# Virginia SB642: Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood. Virginia SB642, Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood., is a 2026 Regular Session Senate bill sponsored by Todd E. Pillion (Republican); status passed senate, last action 2026-03-02 (Continued to 2027 in Appropriations (Voice Vote)) (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-SB642-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia SB642 - State: Virginia - Session: 2026 Regular Session - Title: Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood. - Status: passed senate - Chamber: Senate - Introduced: 2026-01-14 - Last action: 2026-03-02, Continued to 2027 in Appropriations (Voice Vote) - Sponsor: Todd E. Pillion (Republican) - Cosponsors: 0 - Subjects: Compensation and Retirement - Touches household money: no - Roll calls: 14 (176 yes, 3 no in all) - Economic provisions PRIA read: 0 ## Summary Health insurance; treatment of cancer and certain diseases; coverage of certain medications. Requires an insurer, corporation providing preferred provider subscription contracts, or health maintenance organization that provides coverage for drugs approved by the Food and Drug Administration and prescribed for the treatment of cancer or diseases of the blood to allow, at the patient's direction, (i) provider-administered drugs for such treatment to be dispensed by an in-network treating provider consistent with a provider agreement; (ii) provider-administered drugs for such treatment to be dispensed by an in-network treating provider when there is a documented delay of at least three days in the delivery of a medication from the designated specialty pharmacy; and (iii) self-administered drugs for such treatment to be sent to the pharmacy of the patient's choosing. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Todd E. Pillion (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-02 | House | Continued to 2027 in Appropriations (Voice Vote) | pass | 0 | 0 | | | 2026-02-26 | House | Reported from Labor and Commerce and referred to Appropriations | pass | 18 | 3 | | | 2026-02-24 | House | Subcommittee recommends reporting and referring to Appropriations | pass | 8 | 0 | | | 2026-02-19 | House | Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote) | pass | 0 | 0 | | | 2026-02-10 | Senate | Read third time and passed Senate Block Vote | pass | 40 | 0 | | | 2026-02-09 | Senate | Commerce and Labor Substitute rejected | pass | 0 | 0 | | | 2026-02-09 | Senate | Committee substitute reconsidered | pass | 40 | 0 | | | 2026-02-09 | Senate | Finance and Appropriations Substitute agreed to | pass | 0 | 0 | | | 2026-02-05 | Senate | Reported from Finance and Appropriations with substitute | pass | 15 | 0 | | | 2026-01-29 | Senate | Commerce and Labor Substitute agreed to | pass | 0 | 0 | | | 2026-01-29 | Senate | Motion to rerefer to Finance and Appropriations agreed to | pass | 0 | 0 | | | 2026-01-28 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-01-28 | Senate | Constitutional reading dispensed Block Vote (on 1st reading) | pass | 40 | 0 | | | 2026-01-26 | Senate | Reported from Commerce and Labor with substitute | pass | 15 | 0 | | ## Actions (32) - 2026-03-02: Continued to 2027 in Appropriations (Voice Vote) (House) - 2026-03-02: Assigned HAPP sub: Compensation and Retirement (House) - 2026-02-26: Reported from Labor and Commerce and referred to Appropriations (18-Y 3-N) (House) - 2026-02-24: Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N) (House) - 2026-02-20: Assigned HCL sub: Subcommittee #1 (House) - 2026-02-19: Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote) (House) - 2026-02-16: Fiscal Impact Statement from Department of Planning and Budget (SB642) (Senate) - 2026-02-13: Read first time (House) - 2026-02-13: Referred to Committee on Health and Human Services (House) - 2026-02-13: Placed on Calendar (House) - 2026-02-10: Read third time and passed Senate Block Vote (40-Y 0-N 0-A) (Senate) - 2026-02-09: Finance and Appropriations Substitute agreed to (Senate) - 2026-02-09: Commerce and Labor Substitute rejected (Senate) - 2026-02-09: Committee substitute reconsidered (Senate) - 2026-02-09: Committee substitute printed 26107336D-S2 (Senate) - 2026-02-09: Engrossed by Senate - committee substitute (Voice Vote) (Senate) - 2026-02-09: Read second time (Senate) - 2026-02-05: Reported from Finance and Appropriations with substitute (15-Y 0-N) (Senate) - 2026-02-02: Fiscal Impact Statement from Department of Planning and Budget (SB642) (Senate) - 2026-01-29: Rereferred to Finance and Appropriations (Senate) - 2026-01-29: Motion to rerefer to Finance and Appropriations agreed to (Senate) - 2026-01-29: Commerce and Labor Substitute agreed to (Senate) - 2026-01-29: Read second time (Senate) - 2026-01-28: Passed by for the day Block Vote (Voice Vote) (Senate) - 2026-01-28: Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A) (Senate) - 2026-01-28: Passed by for the day (Senate) - 2026-01-28: Rules suspended (Senate) - 2026-01-27: Committee substitute printed 26106270D-S1 (Senate) - 2026-01-27: Senate committee offered (Senate) - 2026-01-26: Reported from Commerce and Labor with substitute (15-Y 0-N) (Senate) - 2026-01-14: Referred to Committee on Commerce and Labor (Senate) - 2026-01-14: Prefiled and ordered printed; Offered 01-14-2026 26105211D (Senate) ## Bill text - Substitute, 2026-02-09: [HTML](https://lis.blob.core.windows.net/files/1133909.HTML), [PDF](https://lis.blob.core.windows.net/files/1133908.PDF) - Substitute, 2026-01-27: [HTML](https://lis.blob.core.windows.net/files/1097264.HTML), [HTML](https://lis.blob.core.windows.net/files/1097478.HTML), [PDF](https://lis.blob.core.windows.net/files/1097477.PDF), [PDF](https://lis.blob.core.windows.net/files/1097263.PDF) - Introduced, 2026-01-14: [HTML](https://lis.blob.core.windows.net/files/1091605.HTML), [PDF](https://lis.blob.core.windows.net/files/1091604.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 - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1133909.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1133908.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1097264.HTML) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1097478.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1097477.PDF) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1097263.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1091605.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1091604.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-SB642-2026 (as of 2026-10-12).