# Virginia SB669: Pharmacy benefits managers; requirements, application of law, report, delayed effective date. Virginia SB669, Pharmacy benefits managers; requirements, application of law, report, delayed effective date., is a 2026 Regular Session Senate bill sponsored by Aaron R. Rouse (Democratic); status signed, last action 2026-03-31 (Acts of Assembly Chapter text (CHAP0036)); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-SB669-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia SB669 - State: Virginia - Session: 2026 Regular Session - Title: Pharmacy benefits managers; requirements, application of law, report, delayed effective date. - Status: signed - Chamber: Senate - Introduced: 2026-01-14 - Last action: 2026-03-31, Acts of Assembly Chapter text (CHAP0036) - Sponsor: Aaron R. Rouse (Democratic) - Cosponsors: 0 - Touches household money: yes - Roll calls: 9 (266 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 incorporates SB 410 and SB 413 and is identical to HB 830. ## Bill overview: provisions PRIA read - Drug rebates must lower patient costs: benefit, medium. Beginning July 1, 2027, pharmacy benefit managers must pass along 100% of manufacturer rebates received under delegated rebate-negotiation agreements. This also applies when an affiliated company handles the negotiations. Rebates must go to the insurer or health plan for premium and cost-sharing re… - Stronger rules for pharmacy network access: benefit, medium. Beginning July 1, 2027, insurers cannot count mail-order pharmacies or pharmacy benefit manager affiliates when measuring whether networks provide enough access. This applies to access requirements in Virginia law or contracts. Insurers cannot exclude a pharmacy based on accreditation or certificat… - Fairer treatment for discount-program pharmacies: benefit, low. Beginning July 1, 2027, insurers and pharmacy benefit managers cannot impose different terms because providers or contract pharmacies participate in the 340B drug discount program. This includes different payment terms, requirements, or exclusions based on that status or dispensing 340B drugs. The… - Pharmacy protections cover state employee plans: benefit, low. Beginning July 1, 2027, Virginia's pharmacy benefit management rules apply to claims under the state employee health plan. Members receive the article's applicable pricing, pharmacy choice, and other protections for those claims. The law does not set an individual savings amount. - Clearer pricing rules for pharmacy benefits: benefit, low. Beginning July 1, 2027, Virginia bans spread pricing and false advertising by insurers and their pharmacy benefit managers. Insurers must use pass-through pricing, with that pricing stated in their agreements. When a plan sponsor requests it, insurers must offer at least one contract limiting pharm… - Limits on pharmacy claim payment disputes: benefit, low. Beginning July 1, 2027, reversing and resubmitting pharmacy claims requires prior written notice and either just cause or an earlier attempt to resolve the claim. This must happen within one year after the claim was first approved. Claims cannot be denied or reduced later except for fraud, prior pa… - Stronger payment protections for pharmacies: benefit, low. Beginning July 1, 2027, insurers and their pharmacy benefit managers cannot charge pharmacies claim-review fees beyond a reasonable initial-submission fee. Electronic claim processing fees are banned. Pharmacies cannot receive less per unit than a pharmacy benefit manager pays its affiliate for the… - Some health plans fall outside protections: cost, low. Beginning July 1, 2027, Children's Health Insurance Program claims fall outside Virginia's pharmacy benefit management rules. The article also excludes self-insured employer plans governed by federal ERISA law, Medicaid, and Medicare Part D. These exclusions concern the article's protections, not w… ## Sponsors and cosponsors - Sponsor: Aaron R. Rouse (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-02-27 | Senate | House substitute agreed to by Senate | pass | 38 | 0 | | | 2026-02-25 | House | Passed House with substitute | pass | 98 | 0 | | | 2026-02-19 | House | Reported from Labor and Commerce with substitute | pass | 20 | 0 | | | 2026-02-06 | Senate | Read third time and passed Senate Block Vote | pass | 40 | 0 | | | 2026-02-05 | Senate | Commerce and Labor Substitute agreed to | pass | 0 | 0 | | | 2026-02-04 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-02-04 | Senate | Constitutional reading dispensed Block Vote (on 1st reading) | pass | 40 | 0 | | | 2026-02-03 | Senate | Reported from Finance and Appropriations | pass | 15 | 0 | | | 