SB 161 VA

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Became Law

Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least one health plan in each of the bronze, silver, gold, and platinum levels of coverage in each rating area in the individual and small group market conform with the following: (i) a plan that offers a platinum level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $150 per 30-day supply of the prescription drug; (ii) a plan that offers a gold level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $200 per 30-day supply of the prescription drug; (iii) a plan that offers a silver level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $250 per 30-day supply of the prescription drug; and (iv) a plan that offers a bronze level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $300 per 30-day supply of the prescription drug. The bill requires that any plans offered to meet its requirements are (a) clearly and appropriately named to aid the consumer or plan sponsor in the plan selection process and (b) marketed in the same manner as other plans offered by the carrier. The bill's provisions apply to any individual or group accident and sickness insurance policy, any individual or group accident and sickness subscription contract, and any health care plan for health care services delivered, issued for delivery, or renewed in the Commonwealth on or after January 1, 2028. This bill is identical to HB 625.

• Russet Perry Democratic · primary

1. Jan 7, 2026 Prefiled and ordered printed; Offered 01-14-2026 26101280D · upper
2. Jan 7, 2026 Referred to Committee on Commerce and Labor · upper
3. Jan 25, 2026 Fiscal Impact Statement from State Corporation Commission (SB161) · upper
4. Jan 26, 2026 Senate committee offered · upper
5. Feb 2, 2026 Reported from Commerce and Labor with amendment (9-Y 4-N) · upper
6. Feb 4, 2026 Rules suspended · upper
7. Feb 4, 2026 Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A) · upper
8. Feb 4, 2026 Passed by for the day Block Vote (Voice Vote) · upper
9. Feb 5, 2026 Read second time · upper
10. Feb 5, 2026 Commerce and Labor Amendment agreed to · upper
11. Feb 5, 2026 Engrossed by Senate as amended (Voice Vote) · upper
12. Feb 6, 2026 Read third time and passed Senate (34-Y 6-N 0-A) · upper
13. Feb 12, 2026 Placed on Calendar · lower
14. Feb 12, 2026 Read first time · lower
15. Feb 12, 2026 Referred to Committee on Labor and Commerce · lower
16. Feb 19, 2026 Reported from Labor and Commerce with substitute (14-Y 6-N) · lower
17. Feb 19, 2026 Committee substitute printed 26108163D-H1 · lower
18. Feb 23, 2026 Read second time · lower
19. Feb 24, 2026 Read third time · lower
20. Feb 24, 2026 committee substitute agreed to · lower
21. Feb 24, 2026 Engrossed by House - committee substitute · lower
22. Feb 24, 2026 Passed House with substitute (64-Y 34-N 0-A) · lower
23. Feb 26, 2026 House substitute rejected by Senate (0-Y 40-N 0-A) · upper
24. Feb 27, 2026 House insisted on substitute · lower
25. Feb 27, 2026 House requested conference committee · lower
26. Mar 3, 2026 Senate acceded to request Block Vote (40-Y 0-N 0-A) · upper
27. Mar 3, 2026 Conferees appointed by Senate · upper
28. Mar 3, 2026 Senate Conferees: Perry, Rouse, Stanley · upper
29. Mar 3, 2026 Fiscal Impact Statement from State Corporation Commission (SB161) · upper
30. Mar 5, 2026 Conferees appointed by House · lower
31. Mar 5, 2026 House Conferees: Henson, Ward, McLaughlin · lower
32. Mar 6, 2026 Conference Report released · legislature
33. Mar 9, 2026 Conference report agreed to by Senate (38-Y 2-N 0-A) · upper
34. Mar 10, 2026 Conference report agreed to by House (63-Y 33-N 0-A) · lower
35. Mar 30, 2026 Enrolled · upper
36. Mar 30, 2026 Bill text as passed Senate and House (SB161ER) · upper
37. Mar 30, 2026 Signed by President · upper
38. Mar 31, 2026 Signed by Speaker · lower
39. Mar 31, 2026 Enrolled Bill communicated to Governor on March 31, 2026 · upper
40. Mar 31, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
41. Apr 13, 2026 Approved by Governor-Chapter 642 (effective 7/1/2026) · executive
42. Apr 13, 2026 Acts of Assembly Chapter text (CHAP0642) · executive

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Chaptered · PDF
• Chaptered · HTML
• Enrolled · PDF
• Enrolled · HTML
• Conference Report · HTML
• Conference Report · HTML
• Conference Report Substitute · PDF
• Conference Report Substitute · HTML
• Labor and Commerce Substitute · PDF
• Labor and Commerce Substitute · HTML
• Engrossed · PDF
• Engrossed · HTML
• Commerce and Labor Amendment · HTML
• Commerce and Labor Amendment · HTML
• Introduced · PDF
• Introduced · HTML