# Virginia HB830: Pharmacy benefits managers; requirements, application of law, report, delayed effective date. Virginia HB830, Pharmacy benefits managers; requirements, application of law, report, delayed effective date., is a 2026 Regular Session House bill sponsored by Katrina Callsen (Democratic); status signed, last action 2026-04-13 (Acts of Assembly Chapter text (CHAP0678)); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-HB830-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia HB830 - State: Virginia - Session: 2026 Regular Session - Title: Pharmacy benefits managers; requirements, application of law, report, delayed effective date. - Status: signed - Chamber: House - Introduced: 2026-01-13 - Last action: 2026-04-13, Acts of Assembly Chapter text (CHAP0678) - Sponsor: Katrina Callsen (Democratic) - Cosponsors: 0 - Touches household money: yes - Roll calls: 12 (363 yes, 0 no in all) - Economic provisions PRIA read: 8 ## Summary Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill is identical to SB 669. ## Bill overview: provisions PRIA read - Stronger protections for patients choosing pharmacies: benefit, low. Beginning July 1, 2027, insurers and drug benefit managers cannot interfere with covered patients’ pharmacy or provider choices based on protected status. This includes status as a manager’s affiliate, covered entity, or contract pharmacy. They cannot block pharmacy network participation based on a… - Pharmacy protections cover state employee plans: benefit, low. Beginning July 1, 2027, Virginia’s pharmacy benefit manager rules apply to claims under the state employee health plan. Participants and beneficiaries receive the article’s protections for those claims. The law does not specify individual savings. - Equal treatment for discount drug pharmacies: benefit, low. Beginning July 1, 2027, insurers and drug benefit managers cannot impose different terms because of covered-entity or contract-pharmacy status. They also cannot do so because a pharmacy dispenses drugs covered by the 340B discount program. This protection does not cover drugs with an estimated annu… - Fairer payments and fees for pharmacies: benefit, low. Beginning July 1, 2027, insurers and drug benefit managers cannot charge pharmacies claim-processing fees except reasonable initial submission fees. Electronic claim-processing fees are banned. Pharmacies cannot receive less than a manager’s affiliate for the same services. Payments are compared pe… - Stronger payment protections for pharmacy claims: benefit, low. Beginning July 1, 2027, insurers and drug benefit managers cannot reduce pharmacy payments unless the provider agreement allows the reduction. Reversing and resubmitting a claim requires prior written notice and either just cause or an attempt to settle the issue first. They must act within one yea… - New pricing rules for prescription benefits: benefit, low. Beginning July 1, 2027, Virginia insurers must use pass-through pricing and cannot use spread pricing, directly or through drug benefit managers. When a plan sponsor asks, insurers must offer a contract limiting manager income to service fees listed in the agreement. When a contract assigns rebate… - State reviews drug managers’ pay practices: benefit, low. Beginning July 1, 2027, covered drug benefit manager compensation arrangements must be open to Virginia State Corporation Commission inspection. Confidentiality protections apply to that review. The Commission also must study practices that require or encourage covered patients to use manager affil… - Some health plans exclude pharmacy protections: cost, low. Beginning July 1, 2027, the pharmacy benefit manager article does not apply to Children’s Health Insurance Program claims. Medicaid, Medicare Part D, and self-funded arrangements governed by federal ERISA law are also outside its scope. These exclusions do not establish a cost increase or a change… ## Sponsors and cosponsors - Sponsor: Katrina Callsen (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-11 | House | Senate substitute agreed to by House | pass | 98 | 0 | | | 2026-03-10 | Senate | Passed Senate with substitute Block Vote | pass | 40 | 0 | | | 2026-03-10 | Senate | Commerce and Labor Substitute agreed to | pass | 0 | 0 | | | 2026-03-09 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-03-09 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 40 | 0 | | | 2026-03-06 | Senate | Reported from Finance and Appropriations | pass | 14 | 0 | | | 2026-03-02 | Senate | Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations | pass | 14 | 0 | | | 2026-02-17 | House | Read third time and passed House Block Vote | pass | 97 | 0 | | | 2026-02-13 | House | Subcommittee recommends reporting with substitute | pass | 7 | 0 | | | 2026-02-13 | House | Reported from Appropriations with substitute | 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 and referring to Appropriations | pass | 9 | 0 | | ## Actions (43) - 2026-04-13: Acts of Assembly Chapter text (CHAP0678) (Governor) - 2026-04-13: Approved by Governor - Chapter 678 (effective 