# Virginia HB795: Health insurance; requirements for certain opioid antagonists.

Virginia HB795, Health insurance; requirements for certain opioid antagonists., is a 2026 Regular Session House bill sponsored by Atoosa R. Reaser (Democratic); status signed, last action 2026-04-08 (Acts of Assembly Chapter text (CHAP0423)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-HB795-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB795
- State: Virginia
- Session: 2026 Regular Session
- Title: Health insurance; requirements for certain opioid antagonists.
- Status: signed
- Chamber: House
- Introduced: 2026-01-13
- Last action: 2026-04-08, Acts of Assembly Chapter text (CHAP0423)
- Sponsor: Atoosa R. Reaser (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 15 (437 yes, 0 no in all)
- Economic provisions PRIA read: 2

## Summary

Health insurance; requirements for certain opioid antagonists. Requires each health insurer, corporation providing health care subscription plans, and health maintenance organization whose policy, contract, or plan includes coverage for prescription drugs to include coverage for at least one other opioid antagonist used for overdose reversal dispensed pursuant to an oral, written, or standing order of a prescriber and ensure that cost-sharing for at least one opioid antagonist used for overdose reversal is included on the lowest cost tier of the insurer's, corporation's, or health maintenance organization's prescription drug formulary. The bill provides that such coverage shall be exempt from any prior authorization or step therapy requirement on coverage of benefits. As introduced, this bill was a recommendation of the Joint Commission on Health Care. This bill is identical to SB 257.

## Bill overview: provisions PRIA read

- Plans must cover overdose reversal drugs: benefit, medium. Beginning January 1, 2027, many Virginia health plans must cover at least one opioid overdose reversal drug. Coverage applies when a prescriber gives an oral, written, or standing order. The plan must put cost-sharing for at least one of these drugs on the lowest tier. Plans cannot require prior au…
- Plans excluded from overdose drug mandate: cost, low. Beginning January 1, 2027, some plans are not covered by this rule. Short-term travel, accident-only, limited or specified disease, Medicare or similar government plans, and short-term nonrenewable policies of six months or less are excluded. Also, in the individual and small-group markets, if the…

## Sponsors and cosponsors

- Sponsor: Atoosa R. Reaser (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-12 | House | Senate substitute agreed to by House | pass | 96 | 0 |   |
| 2026-03-11 | Senate | Commerce and Labor Substitute agreed to | pass | 0 | 0 |   |
| 2026-03-11 | Senate | Passed Senate with substitute Block Vote | pass | 39 | 0 |   |
| 2026-03-11 | Senate | Passed Senate with substitute Block Vote | pass | 40 | 0 |   |
| 2026-03-11 | Senate | Reconsideration of Senate passage agreed to by Senate 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 Finance and Appropriations | pass | 14 | 0 |   |
| 2026-03-09 | Senate | Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations | pass | 15 | 0 |   |
| 2026-02-13 | House | Read third time and passed House Block Vote | pass | 96 | 0 |   |
| 2026-02-09 | House | Subcommittee recommends reporting | pass | 7 | 0 |   |
| 2026-02-09 | House | Reported from Appropriations | pass | 22 | 0 |   |
| 2026-02-05 | House | Reported from Labor and Commerce with substitute and referred to Appropriations | pass | 22 | 0 |   |
| 2026-02-03 | House | Subcommittee recommends reporting with substitute | pass | 9 | 0 |   |
| 2026-01-27 | House | Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote) | pass | 0 | 0 |   |

