# Virginia SB790: Health insurance; mandated benefits, coverage for treatment of menopause and perimenopause.

Virginia SB790, Health insurance; mandated benefits, coverage for treatment of menopause and perimenopause., is a 2026 Regular Session Senate bill sponsored by Ryan T. McDougle (Republican); status signed, last action 2026-04-13 (Acts of Assembly Chapter text (CHAP0955)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-SB790-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia SB790
- State: Virginia
- Session: 2026 Regular Session
- Title: Health insurance; mandated benefits, coverage for treatment of menopause and perimenopause.
- Status: signed
- Chamber: Senate
- Introduced: 2026-01-23
- Last action: 2026-04-13, Acts of Assembly Chapter text (CHAP0955)
- Sponsor: Ryan T. McDougle (Republican)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 11 (272 yes, 0 no in all)
- Economic provisions PRIA read: 1

## Summary

Health insurance; mandated benefits; treatment of menopause and perimenopause. Requires each insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; each corporation providing individual or group accident and sickness subscription contracts; and each health maintenance organization providing a health care plan for health care services to provide coverage for medically necessary treatment and care for menopause and perimenopause, as described in the bill.

## Bill overview: provisions PRIA read

- Insurance must cover menopause care: mixed, medium. The law requires most individual and group health plans to cover medically necessary menopause and perimenopause care. This applies to policies delivered, issued for delivery, reissued, or extended in Virginia on or after January 1, 2027, and later when any term changes or premiums are adjusted. Co…

## Sponsors and cosponsors

- Sponsor: Ryan T. McDougle (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-05 | Senate | House substitute agreed to by Senate | pass | 39 | 0 |   |
| 2026-03-03 | House | Passed House with substitute Block Vote | pass | 97 | 0 |   |
| 2026-02-26 | House | Reported from Labor and Commerce with substitute | pass | 21 | 0 |   |
| 2026-02-24 | House | Subcommittee recommends reporting with substitute | pass | 8 | 0 |   |
| 2026-02-11 | Senate | Read third time and passed Senate | pass | 40 | 0 |   |
| 2026-02-10 | Senate | Commerce and Labor Amendment rejected | pass | 0 | 0 |   |
| 2026-02-10 | Senate | Finance and Appropriations Substitute agreed to | pass | 0 | 0 |   |
| 2026-02-09 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-02-09 | Senate | Constitutional reading dispensed Block Vote (on 1st reading) | pass | 40 | 0 |   |
| 2026-02-05 | Senate | Reported from Finance and Appropriations with substitute | pass | 15 | 0 |   |
| 2026-02-02 | Senate | Reported from Commerce and Labor with amendment and rereferred to Finance and Appropriations | pass | 12 | 0 | 1 |

## Actions (39)

- 2026-04-13: Acts of Assembly Chapter text (CHAP0955) (Governor)
- 2026-04-13: Approved by Governor-Chapter 955 (effective 7/1/2026) (Governor)
- 2026-03-14: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor)
- 2026-03-14: Enrolled Bill communicated to Governor on March 14, 2026 (Senate)
- 2026-03-12: Signed by Speaker (House)
- 2026-03-11: Fiscal Impact Statement from Department of Planning and Budget (SB790) (Senate)
- 2026-03-11: Bill text as passed Senate and House (SB790ER) (Senate)
- 2026-03-11: Enrolled (Senate)
- 2026-03-11: Signed by President (Senate)
- 2026-03-05: House substitute agreed to by Senate (39-Y 0-N 0-A) (Senate)
- 2026-03-03: Passed House with substitute Block Vote (97-Y 0-N 0-A) (House)
- 2026-03-03: Engrossed by House - committee substitute (House)
- 2026-03-03: committee substitute agreed to (House)
- 2026-03-03: Read third time (House)
- 2026-03-03: Fiscal Impact Statement from Department of Planning and Budget (SB790) (Senate)
- 2026-03-02: Read second time (House)
- 2026-02-27: Committee substitute printed 26108621D-H1 (House)
- 2026-02-26: Reported from Labor and Commerce with substitute (21-Y 0-N) (House)
- 2026-02-24: Subcommittee recommends reporting with substitute (8-Y 0-N) (House)
- 2026-02-17: Read first time (House)
- 2026-02-17: Assigned HCL sub: Subcommittee #1 (House)
- 2026-02-17: Referred to Committee on Labor and Commerce (House)
- 2026-02-17: Placed on Calendar (House)
- 2026-02-11: Read third time and passed Senate (40-Y 0-N 0-A) (Senate)
- 2026-02-10: Finance and Appropriations Substitute agreed to (Senate)
- 2026-02-10: Commerce and Labor Amendment rejected (Senate)
- 2026-02-10: Fiscal Impact Statement from Department of Planning and Budget (SB790) (Senate)
- 2026-02-10: Engrossed by Senate - committee substitute (Voice Vote) (Senate)
- 2026-02-10: Read second time (Senate)
- 2026-02-09: Passed by for the day Block Vote (Voice Vote) (Senate)
- 2026-02-09: Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A) (Senate)
- 2026-02-09: Committee substitute printed 26107293D-S1 (Senate)
- 2026-02-09: Passed by for the day (Senate)
- 2026-02-09: Rules suspended (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 (SB790) (Senate)
- 2026-02-02: Reported from Commerce and Labor with amendment and rereferred to Finance and Appropriations (12-Y 0-N 1-A) (Senate)
- 2026-01-23: Referred to Committee on Commerce and Labor (Senate)
- 2026-01-23: Presented and ordered printed 26104365D (Senate)

## Bill text

- Chaptered, 2026-04-13: [HTML](https://lis.blob.core.windows.net/files/1224721.HTML), [PDF](https://lis.blob.core.windows.net/files/1224720.PDF)
- Enrolled, 2026-03-11: [HTML](https://lis.blob.core.windows.net/files/1201649.HTML), [PDF](https://lis.blob.core.windows.net/files/1201648.PDF)
- Substitute, 2026-02-27: [HTML](https://lis.blob.core.windows.net/files/1185540.HTML), [PDF](https://lis.blob.core.windows.net/files/1185539.PDF)
- Substitute, 2026-02-25: [HTML](https://lis.blob.core.windows.net/files/1179247.HTML), [PDF](https://lis.blob.core.windows.net/files/1179246.PDF)
- Substitute, 2026-02-09: [HTML](https://lis.blob.core.windows.net/files/1133897.HTML), [PDF](https://lis.blob.core.windows.net/files/1133896.PDF)
- Amendment, 2026-02-03: [HTML](https://lis.blob.core.windows.net/files/1113420.HTML)
- Introduced, 2026-01-23: [HTML](https://lis.blob.core.windows.net/files/1095718.HTML), [PDF](https://lis.blob.core.windows.net/files/1095716.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/1224721.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1224720.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1201649.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1201648.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1185540.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1185539.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1179247.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1179246.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1133897.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1133896.PDF)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1113420.HTML)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1095718.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1095716.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-SB790-2026 (as of 2026-10-12).