SB 257 VA

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Became Law

Health insurance; requirements for certain opioid antagonists. Requires each health insurer, corporation providing health care subscription plans, and health maintenance organization whose policy, contract, or plan includes coverage for prescription drugs to include coverage for at least one opioid antagonist used for overdose reversal dispensed pursuant to an oral, written, or standing order of a prescriber and ensure that cost-sharing for at least one opioid antagonist used for overdose reversal is included on the lowest cost tier of the insurer's, corporation's, or health maintenance organization's prescription drug formulary. The bill provides that such coverage shall be exempt from any prior authorization or step therapy requirement on coverage of benefits. As introduced, this bill was a recommendation of the Joint Commission on Health Care. This bill is identical to HB 795.

• Barbara A. Favola Democratic · primary

1. Jan 12, 2026 Prefiled and ordered printed; Offered 01-14-2026 26104746D · upper
2. Jan 12, 2026 Referred to Committee on Commerce and Labor · upper
3. Jan 23, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB257) · upper
4. Feb 2, 2026 Senate committee offered · upper
5. Feb 2, 2026 Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (10-Y 2-N 1-A) · upper
6. Feb 3, 2026 Committee substitute printed 26106753D-S1 · upper
7. Feb 4, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB257) · upper
8. Feb 11, 2026 Reported from Finance and Appropriations (15-Y 0-N) · upper
9. Feb 12, 2026 Rules suspended · upper
10. Feb 12, 2026 Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A) · upper
11. Feb 12, 2026 Passed by for the day Block Vote (Voice Vote) · upper
12. Feb 13, 2026 Read second time · upper
13. Feb 13, 2026 Committee substitute agreed to (Voice Vote) · upper
14. Feb 13, 2026 Engrossed by Senate - committee substitute (Voice Vote) · upper
15. Feb 16, 2026 Read third time and passed Senate (37-Y 1-N 0-A) · upper
16. Feb 19, 2026 Placed on Calendar · lower
17. Feb 19, 2026 Read first time · lower
18. Feb 19, 2026 Referred to Committee on Labor and Commerce · lower
19. Feb 24, 2026 House subcommittee offered · lower
20. Feb 24, 2026 Assigned HCL sub: Subcommittee #1 · lower
21. Feb 24, 2026 Subcommittee recommends reporting with substitute and referring to Appropriations (6-Y 0-N) · lower
22. Feb 26, 2026 Reported from Labor and Commerce with substitute and referred to Appropriations (21-Y 0-N) · lower
23. Feb 27, 2026 Assigned HAPP sub: Health & Human Resources · lower
24. Feb 27, 2026 Committee substitute printed 26108572D-H1 · lower
25. Mar 4, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB257) · upper
26. Mar 9, 2026 Reported from Appropriations with substitute (22-Y 0-N) · lower
27. Mar 9, 2026 Committee substitute printed 26109143D-H2 · lower
28. Mar 10, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB257) · upper
29. Mar 11, 2026 Read second time · lower
30. Mar 12, 2026 Read third time · lower
31. Mar 12, 2026 committee substitute rejected · lower
32. Mar 12, 2026 committee substitute agreed to · lower
33. Mar 12, 2026 Engrossed by House - committee substitute · lower
34. Mar 12, 2026 Passed House with substitute (96-Y 0-N 0-A) · lower
35. Mar 12, 2026 House substitute agreed to by Senate (39-Y 1-N 0-A) · upper
36. Mar 30, 2026 Enrolled · upper
37. Mar 30, 2026 Bill text as passed Senate and House (SB257ER) · upper
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 · upper
41. Mar 31, 2026 Governor's Action Deadline 11:59 p.m., April 13, 2026 · executive
42. Apr 1, 2026 Fiscal Impact Statement from Department of Planning and Budget (SB257) · upper
43. Apr 8, 2026 Approved by Governor-Chapter 424 (effective 7/1/2026) · executive
44. Apr 8, 2026 Acts of Assembly Chapter text (CHAP0424) · 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
• Appropriations Substitute · PDF
• Appropriations Substitute · HTML
• Appropriations Substitute · PDF
• Appropriations 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
• Commerce and Labor Substitute · PDF
• Commerce and Labor Substitute · HTML
• Commerce and Labor Substitute · PDF
• Commerce and Labor Substitute · HTML
• Introduced · PDF
• Introduced · HTML