VirginiaSB6262026 Regular SessionSenateWALLET

Health insurance; reporting requirements.

Sponsored By: Mark D. Obenshain (Republican)

Signed by Governor

Summary

Health insurance; reporting requirements. Amends various reporting requirements related to health insurance, including by requiring the State Corporation Commission to maintain and publicly post an inventory of mandated benefits and providers, requiring health carriers to report annually on provider terminations and reinstatements, and consolidating reports related to balance billing and arbitration. The bill repeals reporting requirements related to the Comparable Health Care Service Incentive Program and Virginia Health Savings Account Plan. This bill is identical to HB 618.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Health plan members get lower-cost care rewards

For plans offered or renewed beginning January 1, 2021, Virginia health insurers must develop rewards for choosing lower-cost covered care. The provider must receive less than the insurer’s average payment to network providers for comparable care. Rewards can include cash, gift cards, credits, or lower premiums or out-of-pocket costs. Insurers must include the program in all their small-group plans and provide required consumer notices. They may withhold rewards when their savings are $25 or less. The state insurance commission must exempt limited-network plans that show the program does not fit their networks. Insurers may require proof of comparison-shopping and must offer ways to provide it through their website or toll-free number. They must file a cost-effectiveness description before offering the program and submit annual program data. Rewards follow federal tax rules and may be taxable.

Managed care members get consumer help

The law creates a Managed Care Ombudsman office within Virginia’s Bureau of Insurance to help managed care health plan members. The office helps protect members’ interests, reviews complaint data, and provides information about health care costs. It also supports the state insurance commission’s annual reporting. State agencies must assist and cooperate with the office. The office does not itself change covered benefits or provide a specified payment.

Sponsors & Cosponsors

Sponsor

  • Mark D. Obenshain

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 211 • No: 0

House vote • 2/24/2026

Passed House Block Vote

Yes: 98 • No: 0

House vote • 2/19/2026

Reported from Labor and Commerce

Yes: 20 • No: 0

Senate vote • 1/30/2026

Read third time and passed Senate Block Vote

Yes: 38 • No: 0

Senate vote • 1/29/2026

Engrossed by Senate Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 1/28/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 1/28/2026

Constitutional reading dispensed Block Vote (on 1st reading)

Yes: 40 • No: 0

Senate vote • 1/26/2026

Reported from Commerce and Labor

Yes: 15 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0188)

    4/6/2026Governor
  2. Approved by Governor-Chapter 188 (effective 7/1/2026)

    4/6/2026Governor
  3. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/10/2026Governor
  4. Enrolled Bill communicated to Governor on March 10, 2026

    3/10/2026Senate
  5. Fiscal Impact Statement from State Corporation Commission (SB626)

    3/2/2026Senate
  6. Bill text as passed Senate and House (SB626ER)

    2/26/2026Senate
  7. Enrolled

    2/26/2026Senate
  8. Signed by President

    2/26/2026Senate
  9. Signed by Speaker

    2/26/2026House
  10. Passed House Block Vote (98-Y 0-N 0-A)

    2/24/2026House
  11. Read third time

    2/24/2026House
  12. Read second time

    2/23/2026House
  13. Reported from Labor and Commerce (20-Y 0-N)

    2/19/2026House
  14. Referred to Committee on Labor and Commerce

    2/4/2026House
  15. Read first time

    2/4/2026House
  16. Placed on Calendar

    2/4/2026House
  17. Read third time and passed Senate Block Vote (38-Y 0-N 0-A)

    1/30/2026Senate
  18. Engrossed by Senate Block Vote (Voice Vote)

    1/29/2026Senate
  19. Read second time

    1/29/2026Senate
  20. Passed by for the day Block Vote (Voice Vote)

    1/28/2026Senate
  21. Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)

    1/28/2026Senate
  22. Passed by for the day

    1/28/2026Senate
  23. Rules suspended

    1/28/2026Senate
  24. Reported from Commerce and Labor (15-Y 0-N)

    1/26/2026Senate
  25. Fiscal Impact Statement from State Corporation Commission (SB626)

    1/25/2026Senate

Bill Text

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