HB 830 VA Became Law
Pharmacy benefits managers; requirements, application of law, report, delayed effective date.
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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 is identical to SB 669.
Sponsor (1)
- Katrina Callsen Democratic · primary
30 coauthors / cosponsors
- Nicole Cole Democratic · cosponsor
- H. Otto Wachsmann, Jr. Republican · cosponsor
- Jessica L. Anderson · cosponsor
- Bonita G. Anthony Democratic · cosponsor
- Elizabeth B. Bennett-Parker Democratic · cosponsor
- Gretchen M. Bulova · cosponsor
- Karen R. "Kacey" Carnegie · cosponsor
- Stacey Annie Carroll · cosponsor
- Nadarius E. Clark Democratic · cosponsor
- Rae Cousins Democratic · cosponsor
- Lindsey Dougherty Democratic · cosponsor
- Mark C. Downey · cosponsor
- Lily V. Franklin · cosponsor
- Margaret A. Franklin · cosponsor
- Elizabeth R. Guzman Democratic · cosponsor
- Phil M. Hernandez Democratic · cosponsor
- Karen Keys-Gamarra Democratic · cosponsor
- Amy J. Laufer Democratic · cosponsor
- Marty Martinez Democratic · cosponsor
- Adele Y. McClure Democratic · cosponsor
- Leslie Chambers Mehta · cosponsor
- May Nivar Democratic · cosponsor
- Kimberly Pope Adams · cosponsor
- Marcia S. "Cia" Price Democratic · cosponsor
- Sam Rasoul Democratic · cosponsor
- Charlie Schmidt · cosponsor
- Shelly A. Simonds Democratic · cosponsor
- Virgil Thornton Democratic · cosponsor
- Kathy K.L. Tran Democratic · cosponsor
- Rodney T. Willett Democratic · cosponsor
Action history (43)
- Jan 13, 2026 Prefiled and ordered printed; Offered 01-14-2026 26105289D · lower
- Jan 13, 2026 Referred to Committee on Labor and Commerce · lower
- Jan 22, 2026 Assigned HCL sub: Subcommittee #1 · lower
- Feb 3, 2026 House subcommittee offered · lower
- Feb 3, 2026 Subcommittee recommends reporting with substitute and referring to Appropriations (9-Y 0-N) · lower
- Feb 3, 2026 Fiscal Impact Statement from State Corporation Commission (HB830) · lower
- Feb 5, 2026 Reported from Labor and Commerce with substitute and referred to Appropriations (22-Y 0-N) · lower
- Feb 5, 2026 Committee substitute printed 26106561D-H1 · lower
- Feb 10, 2026 Fiscal Impact Statement from State Corporation Commission (HB830) · lower
- Feb 12, 2026 Assigned HAPP sub: Compensation and Retirement · lower
- Feb 13, 2026 House subcommittee offered · lower
- Feb 13, 2026 Subcommittee recommends reporting with substitute (7-Y 0-N) · lower
- Feb 13, 2026 Reported from Appropriations with substitute (22-Y 0-N) · lower
- Feb 13, 2026 Committee substitute printed 26107837D-H2 · lower
- Feb 15, 2026 Read first time · lower
- Feb 16, 2026 Read second time · lower
- Feb 16, 2026 committee substitute rejected · lower
- Feb 16, 2026 committee substitute agreed to · lower
- Feb 16, 2026 Engrossed by House - committee substitute · lower
- Feb 17, 2026 Read third time and passed House (97-Y 0-N 0-A) · lower
- Feb 18, 2026 Constitutional reading dispensed (on 1st reading) · upper
- Feb 18, 2026 Referred to Committee on Commerce and Labor · upper
- Mar 2, 2026 Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (14-Y 0-N) · upper
- Mar 3, 2026 Committee substitute printed 26108906D-S1 · upper
- Mar 6, 2026 Reported from Finance and Appropriations (14-Y 0-N) · upper
- Mar 9, 2026 Constitutional reading dispensed (on 2nd reading) (40-Y 0-N 0-A) · upper
- Mar 9, 2026 Passed by for the day (Voice Vote) · upper
- Mar 9, 2026 Rules suspended · upper
- Mar 9, 2026 Passed by for the day · upper
- Mar 10, 2026 Read third time · upper
- Mar 10, 2026 Commerce and Labor Substitute agreed to · upper
- Mar 10, 2026 Engrossed by Senate - committee substitute · upper
- Mar 10, 2026 Passed Senate with substitute Block Vote (40-Y 0-N 0-A) · upper
- Mar 11, 2026 Senate substitute agreed to by House (98-Y 0-N 0-A) · lower
- Mar 12, 2026 Fiscal Impact Statement from State Corporation Commission (HB830) · lower
- Mar 30, 2026 Enrolled · lower
- Mar 30, 2026 Bill text as passed House and Senate (HB830ER) · lower
- Mar 30, 2026 Signed by President · upper
- Mar 31, 2026 Signed by Speaker · lower
- Mar 31, 2026 Enrolled Bill communicated to Governor on March 31, 2026 · lower
- Mar 31, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
- Apr 13, 2026 Approved by Governor-Chapter 678 (Effective 7/1/2027) · executive
- Apr 13, 2026 Acts of Assembly Chapter text (CHAP0678) · executive
Text versions (20)
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
- Commerce and Labor Substitute · PDF
- Commerce and Labor Substitute · HTML
- Appropriations Substitute · PDF
- Appropriations Substitute · HTML
- Appropriations Substitute · PDF
- Appropriations Substitute · HTML
- Compensation and Retirement Subcommittee Substitute · PDF
- Compensation and Retirement Subcommittee Substitute · HTML
- Labor and Commerce Substitute · PDF
- Labor and Commerce Substitute · HTML
- Labor and Commerce Substitute · PDF
- Labor and Commerce Substitute · HTML
- Subcommittee #1 Subcommittee Substitute · PDF
- Subcommittee #1 Subcommittee Substitute · HTML
- Introduced · PDF
- Introduced · HTML
Full text
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