# Virginia SB1186: Health insurance; coverage for donor human milk, penalty.

Virginia SB1186, Health insurance; coverage for donor human milk, penalty., is a 2025 Regular Session Senate bill sponsored by Jennifer D. Carroll Foy (Democratic); status failed, last action 2025-02-18 (Left in Appropriations) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/VA-SB1186-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia SB1186
- State: Virginia
- Session: 2025 Regular Session
- Title: Health insurance; coverage for donor human milk, penalty.
- Status: failed
- Chamber: Senate
- Introduced: 2025-01-08
- Last action: 2025-02-18, Left in Appropriations
- Sponsor: Jennifer D. Carroll Foy (Democratic)
- Cosponsors: 0
- Subjects: Appropriations
- Touches household money: no
- Roll calls: 7 (176 yes, 1 no in all)
- Economic provisions PRIA read: 0

## Summary

Donor human milk banks; health insurance; coverage for donor human milk; penalty. Prohibits any person from establishing or operating a donor human milk bank, as defined in the bill, without first obtaining a license from the State Health Commissioner and makes it a Class 6 felony for any person to establish or operate a donor human milk bank in the Commonwealth without obtaining such license. The bill also establishes requirements, policies, and procedures, for the operation and administration of licensed human donor milk banks, including procedures relating to disciplinary actions, application fees, and inspections and interviews related to such donor human milk banks. The bill directs (i) the State Board of Health to establish a regulatory and statutory scheme for the licensure and regulation of donor human milk banks operating or doing business in the Commonwealth and (ii) the Commissioner to implement and enforce numerous regulations relating to the issuance, renewal, denial, suspension, and revocation of such licenses. The bill requires (a) health insurers, corporations providing health care coverage subscription contracts, and health maintenance organizations to provide coverage for expenses and (b) the state plan for medical assistance services to include a provision for payment of medical assistance services incurred in the provision of pasteurized donor human milk for any infant that is younger than the age of six months and who satisfies certain criteria enumerated in the bill. The bill has a delayed effective date of July 1, 2026.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Jennifer D. Carroll Foy (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-02-13 | House | Reported from Labor and Commerce with substitute and referred to Appropriations | pass | 20 | 1 |   |
| 2025-02-11 | House | Subcommittee recommends reporting with substitute | pass | 7 | 0 | 1 |
| 2025-01-31 | Senate | Constitutional reading dispensed Block Vote (on 3rd reading) | pass | 40 | 0 |   |
| 2025-01-31 | Senate | Passed Senate Block Vote | pass | 40 | 0 |   |
| 2025-01-30 | Senate | Constitutional reading dispensed Block Vote (on 1st reading) | pass | 39 | 0 | 1 |
| 2025-01-29 | Senate | Reported from Finance and Appropriations with substitute | pass | 15 | 0 |   |
| 2025-01-23 | Senate | Reported from Education and Health with substitute and rereferred to Finance and Appropriations | pass | 15 | 0 |   |