7/1/2027) (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 (HB830ER) (House) - 2026-03-30: Enrolled (House) - 2026-03-30: Signed by President (Senate) - 2026-03-12: Fiscal Impact Statement from State Corporation Commission (HB830) (House) - 2026-03-11: Senate substitute agreed to by House (98-Y 0-N 0-A) (House) - 2026-03-10: Passed Senate with substitute Block Vote (40-Y 0-N 0-A) (Senate) - 2026-03-10: Commerce and Labor Substitute agreed to (Senate) - 2026-03-10: Engrossed by Senate - committee substitute (Senate) - 2026-03-10: Read third time (Senate) - 2026-03-09: Passed by for the day Block Vote (Voice Vote) (Senate) - 2026-03-09: Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) (Senate) - 2026-03-09: Passed by for the day (Senate) - 2026-03-09: Rules suspended (Senate) - 2026-03-06: Reported from Finance and Appropriations (14-Y 0-N) (Senate) - 2026-03-03: Committee substitute printed 26108906D-S1 (Senate) - 2026-03-02: Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (14-Y 0-N) (Senate) - 2026-02-18: Referred to Committee on Commerce and Labor (Senate) - 2026-02-18: Constitutional reading dispensed (on 1st reading) (Senate) - 2026-02-17: Read third time and passed House Block Vote (97-Y 0-N 0-A) (House) - 2026-02-16: Engrossed by House - committee substitute (House) - 2026-02-16: committee substitute agreed to (House) - 2026-02-16: committee substitute rejected (House) - 2026-02-16: Read second time (House) - 2026-02-15: Read first time (House) - 2026-02-13: Subcommittee recommends reporting with substitute (7-Y 0-N) (House) - 2026-02-13: Committee substitute printed 26107837D-H2 (House) - 2026-02-13: House subcommittee offered (House) - 2026-02-13: Reported from Appropriations with substitute (22-Y 0-N) (House) - 2026-02-12: Assigned HAPP sub: Compensation and Retirement (House) - 2026-02-10: Fiscal Impact Statement from State Corporation Commission (HB830) (House) - 2026-02-05: Committee substitute printed 26106561D-H1 (House) - 2026-02-05: Reported from Labor and Commerce with substitute and referred to Appropriations (22-Y 0-N) (House) - 2026-02-03: Fiscal Impact Statement from State Corporation Commission (HB830) (House) - 2026-02-03: House subcommittee offered (House) - 2026-02-03: Subcommittee recommends reporting with substitute and referring to Appropriations (9-Y 0-N) (House) - 2026-01-22: 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 26105289D (House) ## Bill text - Chaptered, 2026-04-13: [HTML](https://lis.blob.core.windows.net/files/1221700.HTML), [PDF](https://lis.blob.core.windows.net/files/1221699.PDF) - Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1212221.HTML), [PDF](https://lis.blob.core.windows.net/files/1212220.PDF) - Substitute, 2026-03-03: [HTML](https://lis.blob.core.windows.net/files/1190100.HTML), [PDF](https://lis.blob.core.windows.net/files/1190099.PDF) - Substitute, 2026-02-13: [HTML](https://lis.blob.core.windows.net/files/1148612.HTML), [HTML](https://lis.blob.core.windows.net/files/1147981.HTML), [HTML](https://lis.blob.core.windows.net/files/1148608.HTML), [PDF](https://lis.blob.core.windows.net/files/1148611.PDF), [PDF](https://lis.blob.core.windows.net/files/1147980.PDF), [PDF](https://lis.blob.core.windows.net/files/1148607.PDF) - Substitute, 2026-02-05: [HTML](https://lis.blob.core.windows.net/files/1131386.HTML), [PDF](https://lis.blob.core.windows.net/files/1131385.PDF) - Substitute, 2026-02-04: [HTML](https://lis.blob.core.windows.net/files/1115941.HTML), [PDF](https://lis.blob.core.windows.net/files/1115940.PDF) - Substitute, 2026-02-03: [HTML](https://lis.blob.core.windows.net/files/1115228.HTML), [PDF](https://lis.blob.core.windows.net/files/1115227.PDF) - Introduced, 2026-01-13: [HTML](https://lis.blob.core.windows.net/files/1086077.HTML), [PDF](https://lis.blob.core.windows.net/files/1086076.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/1221700.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1221699.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1212221.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1212220.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1190100.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1190099.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1148612.HTML) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1147981.HTML) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1148608.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1148611.PDF) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1147980.PDF) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1148607.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1131386.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1131385.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1115941.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1115940.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1115228.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1115227.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1086077.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1086076.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-HB830-2026 (as of 2026-10-12).