
| 2026-03-11 | Senate | Passed Senate with amendment Block Vote | pass | 40 | 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 Commerce and Labor with amendment | pass | 14 | 0 |   |
| 2026-02-11 | House | Passed House Block Vote | pass | 98 | 0 |   |
| 2026-02-11 | House | Read third time and passed House Block Vote | pass | 96 | 0 |   |
| 2026-02-05 | House | Reported from Labor and Commerce with substitute | pass | 22 | 0 |   |
| 2026-02-03 | House | Subcommittee recommends reporting with substitute | pass | 9 | 0 |   |

## Actions (37)

- 2026-04-08: Acts of Assembly Chapter text (CHAP0411) (Governor)
- 2026-04-08: Approved by Governor-Chapter 411 (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 (HB701ER) (House)
- 2026-03-30: Enrolled (House)
- 2026-03-30: Signed by President (Senate)
- 2026-03-12: Senate amendment agreed to by House (98-Y 0-N 0-A) (House)
- 2026-03-11: Passed Senate with amendment Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-11: Reconsideration of Senate passage agreed to by Senate Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-11: Passed Senate with amendment Block Vote (39-Y 0-N 0-A) (Senate)
- 2026-03-11: Commerce and Labor Amendment agreed to (Senate)
- 2026-03-11: Engrossed by Senate as amended (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: Senate committee offered (Senate)
- 2026-03-09: Fiscal Impact Statement from State Corporation Commission (HB701) (House)
- 2026-03-09: Reported from Commerce and Labor with amendment (14-Y 0-N) (Senate)
- 2026-02-12: Referred to Committee on Commerce and Labor (Senate)
- 2026-02-12: Constitutional reading dispensed (on 1st reading) (Senate)
- 2026-02-11: Passed House Block Vote (98-Y 0-N 0-A) (House)
- 2026-02-11: Reconsideration of passage agreed to by House (House)
- 2026-02-11: Read third time and passed House Block Vote (96-Y 0-N 0-A) (House)
- 2026-02-10: Engrossed by House - committee substitute (House)
- 2026-02-10: committee substitute agreed to (House)
- 2026-02-10: Read second time (House)
- 2026-02-09: Read first time (House)
- 2026-02-05: Committee substitute printed 26105487D-H1 (House)
- 2026-02-05: Reported from Labor and Commerce with substitute (22-Y 0-N) (House)
- 2026-02-03: House subcommittee offered (House)
- 2026-02-03: Subcommittee recommends reporting with substitute (9-Y 0-N) (House)
- 2026-01-20: Assigned HCL sub: Subcommittee #1 (House)
- 2026-01-13: Referred to Committee on Labor and Commerce (House)
- 2026-01-13: Prefiled and ordered printed; Offered 01-14-2026 26104809D (House)

## Bill text

- Chaptered, 2026-04-08: [HTML](https://lis.blob.core.windows.net/files/1217887.HTML), [PDF](https://lis.blob.core.windows.net/files/1217886.PDF)
- Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1213481.HTML), [PDF](https://lis.blob.core.windows.net/files/1213480.PDF)
- Amendment, 2026-03-11: [HTML](https://lis.blob.core.windows.net/files/1205984.HTML)
- Amendment, 2026-03-10: [HTML](https://lis.blob.core.windows.net/files/1202081.HTML)
- Amendment, 2026-03-09: [HTML](https://lis.blob.core.windows.net/files/1201484.HTML)
- Substitute, 2026-02-05: [HTML](https://lis.blob.core.windows.net/files/1129918.HTML), [PDF](https://lis.blob.core.windows.net/files/1129917.PDF)
- Substitute, 2026-02-04: [HTML](https://lis.blob.core.windows.net/files/1115894.HTML), [PDF](https://lis.blob.core.windows.net/files/1115893.PDF)
- Substitute, 2026-02-03: [HTML](https://lis.blob.core.windows.net/files/1115571.HTML), [PDF](https://lis.blob.core.windows.net/files/1115570.PDF)
- Introduced, 2026-01-13: [HTML](https://lis.blob.core.windows.net/files/1085543.HTML), [PDF](https://lis.blob.core.windows.net/files/1085542.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/1217887.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1217886.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1213481.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1213480.PDF)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1205984.HTML)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1202081.HTML)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1201484.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1129918.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1129917.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1115894.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1115893.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1115571.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1115570.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1085543.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1085542.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-HB701-2026 (as of 2026-10-12).