---
type: "Bill"
title: "Health insurance; cost-sharing payments for prescription insulin drugs."
description: "Health insurance; cost-sharing payments for prescription insulin drugs. Prohibits health insurance companies and other carriers from setting an amount exceeding $30 per 30-day supply that a covered person is required to pay at the point of sale in order to receive a covered prescription insulin drug. The measure also prohibits a provider contract between a carrier or its pharmacy benefits manager and a pharmacy from containing a provision (i) authorizing the carrier's pharmacy benefits manager or the pharmacy to charge, (ii) requiring the pharmacy to collect, or (iii) requiring a covered person to make a cost-sharing payment for a covered prescription insulin drug in an amount that exceeds such limitation. This bill incorporates HB 1403."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2020"
identifier: "HB 66"
citation: "Virginia HB 66 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Lee J. Carter"]
version_count: 4
action_count: 34
vote_count: 7
first_action: "2019-12-05"
last_action: "2020-04-08"
source: "openstates"
source_identifier: "ocd-bill/613b6582-3319-48ec-bb57-6a7ef6635829"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+HB66"
source_hash: "a2edcc375b650b838725c1c6acf1741a213a1cbe49fd383dd77e916e088848c8"
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 66 (2020) — Health insurance; cost-sharing payments for prescription insulin drugs.

Health insurance; cost-sharing payments for prescription insulin drugs. Prohibits health insurance companies and other carriers from setting an amount exceeding $30 per 30-day supply that a covered person is required to pay at the point of sale in order to receive a covered prescription insulin drug. The measure also prohibits a provider contract between a carrier or its pharmacy benefits manager and a pharmacy from containing a provision (i) authorizing the carrier's pharmacy benefits manager or the pharmacy to charge, (ii) requiring the pharmacy to collect, or (iii) requiring a covered person to make a cost-sharing payment for a covered prescription insulin drug in an amount that exceeds such limitation. This bill incorporates HB 1403.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Acts of Assembly Chapter text (CHAP0881)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP0881)
2. **Bill text as passed House and Senate (HB66ER)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB66ER)
3. **Engrossed by House - committee substitute HB66H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB66H1)
4. **Impact statement from SCC (HB66)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB66)

## Votes

- Reported from Commerce and Labor with amendment (9-Y 6-N) — **9–6** (pass) · upper
- VOTE: Passage (98-Y 1-N) — **97–1** (pass) · lower
- Subcommittee recommends reporting (4-Y 2-N) — **4–2** (pass) · lower
- Passed Senate with amendment (24-Y 16-N) — **24–16** (pass) · upper
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- Reported from Labor and Commerce with substitute (17-Y 1-N) — **17–1** (pass) · lower
- VOTE: Adoption (88-Y 4-N) — **87–4** (pass) · lower

## Sponsors

- Lee J. Carter — primary (person)
- Alex Q. Askew — cosponsor (person)
- Alfonso H. Lopez — cosponsor (person)
- Charniele L. Herring — cosponsor (person)
- Chris L. Hurst — cosponsor (person)
- Clinton L. Jenkins — cosponsor (person)
- Dan I. Helmer — cosponsor (person)
- Danica A. Roem — cosponsor (person)
- Dawn M. Adams — cosponsor (person)
- Delores L. McQuinn — cosponsor (person)
- Don L. Scott — cosponsor (person)
- Glenn R. Davis — cosponsor (person)
- Hala S. Ayala — cosponsor (person)
- Ibraheem S. Samirah — cosponsor (person)
- James A. "Jay" Leftwich — cosponsor (person)
- Jeffrey M. Bourne — cosponsor (person)
- Jeion A. Ward — cosponsor (person)
- Jerrauld C. "Jay" Jones — cosponsor (person)
- Joseph D. Morrissey — cosponsor (person)
- Joshua G. Cole — cosponsor (person)
- Kathleen Murphy — cosponsor (person)
- Kathy K.L. Tran — cosponsor (person)
- Kenneth R. Plum — cosponsor (person)
- Lashrecse D. Aird — cosponsor (person)
- Marcia S. "Cia" Price — cosponsor (person)
- Marcus B. Simon — cosponsor (person)
- Mark H. Levine — cosponsor (person)
- Mark L. Keam — cosponsor (person)
- Martha M. Mugler — cosponsor (person)
- Nancy D. Guy — cosponsor (person)
- Patrick A. Hope — cosponsor (person)
- Paul E. Krizek — cosponsor (person)
- Rodney T. Willett — cosponsor (person)
- Roslyn C. Tyler — cosponsor (person)
- Sally L. Hudson — cosponsor (person)
- Sam Rasoul — cosponsor (person)
- Shelly A. Simonds — cosponsor (person)
- Steve E. Heretick — cosponsor (person)
- Suhas Subramanyam — cosponsor (person)
- Vivian E. Watts — cosponsor (person)
- Wendy W. Gooditis — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-12-05** Prefiled and ordered printed; offered 01/08/20 20100840D `introduction`
- **2019-12-05** Referred to Committee on Labor and Commerce `referral-committee`
- **2020-01-14** Assigned L & C sub: Subcommittee #2 `referral-committee`
- **2020-01-16** Impact statement from SCC (HB66)
- **2020-01-16** Subcommittee recommends reporting (4-Y 2-N)
- **2020-01-28** Committee substitute printed 20107156D-H1 `substitution`
- **2020-01-28** Incorporates HB1403 (Leftwich)
- **2020-01-28** Reported from Labor and Commerce with substitute (17-Y 1-N) `committee-passage`
- **2020-01-30** Read first time `reading-1`
- **2020-01-31** Read second time `reading-2`
- **2020-01-31** Passed by temporarily
- **2020-01-31** Committee substitute agreed to 20107156D-H1
- **2020-01-31** Engrossed by House - committee substitute HB66H1
- **2020-02-03** Read third time and passed House (98-Y 1-N) `passage, reading-3`
- **2020-02-03** VOTE: Passage (98-Y 1-N)
- **2020-02-04** Constitutional reading dispensed
- **2020-02-04** Referred to Committee on Commerce and Labor `referral-committee`
- **2020-02-04** Impact statement from SCC (HB66H1)
- **2020-03-02** Reported from Commerce and Labor with amendment (9-Y 6-N) `committee-passage`
- **2020-03-04** Constitutional reading dispensed (40-Y 0-N)
- **2020-03-05** Read third time `reading-3`
- **2020-03-05** Reading of amendment waived
- **2020-03-05** Committee amendment agreed to
- **2020-03-05** Engrossed by Senate as amended
- **2020-03-05** Passed Senate with amendment (24-Y 16-N) `passage`
- **2020-03-05** Senate amendment agreed to by House (88-Y 4-N)
- **2020-03-05** VOTE: Adoption (88-Y 4-N)
- **2020-03-12** Enrolled
- **2020-03-12** Signed by Speaker
- **2020-03-12** Signed by President
- **2020-03-13** Impact statement from SCC (HB66ER)
- **2020-03-17** Enrolled Bill communicated to Governor on March 17, 2020
- **2020-03-17** Governor's Action Deadline 11:59 p.m., April 11, 2020
- **2020-04-08** Approved by Governor-Chapter 881 (effective 7/1/20) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/613b6582-3319-48ec-bb57-6a7ef6635829`. Confidence: reported (aggregated from official Virginia legislature records).