Legislation: batch E — CA TN VA VT WA WI WV WY

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/va/2019/hb-2126.md

@@ -0,0 +1,102 @@
+---
+type: "Bill"
+title: "Accident and sickness insurance; step therapy protocols."
+description: "Requires carriers issuing health benefit plans that develop step therapy protocols for a health benefit plan to ensure that those step therapy protocols are (i) developed and endorsed by a multidisciplinary panel of experts that manages conflicts of interest among the members; (ii) based on peer-reviewed research and medical practice; and (iii) continually updated based on a review of new evidence, research, and newly developed treatments. The measure requires that when coverage of a prescription drug for the treatment of a medical condition is restricted for use by a carrier or utilization review organization through the use of a step therapy protocol, the patient and prescribing provider have access to a clear, readily accessible, and convenient process to request a step therapy exception. The measure establishes conditions under which a request for a step therapy exception shall be granted and authorizes a patient to appeal a step therapy exception request denial. The provisions of the measure shall apply to any health benefit plan delivered, issued for delivery, or renewed on or after January 1, 2020."
+jurisdiction: "us/states/va"
+legislature: "Virginia General Assembly"
+session: "2019"
+identifier: "HB 2126"
+citation: "Virginia HB 2126 (2019)"
+classification: ["bill"]
+subjects: ["Insurance"]
+status: "enacted"
+primary_sponsors: ["Glenn R. Davis"]
+version_count: 6
+action_count: 27
+vote_count: 9
+first_action: "2019-01-08"
+last_action: "2019-03-12"
+source: "openstates"
+source_identifier: "ocd-bill/9ccc0681-bfb7-4118-b748-21dae22311c1"
+source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2126"
+source_hash: "8f3a0cfd773e5240ab2c2d0c1dfa1a2a7dce7559e23c76b516131450a4c5a232"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-va"]
+---
+
+# Virginia HB 2126 (2019) — Accident and sickness insurance; step therapy protocols.
+
+Requires carriers issuing health benefit plans that develop step therapy protocols for a health benefit plan to ensure that those step therapy protocols are (i) developed and endorsed by a multidisciplinary panel of experts that manages conflicts of interest among the members; (ii) based on peer-reviewed research and medical practice; and (iii) continually updated based on a review of new evidence, research, and newly developed treatments. The measure requires that when coverage of a prescription drug for the treatment of a medical condition is restricted for use by a carrier or utilization review organization through the use of a step therapy protocol, the patient and prescribing provider have access to a clear, readily accessible, and convenient process to request a step therapy exception. The measure establishes conditions under which a request for a step therapy exception shall be granted and authorizes a patient to appeal a step therapy exception request denial. The provisions of the measure shall apply to any health benefit plan delivered, issued for delivery, or renewed on or after January 1, 2020.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Governor: Acts of Assembly Chapter text (CHAP0337)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0337)
+2. **House subcommittee amendments and substitutes adopted** (committee substitute) — [source](https://committees.lis.virginia.gov/subcommitteeaction.aspx?ses=191&bil=HB2126)
+3. **House: Bill text as passed House and Senate (HB2126ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2126ER)
+4. **House: Committee substitute printed 19106082D-H1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2126H1)
+5. **House: Prefiled and ordered printed; offered 01/09/19 19102027D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2126)
+6. **Senate amendments engrossed** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+amd+HB2126ASE)
+
+## Votes
+
+- Read third time and passed House — **99–0** (pass) · lower
+- Constitutional reading dispensed — **40–0** (pass) · upper
+- Passed Senate with amendments — **40–0** (pass) · upper
+- Subcommittee recommends reporting with substitute — **6–2** (pass) · lower
+- Reported from Commerce and Labor with substitute — **18–1** (pass) · lower
+- Reported from Commerce and Labor with amendments — **14–0** (pass) · upper
+- Reported from Finance with amendment — **15–0** (pass) · upper
+- Finance Committee amendment reconsidered — **40–0** (pass) · upper
+- Senate amendments agreed to by House — **99–0** (pass) · lower
+
+## Sponsors
+
+- Glenn R. Davis — primary (person)
+- Christopher K. Peace — cosponsor (person)
+- Christopher P. Stolle — cosponsor (person)
+- Hyland F. "Buddy" Fowler, Jr. — cosponsor (person)
+- Jeion A. Ward — cosponsor (person)
+- Patrick A. Hope — cosponsor (person)
+- Scott A. Surovell — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2019-01-08** Prefiled and ordered printed; offered 01/09/19 19102027D `introduction`
+- **2019-01-08** Referred to Committee on Commerce and Labor `referral-committee`
+- **2019-01-15** Assigned C & L sub: Subcommittee #1 `referral-committee`
+- **2019-02-03** Read first time `reading-1`
+- **2019-02-04** Read second time `reading-2`
+- **2019-02-04** Committee substitute agreed to 19106082D-H1
+- **2019-02-04** Engrossed by House - committee substitute HB2126H1
+- **2019-02-05** Read third time and passed House (99-Y 0-N) `passage, reading-3`
+- **2019-02-06** Constitutional reading dispensed
+- **2019-02-06** Referred to Committee on Commerce and Labor `referral-committee`
+- **2019-02-18** Rereferred to Finance `referral-committee`
+- **2019-02-20** Read third time `reading-3`
+- **2019-02-20** Reading of amendments waived
+- **2019-02-20** Committee amendments agreed to
+- **2019-02-20** Reading of amendment waived
+- **2019-02-20** Committee amendment agreed to
+- **2019-02-20** Passed by for the day
+- **2019-02-21** Read third time `reading-3`
+- **2019-02-21** Committee amendment rejected
+- **2019-02-21** Engrossed by Senate as amended
+- **2019-02-21** Senate amendments agreed to by House (99-Y 0-N)
+- **2019-02-23** Enrolled
+- **2019-02-23** Signed by Speaker
+- **2019-02-23** Signed by President
+- **2019-03-04** Enrolled Bill communicated to Governor on March 4, 2019
+- **2019-03-04** Governor's Action Deadline Midnight, March 26, 2019
+- **2019-03-12** Approved by Governor-Chapter 337 (effective 1/1/20) `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9ccc0681-bfb7-4118-b748-21dae22311c1`. Confidence: reported (aggregated from official Virginia legislature records).
+