## Actions (32)

- 2025-02-18: Left in Appropriations (House)
- 2025-02-13: Committee substitute printed 25107090D-H1 (House)
- 2025-02-13: Reported from Labor and Commerce with substitute and referred to Appropriations (20-Y 1-N) (House)
- 2025-02-12: Impact statement from VCSC (SB1186) (Senate)
- 2025-02-11: Fiscal Impact Statement from Department of Planning and Budget (SB1186) (Senate)
- 2025-02-11: Subcommittee recommends reporting with substitute (7-Y 0-N) (House)
- 2025-02-06: Assigned L & C sub: Subcommittee #1 (House)
- 2025-02-06: Referred to Committee on Labor and Commerce (House)
- 2025-02-06: Read first time (House)
- 2025-02-06: Placed on Calendar (House)
- 2025-01-31: Passed Senate Block Vote (40-Y 0-N) (Senate)
- 2025-01-31: Constitutional reading dispensed Block Vote (on 3rd reading) (40-Y 0-N) (Senate)
- 2025-01-31: Rules suspended (Senate)
- 2025-01-31: Engrossed by Senate - committee substitute (Senate)
- 2025-01-31: Finance and Appropriations Substitute agreed to (Senate)
- 2025-01-31: Education and Health Substitute rejected (Senate)
- 2025-01-31: Read second time (Senate)
- 2025-01-31: Reading of substitute waived (Senate)
- 2025-01-30: Impact statement from VCSC (SB1186) (Senate)
- 2025-01-30: Constitutional reading dispensed Block Vote (on 1st reading) (39-Y 0-N 1-A) (Senate)
- 2025-01-30: Passed by for the day (Senate)
- 2025-01-30: Rules suspended (Senate)
- 2025-01-29: Committee substitute printed 25106402D-S2 (Senate)
- 2025-01-29: Reported from Finance and Appropriations with substitute (15-Y 0-N) (Senate)
- 2025-01-27: Fiscal Impact Statement from Department of Planning and Budget (SB1186) (Senate)
- 2025-01-24: Impact statement from VCSC (SB1186) (Senate)
- 2025-01-23: Reported from Education and Health with substitute and rereferred to Finance and Appropriations (15-Y 0-N) (Senate)
- 2025-01-23: Committee substitute printed 25105569D-S1 (Senate)
- 2025-01-21: Assigned Education sub: Health (Senate)
- 2025-01-10: Impact statement from VCSC (SB1186) (Senate)
- 2025-01-08: Referred to Committee on Education and Health (Senate)
- 2025-01-08: Prefiled and ordered printed; Offered 01-08-2025 25104489D (Senate)

## Bill text

- Substitute, 2025-02-13: [HTML](https://lis.blob.core.windows.net/files/1051592.HTML), [PDF](https://lis.blob.core.windows.net/files/1051591.PDF)
- Substitute, 2025-02-11: [HTML](https://lis.blob.core.windows.net/files/1047042.HTML), [HTML](https://lis.blob.core.windows.net/files/1047370.HTML), [PDF](https://lis.blob.core.windows.net/files/1047041.PDF), [PDF](https://lis.blob.core.windows.net/files/1047369.PDF)
- Substitute, 2025-01-30: [HTML](https://lis.blob.core.windows.net/files/1035867.HTML), [PDF](https://lis.blob.core.windows.net/files/1035866.PDF)
- Substitute, 2025-01-24: [HTML](https://lis.blob.core.windows.net/files/1027650.HTML), [PDF](https://lis.blob.core.windows.net/files/1027649.PDF)
- Introduced, 2025-01-08: [HTML](https://lis.blob.core.windows.net/files/1018178.HTML), [PDF](https://lis.blob.core.windows.net/files/1018177.PDF)

## Related bills

- HR671: Commending JR's Auto Care. (adopted)
- SB941: Robbery; use of air or gas operated weapon, etc., penalty. (failed)
- HB1746: Public safety officer; definition. (failed)
- HB1600: Budget Bill. (failed)
- SB1449: Data centers; site assessment for high energy use facility. (failed)
- HB1609: Essential health benefits benchmark plan; Commission to consider coverage for infertility treatment. (to governor)

## Sources
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1051592.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1051591.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1047042.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1047370.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1047041.PDF)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1047369.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1035867.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1035866.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1027650.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1027649.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1018178.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1018177.PDF)

## Related
- [HR671: Commending JR's Auto Care.](https://policyrisk.com/state-bill/VA-HR671-2025)
- [SB941: Robbery; use of air or gas operated weapon, etc., penalty.](https://policyrisk.com/state-bill/VA-SB941-2025)
- [HB1746: Public safety officer; definition.](https://policyrisk.com/state-bill/VA-HB1746-2025)
- [HB1600: Budget Bill.](https://policyrisk.com/state-bill/VA-HB1600-2025)
- [SB1449: Data centers; site assessment for high energy use facility.](https://policyrisk.com/state-bill/VA-SB1449-2025)
- [HB1609: Essential health benefits benchmark plan; Commission to consider coverage for i…](https://policyrisk.com/state-bill/VA-HB1609-2025)
- [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-SB1186-2025 (as of 2026-10-17).