---
type: "Bill"
title: "Health insurance; definitions, prohibited restrictions on in-network referrals."
description: "Health insurance; prohibited restrictions on in-network referrals. Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws. This bill is identical to HB 424."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "SB 745"
citation: "Virginia SB 745 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kannan Srinivasan"]
version_count: 4
action_count: 33
vote_count: 7
first_action: "2026-01-19"
last_action: "2026-04-06"
source: "openstates"
source_identifier: "ocd-bill/5acfcd82-fdf5-4429-9b8c-65ec1244102f"
source_url: "https://lis.virginia.gov/bill-details/20261/SB745"
source_hash: "ad78177119b4255d5661dec4259b61e00ae46e04683b57d5cacbc80ce9f8356c"
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 SB 745 (2026) — Health insurance; definitions, prohibited restrictions on in-network referrals.

Health insurance; prohibited restrictions on in-network referrals. Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws. This bill is identical to HB 424.

## Version chain

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

1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1092262.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1216629.PDF)
3. **Commerce and Labor Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1097445.PDF)
4. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1179223.PDF)

## Votes

- Reported from Commerce and Labor with substitute — **15–0** (pass) · upper
- H VOTE: — **98–0** (pass) · lower
- Constitutional reading dispensed R — **40–0** (pass) · upper
- Constitutional reading dispensed (on 3rd reading) — **40–0** (pass) · upper
- Passage R — **40–0** (pass) · upper
- Reported from Labor and Commerce — **20–0** (pass) · lower
- Reported from Finance and Appropriations — **15–0** (pass) · upper

## Sponsors

- Kannan Srinivasan — primary (person)

## Timeline

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

- **2026-01-19** Presented and ordered printed 26105075D `introduction`
- **2026-01-19** Referred to Committee on Commerce and Labor `referral-committee`
- **2026-01-26** Senate committee offered
- **2026-01-26** Senate committee offered
- **2026-01-26** Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (15-Y 0-N) `committee-passage`
- **2026-01-27** Committee substitute printed 26106219D-S1 `substitution`
- **2026-02-05** Reported from Finance and Appropriations (15-Y 0-N) `committee-passage`
- **2026-02-09** Rules suspended
- **2026-02-09** Constitutional reading dispensed (on 1st reading) (40-Y 0-N 0-A)
- **2026-02-09** Passed by for the day (Voice Vote)
- **2026-02-09** Passed by for the day
- **2026-02-10** Read second time `reading-2`
- **2026-02-10** Commerce and Labor Substitute agreed to
- **2026-02-10** Engrossed by Senate - committee substitute (Voice Vote) `substitution`
- **2026-02-10** Rules suspended
- **2026-02-10** Constitutional reading dispensed Block Vote (on 3rd reading) (40-Y 0-N 0-A)
- **2026-02-10** Read third time and passed Senate Block Vote (40-Y 0-N 0-A) `passage, reading-3`
- **2026-02-13** Placed on Calendar
- **2026-02-13** Read first time `reading-1`
- **2026-02-13** Referred to Committee on Labor and Commerce `referral-committee`
- **2026-02-19** Reported from Labor and Commerce (20-Y 0-N) `committee-passage`
- **2026-02-23** Read second time `reading-2`
- **2026-02-24** Read third time `reading-3`
- **2026-02-24** Passed House (98-Y 0-N 0-A) `passage`
- **2026-02-26** Enrolled `enrolled`
- **2026-02-26** Bill text as passed Senate and House (SB745ER) `passage`
- **2026-02-26** Signed by Speaker `passage`
- **2026-02-26** Signed by President `passage`
- **2026-03-03** Fiscal Impact Statement from State Corporation Commission (SB745)
- **2026-03-10** Enrolled Bill communicated to Governor on March 10, 2026 `enrolled, executive-receipt`
- **2026-03-10** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
- **2026-04-06** Approved by Governor-Chapter 139 (effective 7/1/2026) `executive-signature`
- **2026-04-06** Acts of Assembly Chapter text (CHAP0139)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5acfcd82-fdf5-4429-9b8c-65ec1244102f`. Confidence: reported (aggregated from official Virginia legislature records).