## Actions (44)

- 2026-04-08: Acts of Assembly Chapter text (CHAP0423) (Governor)
- 2026-04-08: Approved by Governor-Chapter 423 (effective 7/1/2026) (Governor)
- 2026-04-01: Fiscal Impact Statement from Department of Planning and Budget (HB795) (House)
- 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 (HB795ER) (House)
- 2026-03-30: Enrolled (House)
- 2026-03-30: Signed by President (Senate)
- 2026-03-12: Senate substitute agreed to by House (96-Y 0-N 0-A) (House)
- 2026-03-11: Passed Senate with substitute 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 substitute Block Vote (39-Y 0-N 0-A) (Senate)
- 2026-03-11: Commerce and Labor Substitute agreed to (Senate)
- 2026-03-11: Engrossed by Senate - committee substitute (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: Fiscal Impact Statement from Department of Planning and Budget (HB795) (House)
- 2026-03-10: Rules suspended (Senate)
- 2026-03-09: Committee substitute printed 26109503D-S1 (Senate)
- 2026-03-09: Senate committee offered (Senate)
- 2026-03-09: Reported from Finance and Appropriations (14-Y 0-N) (Senate)
- 2026-03-09: Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (15-Y 0-N) (Senate)
- 2026-02-16: Referred to Committee on Commerce and Labor (Senate)
- 2026-02-16: Constitutional reading dispensed (on 1st reading) (Senate)
- 2026-02-13: Read third time and passed House Block Vote (96-Y 0-N 0-A) (House)
- 2026-02-12: Engrossed by House - committee substitute (House)
- 2026-02-12: committee substitute agreed to (House)
- 2026-02-12: Read second time (House)
- 2026-02-11: Read first time (House)
- 2026-02-09: Subcommittee recommends reporting (7-Y 0-N) (House)
- 2026-02-09: Reported from Appropriations (22-Y 0-N) (House)
- 2026-02-06: Fiscal Impact Statement from Department of Planning and Budget (HB795) (House)
- 2026-02-05: Committee substitute printed 26107033D-H1 (House)
- 2026-02-05: Reported from Labor and Commerce with substitute and referred to Appropriations (22-Y 0-N) (House)
- 2026-02-05: Assigned HAPP sub: Compensation and Retirement (House)
- 2026-02-03: House subcommittee offered (House)
- 2026-02-03: Subcommittee recommends reporting with substitute (9-Y 0-N) (House)
- 2026-01-28: Assigned HCL sub: Subcommittee #1 (House)
- 2026-01-27: Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote) (House)
- 2026-01-23: Fiscal Impact Statement from Department of Planning and Budget (HB795) (House)
- 2026-01-13: Referred to Committee on Health and Human Services (House)
- 2026-01-13: Prefiled and ordered printed; Offered 01-14-2026 26104745D (House)

## Bill text

- Chaptered, 2026-04-08: [HTML](https://lis.blob.core.windows.net/files/1218015.HTML), [PDF](https://lis.blob.core.windows.net/files/1218014.PDF)
- Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1213501.HTML), [PDF](https://lis.blob.core.windows.net/files/1213500.PDF)
- Substitute, 2026-03-09: [HTML](https://lis.blob.core.windows.net/files/1201641.HTML), [HTML](https://lis.blob.core.windows.net/files/1200747.HTML), [PDF](https://lis.blob.core.windows.net/files/1200746.PDF), [PDF](https://lis.blob.core.windows.net/files/1201640.PDF)
- Substitute, 2026-02-05: [HTML](https://lis.blob.core.windows.net/files/1131382.HTML), [PDF](https://lis.blob.core.windows.net/files/1131381.PDF)
- Substitute, 2026-02-04: [HTML](https://lis.blob.core.windows.net/files/1115936.HTML), [PDF](https://lis.blob.core.windows.net/files/1115935.PDF)
- Substitute, 2026-02-03: [HTML](https://lis.blob.core.windows.net/files/1115234.HTML), [PDF](https://lis.blob.core.windows.net/files/1115233.PDF)
- Introduced, 2026-01-13: [HTML](https://lis.blob.core.windows.net/files/1085932.HTML), [PDF](https://lis.blob.core.windows.net/files/1085931.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/1218015.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1218014.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1213501.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1213500.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1201641.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1200747.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1200746.PDF)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1201640.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1131382.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1131381.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1115936.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1115935.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1115234.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1115233.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1085932.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1085931.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)
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Source: PRIA, https://policyrisk.com/state-bill/VA-HB795-2026 (as of 2026-10-12).