--- type: "Bill" title: "Bureau of Insurance of SCC; step therapy protocols for health benefit plans, report." description: "Bureau of Insurance; step therapy protocols; study; report. Directs the Bureau of Insurance of the State Corporation Commission to study step therapy protocols for health benefit plans developed by insurance companies pursuant to existing law by conducting a data call of health carriers. The bill directs the Bureau to submit a summary and report of its findings and recommendations to the Governor and General Assembly by November 1, 2026." jurisdiction: "us/states/va" legislature: "Virginia General Assembly" session: "2025" identifier: "HB 2258" citation: "Virginia HB 2258 (2025)" classification: ["bill"] subjects: [] status: "enacted" primary_sponsors: ["Karrie K. Delaney"] version_count: 4 action_count: 30 vote_count: 6 first_action: "2025-01-07" last_action: "2025-03-21" source: "openstates" source_identifier: "ocd-bill/bec09786-6d76-46b3-a97f-1057a6f8d6b6" source_url: "https://lis.virginia.gov/bill-details/20251/HB2258" source_hash: "269fb8bbdb6e4c747221e202613a34f49c052fd1b67d844ad794cb43fdb98c1a" 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 2258 (2025) — Bureau of Insurance of SCC; step therapy protocols for health benefit plans, report. Bureau of Insurance; step therapy protocols; study; report. Directs the Bureau of Insurance of the State Corporation Commission to study step therapy protocols for health benefit plans developed by insurance companies pursuant to existing law by conducting a data call of health carriers. The bill directs the Bureau to submit a summary and report of its findings and recommendations to the Governor and General Assembly by November 1, 2026. ## 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/1016972.PDF) 2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1072305.PDF) 3. **Labor and Commerce Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1036715.PDF) 4. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1066494.PDF) ## Votes - Read third time and passed House (88-Y 9-N) — **88–9** (pass) · lower - Reported from Labor and Commerce with substitute (18-Y 4-N) — **18–4** (pass) · lower - Reported from Commerce and Labor (15-Y 0-N) — **15–0** (pass) · upper - Constitutional reading dispensed (on 2nd reading) (40-Y 0-N) — **40–0** (pass) · upper - Subcommittee recommends reporting (5-Y 2-N) — **5–2** (pass) · lower - Passed Senate (40-Y 0-N) — **40–0** (pass) · upper ## Sponsors - Karrie K. Delaney — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2025-01-07** Prefiled and ordered printed; Offered 01-08-2025 25102253D `filing, introduction` - **2025-01-07** Referred to Committee on Labor and Commerce `referral-committee` - **2025-01-21** Assigned L & C sub: Subcommittee #1 `referral-committee` - **2025-01-28** Fiscal Impact Statement from State Corporation Commission (HB2258) - **2025-01-28** Subcommittee recommends reporting (5-Y 2-N) - **2025-01-30** Reported from Labor and Commerce with substitute (18-Y 4-N) `committee-passage` - **2025-01-30** Committee substitute printed 25106438D-H1 `substitution` - **2025-02-02** Read first time `reading-1` - **2025-02-03** Read second time `reading-2` - **2025-02-03** Labor and Commerce Substitute agreed to - **2025-02-03** Engrossed by House - committee substitute `substitution` - **2025-02-03** Fiscal Impact Statement from State Corporation Commission (HB2258) - **2025-02-04** Read third time and passed House (88-Y 9-N) `passage, reading-3` - **2025-02-05** Constitutional reading dispensed (on 1st reading) - **2025-02-05** Referred to Committee on Commerce and Labor `referral-committee` - **2025-02-17** Reported from Commerce and Labor (15-Y 0-N) `committee-passage` - **2025-02-18** Rules suspended - **2025-02-18** Constitutional reading dispensed (on 2nd reading) (40-Y 0-N) - **2025-02-18** Passed by for the day - **2025-02-19** Read third time `reading-3` - **2025-02-19** Passed Senate (40-Y 0-N) `passage` - **2025-03-07** Enrolled `enrolled` - **2025-03-07** Bill text as passed House and Senate (HB2258ER) `passage` - **2025-03-07** Signed by Speaker `passage` - **2025-03-10** Signed by President `passage` - **2025-03-11** Enrolled Bill communicated to Governor on March 11, 2025 `enrolled, executive-receipt` - **2025-03-11** Governor's Action Deadline 11:59 p.m., March 24, 2025 `executive-receipt` - **2025-03-20** Fiscal Impact Statement from State Corporation Commission (HB2258) - **2025-03-21** Approved by Governor-Chapter 256 (Effective 07/01/25) `executive-signature` - **2025-03-21** Acts of Assembly Chapter text (CHAP0256) ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/bec09786-6d76-46b3-a97f-1057a6f8d6b6`. Confidence: reported (aggregated from official Virginia legislature records).