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

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	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.	us/states/va	Virginia General Assembly	2019	HB 2126	Virginia HB 2126 (2019)	bill	Insurance	enacted	Glenn R. Davis	6	27	9	2019-01-08	2019-03-12	openstates	ocd-bill/9ccc0681-bfb7-4118-b748-21dae22311c1	http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2126	8f3a0cfd773e5240ab2c2d0c1dfa1a2a7dce7559e23c76b516131450a4c5a232	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	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
2. House subcommittee amendments and substitutes adopted (committee substitute) — source
3. House: Bill text as passed House and Senate (HB2126ER) (committee substitute) — source
4. House: Committee substitute printed 19106082D-H1 (committee substitute) — source
5. House: Prefiled and ordered printed; offered 01/09/19 19102027D (committee substitute) — source
6. Senate amendments engrossed (committee substitute) — source

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; origin ocd-bill/9ccc0681-bfb7-4118-b748-21dae22311c1. Confidence: reported (aggregated from official Virginia legislature records).