All Roll Calls
Yes: 248 • No: 0
Sponsored By: Michelle Lopes Maldonado (Democratic)
Signed by Governor
Health insurance; carrier contracts; required provisions regarding prior authorization for prescription drugs. Amends existing required provisions for health carrier contracts related to prior authorizations for prescription drugs. Current law requires that if prior authorization is approved for prescription drugs and such prescription drugs have been scheduled, provided, or delivered to the patient consistent with the authorization, health carriers may not revoke, limit, condition, modify, or restrict that authorization except in certain circumstances. The bill requires this limitation on carriers to apply for the duration of the authorization, which the bill requires to be a minimum of six months for initial authorizations and a minimum of 12 months for continued authorizations. The bill adds circumstances under which a prior authorization may be revoked, limited, conditioned, modified, or restricted by a carrier, including (i) a final action by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer communicating a patient efficacy issue that would affect the authorization and (ii) when additional safety and efficacy monitoring is clinically appropriate or recommended by the U.S. Food and Drug Administration, other regulatory agencies, or the manufacturer.
Personalized for You
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
6 provisions identified: 6 benefits, 0 costs, 0 mixed.
For covered Virginia provider contracts entered into, changed, or renewed beginning January 1, 2027, new insurers must honor prior drug approvals. This protection lasts at least the first 90 days of prescription drug coverage under the new plan. The prescriber or their designee must provide the prior approval record or written or electronic proof of previous coverage. The new plan’s coverage terms still apply. Exceptions include fraud, availability changes, required safety monitoring, harmful drug interactions, and adding a generic or biosimilar to the drug list.
For covered Virginia provider contracts entered into, changed, or renewed beginning January 1, 2027, insurers must remove an addiction-treatment approval barrier. At least one covered drug for medication-assisted substance use treatment must not require prior approval. The prescribed dose must stay within FDA-labeled limits. Prescribing must also follow Board of Medicine rules. This does not remove approval requirements for every addiction-treatment medicine.
These Virginia rules apply to provider contracts entered into, changed, or renewed on or after January 1, 2027. Insurers must answer urgent drug approval requests within 24 hours, including weekends, when submitted by phone or another insurer-directed method. Completed standard requests get an approval, denial, or request for more information within two business days. After receiving completed extra information, insurers must approve or deny within two business days. Denials must explain why, and responses must include tracking information. Insurers must accept phone, fax, and electronic requests, using NCPDP SCRIPT standards for prescribing, health-record, and health-information exchange systems. Requests for extra information must identify information required by the form and needed for the decision. Insurers must post drug lists, approval requirements, procedures, and forms together online and update them within seven days of approved changes. These rules exclude Medicare, Medicaid, CHIP, federal employee plans, TRICARE and its supplements, Medicare supplements, workers’ compensation, dental, and optometric plans. They also exclude accident-only, credit, disability, long-term care coverage, and HMOs meeting specified system-linking and internal-processing requirements. The Virginia Commission cannot decide individual disputes under this section.
For covered Virginia provider contracts entered into, changed, or renewed beginning January 1, 2027, qualifying mental health medicines need no repeat approval. The drug must have prior insurer approval and at least three months of continuous prescribing. It must remain covered and stay within FDA-labeled doses. The treated disorder must appear in the latest Diagnostic and Statistical Manual of Mental Disorders. Each year, the prescriber must review effectiveness, health changes, and reasons the medicine may be unsafe. Insurers can still require initial approval for a medicine outside their drug list.
For covered Virginia provider contracts entered into, changed, or renewed beginning January 1, 2027, initial drug approvals last at least six months. Continued approvals last at least 12 months when the drug is scheduled, provided, or delivered as approved. Insurers generally cannot cancel, shorten, or add restrictions during that period. Exceptions cover fraud or misrepresentation, regulatory or manufacturer actions changing availability, required safety monitoring, harmful drug interactions, and adding a generic or biosimilar to the drug list. Existing approvals also continue after non-opioid dosage changes within FDA-labeled limits. They continue after switching plans with the same insurer when the new plan covers the drug. Protection after removal from the drug list is subject to the law’s ongoing mental health treatment rules: covered treatment, FDA-labeled doses, at least three months of continuous prescribing, and annual prescriber review. These protections do not require benefits outside the plan’s coverage or drugs scheduled or delivered after coverage ends.
Beginning July 1, 2025, covered insurers must maintain online drug approval systems linked to compatible prescribing and electronic health-record systems. These links must use NCPDP SCRIPT and Real Time Benefit standards. Systems must approve requests meeting insurer criteria when no extra information or clinical review is needed. They must show real-time patient costs, including copayments and deductibles, and lower-cost covered medicine choices when prescribing. Participating providers must make their systems able to access these tools; regulators can grant hardship waivers for a set period. Insurers cannot charge providers for access or access provider data without consent, except data about the enrollee. The law sets July 1, 2024, as the deadline for requested vendor contact details, provided to providers or posted online. The amended contract rules apply to contracts entered into, changed, or renewed on or after January 1, 2027.
Michelle Lopes Maldonado
Democratic • House
There are no cosponsors for this bill.
All Roll Calls
Yes: 248 • No: 0
Senate vote • 3/5/2026
Passed Senate 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
Yes: 13 • No: 0
House vote • 2/17/2026
Read third time and passed House Block Vote
Yes: 97 • No: 0
House vote • 2/13/2026
Reported from Appropriations
Yes: 22 • No: 0
House vote • 2/13/2026
Subcommittee recommends reporting
Yes: 7 • No: 0
House vote • 2/5/2026
Reported from Labor and Commerce with amendment(s) and referred to Appropriations
Yes: 22 • No: 0
House vote • 2/3/2026
Subcommittee recommends reporting with amendment(s) and referring to Appropriations
Yes: 9 • No: 0
Acts of Assembly Chapter text (CHAP0213)
Approved by Governor-Chapter 213 (effective 7/1/2026)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 14, 2026
Bill text as passed House and Senate (HB736ER)
Enrolled
Fiscal Impact Statement from Department of Planning and Budget (HB736)
Signed by President
Signed by Speaker
Passed Senate Block Vote (39-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) (39-Y 0-N 0-A)
Rules suspended
Reported from Commerce and Labor (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)
Fiscal Impact Statement from Department of Planning and Budget (HB736)
Engrossed by House as amended
committee amendments agreed to
Read second time
Read first time
Subcommittee recommends reporting (7-Y 0-N)
Reported from Appropriations (22-Y 0-N)
Chaptered
4/6/2026
Enrolled
3/9/2026
Engrossed
2/16/2026
Amendment
2/5/2026
Amendment
2/4/2026
Introduced
1/13/2026
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.