HB 625 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 SB 161.

• Rozia A. Henson, Jr. Democratic · primary

1. Jan 13, 2026 Prefiled and ordered printed; Offered 01-14-2026 26101225D · lower
2. Jan 13, 2026 Referred to Committee on Labor and Commerce · lower
3. Jan 20, 2026 Assigned HCL sub: Subcommittee #1 · lower
4. Feb 3, 2026 Subcommittee failed to recommend reporting (4-Y 5-N) · lower
5. Feb 3, 2026 Reconsidered by Labor and Commerce (Voice Vote) · lower
6. Feb 3, 2026 Subcommittee recommends reporting with amendment(s) (6-Y 3-N) · lower
7. Feb 5, 2026 Reported from Labor and Commerce with amendment(s) (15-Y 7-N) · lower
8. Feb 9, 2026 Read first time · lower
9. Feb 10, 2026 Read second time · lower
10. Feb 10, 2026 committee amendment agreed to · lower
11. Feb 10, 2026 Engrossed by House as amended · lower
12. Feb 11, 2026 Read third time and passed House (63-Y 35-N 0-A) · lower
13. Feb 12, 2026 Constitutional reading dispensed (on 1st reading) · upper
14. Feb 12, 2026 Referred to Committee on Commerce and Labor · upper
15. Feb 23, 2026 Reported from Commerce and Labor with substitute (11-Y 4-N) · upper
16. Feb 24, 2026 Committee substitute printed 26108395D-S1 · upper
17. Feb 25, 2026 Rules suspended · upper
18. Feb 25, 2026 Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A) · upper
19. Feb 25, 2026 Passed by for the day Block Vote (Voice Vote) · upper
20. Feb 26, 2026 Read third time · upper
21. Feb 26, 2026 Commerce and Labor Substitute agreed to · upper
22. Feb 26, 2026 Engrossed by Senate - committee substitute · upper
23. Feb 26, 2026 Passed Senate with substitute (37-Y 3-N 0-A) · upper
24. Mar 2, 2026 Senate substitute rejected by House (2-Y 97-N 0-A) · lower
25. Mar 4, 2026 Fiscal Impact Statement from State Corporation Commission (HB625) · lower
26. Mar 4, 2026 Senate insisted on amendment (40-Y 0-N 0-A) · upper
27. Mar 4, 2026 Senate requested conference committee · upper
28. Mar 5, 2026 House acceded to request · lower
29. Mar 6, 2026 Conferees appointed by Senate · upper
30. Mar 6, 2026 Senate Conferees: Perry, Rouse, Stanley · upper
31. Mar 9, 2026 Conferees appointed by House · lower
32. Mar 9, 2026 House Conferees: Henson, Ward, McLaughlin · lower
33. Mar 10, 2026 Conference Report released · legislature
34. Mar 10, 2026 Conference report agreed to by House (63-Y 33-N 0-A) · lower
35. Mar 11, 2026 Conference report agreed to by Senate (39-Y 0-N 0-A) · upper
36. Mar 30, 2026 Enrolled · lower
37. Mar 30, 2026 Bill text as passed House and Senate (HB625ER) · lower
38. Mar 30, 2026 Signed by President · upper
39. Mar 31, 2026 Signed by Speaker · lower
40. Mar 31, 2026 Enrolled Bill communicated to Governor on March 31, 2026 · lower
41. Mar 31, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
42. Apr 13, 2026 Fiscal Impact Statement from State Corporation Commission (HB625) · lower
43. Apr 13, 2026 Approved by Governor-Chapter 641 (effective 7/1/2026) · executive
44. Apr 13, 2026 Acts of Assembly Chapter text (CHAP0641) · 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 Substitute · PDF
• Conference Report Substitute · HTML
• Commerce and Labor Substitute · PDF
• Commerce and Labor Substitute · HTML
• Engrossed · PDF
• Engrossed · HTML
• Labor and Commerce Amendment · HTML
• Subcommittee #1 Subcommittee Amendment · HTML
• Introduced · PDF
• Introduced · HTML