2026-01-26 | Senate | Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations | pass | 15 | 0 | | ## Actions (42) - 2026-03-31: Acts of Assembly Chapter text (CHAP0036) (Governor) - 2026-03-31: Approved by Governor-Chapter 36 (Effective 7/1/2027) (Governor) - 2026-03-12: Fiscal Impact Statement from State Corporation Commission (SB669) (Senate) - 2026-03-10: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor) - 2026-03-10: Enrolled Bill communicated to Governor on March 10, 2026 (Senate) - 2026-03-04: Bill text as passed Senate and House (SB669ER) (Senate) - 2026-03-04: Enrolled (Senate) - 2026-03-04: Signed by President (Senate) - 2026-03-04: Signed by Speaker (House) - 2026-02-27: House substitute agreed to by Senate (38-Y 0-N 0-A) (Senate) - 2026-02-25: Passed House with substitute (98-Y 0-N 0-A) (House) - 2026-02-25: Engrossed by House - floor substitute (House) - 2026-02-25: Delegate Callsen Floor substitute agreed to (House) - 2026-02-25: committee substitute rejected (House) - 2026-02-25: Read third time (House) - 2026-02-25: Floor Offered (House) - 2026-02-25: Floor substitute printed 26108552D-H2 (Callsen) (House) - 2026-02-24: Passed by for the day (House) - 2026-02-24: Moved from Uncontested Calendar to Regular Calendar (House) - 2026-02-23: Read second time (House) - 2026-02-19: Committee substitute printed 26108250D-H1 (House) - 2026-02-19: Reported from Labor and Commerce with substitute (20-Y 0-N) (House) - 2026-02-12: Referred to Committee on Labor and Commerce (House) - 2026-02-12: Read first time (House) - 2026-02-12: Placed on Calendar (House) - 2026-02-10: Fiscal Impact Statement from State Corporation Commission (SB669) (Senate) - 2026-02-06: Read third time and passed Senate Block Vote (40-Y 0-N 0-A) (Senate) - 2026-02-05: Commerce and Labor Substitute agreed to (Senate) - 2026-02-05: Engrossed by Senate - committee substitute Block Vote (Voice Vote) (Senate) - 2026-02-05: Read second time (Senate) - 2026-02-04: Passed by for the day Block Vote (Voice Vote) (Senate) - 2026-02-04: Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A) (Senate) - 2026-02-04: Rules suspended (Senate) - 2026-02-03: Reported from Finance and Appropriations (15-Y 0-N) (Senate) - 2026-01-27: Committee substitute printed 26106220D-S1 (Senate) - 2026-01-26: Incorporates SB413 (Peake) (Senate) - 2026-01-26: Senate committee offered (Senate) - 2026-01-26: Senate committee offered (Senate) - 2026-01-26: Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (15-Y 0-N) (Senate) - 2026-01-26: Incorporates SB410 (Peake) (Senate) - 2026-01-14: Referred to Committee on Commerce and Labor (Senate) - 2026-01-14: Prefiled and ordered printed; Offered 01-14-2026 26105407D (Senate) ## Bill text - Chaptered, 2026-03-31: [HTML](https://lis.blob.core.windows.net/files/1214947.HTML), [PDF](https://lis.blob.core.windows.net/files/1214946.PDF) - Enrolled, 2026-03-04: [HTML](https://lis.blob.core.windows.net/files/1188632.HTML), [PDF](https://lis.blob.core.windows.net/files/1188631.PDF) - Substitute, 2026-02-25: [HTML](https://lis.blob.core.windows.net/files/1179273.HTML), [PDF](https://lis.blob.core.windows.net/files/1179272.PDF) - Substitute, 2026-02-19: [HTML](https://lis.blob.core.windows.net/files/1170876.HTML), [PDF](https://lis.blob.core.windows.net/files/1170875.PDF) - Substitute, 2026-01-27: [HTML](https://lis.blob.core.windows.net/files/1097490.HTML), [PDF](https://lis.blob.core.windows.net/files/1097489.PDF) - Substitute, 2026-01-26: [HTML](https://lis.blob.core.windows.net/files/1097018.HTML), [PDF](https://lis.blob.core.windows.net/files/1097017.PDF) - Introduced, 2026-01-14: [HTML](https://lis.blob.core.windows.net/files/1091748.HTML), [PDF](https://lis.blob.core.windows.net/files/1091747.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/1214947.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1214946.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1188632.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1188631.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1179273.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1179272.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1170876.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1170875.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1097490.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1097489.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1097018.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1097017.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1091748.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1091747.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-SB669-2026 (as of 2026-10-12).