republic-os/legislation/us/states/va/2019/hb-2558.md

---
type: "Bill"
title: "Medicaid recipients; treatment involving opioids or opioid replacements, payment."
description: "Prohibits health care providers licensed by the Board of Medicine from requesting or requiring a patient who is a recipient of medical assistance services pursuant to the state plan for medical assistance to pay out-of-pocket costs associated with the provision of service involving (i) the prescription of an opioid for the management of pain or (ii) the prescription of buprenorphine-containing products, methadone, or other opioid replacements approved for the treatment of opioid addiction by the U.S. Food and Drug Administration for medication-assisted treatment of opioid addiction. The bill requires providers who do not accept payment from the Department of Medical Assistance Services (DMAS) who provide such services to patients participating in the Commonwealth's program of medical assistance services to provide written notice to such patient that (a) the Commonwealth's program of medical assistance services covers such health care services and DMAS will pay for such health care services if such health care services meet DMAS's medical necessity criteria and (b) the provider does not participate in the Commonwealth's program of medical assistance and will not accept payment from DMAS for such health care services. Such notice and the patient's acknowledgement of such notice shall be documented in the patient's medical record. This bill is identical to"
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2019"
identifier: "HB 2558"
citation: "Virginia HB 2558 (2019)"
classification: ["bill"]
subjects: ["Health", "Narcotics and Drugs", "Professions and Occupations"]
status: "enacted"
primary_sponsors: ["Todd E. Pillion"]
version_count: 6
action_count: 24
vote_count: 7
first_action: "2019-01-09"
last_action: "2019-03-05"
source: "openstates"
source_identifier: "ocd-bill/d0c72402-4429-4103-8a90-7cbbbff091ef"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2558"
source_hash: "c08f0a3edb71ec27be990beeef6d1713c19b2222871233f1418e852037e182e5"
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 2558 (2019) — Medicaid recipients; treatment involving opioids or opioid replacements, payment.

Prohibits health care providers licensed by the Board of Medicine from requesting or requiring a patient who is a recipient of medical assistance services pursuant to the state plan for medical assistance to pay out-of-pocket costs associated with the provision of service involving (i) the prescription of an opioid for the management of pain or (ii) the prescription of buprenorphine-containing products, methadone, or other opioid replacements approved for the treatment of opioid addiction by the U.S. Food and Drug Administration for medication-assisted treatment of opioid addiction. The bill requires providers who do not accept payment from the Department of Medical Assistance Services (DMAS) who provide such services to patients participating in the Commonwealth's program of medical assistance services to provide written notice to such patient that (a) the Commonwealth's program of medical assistance services covers such health care services and DMAS will pay for such health care services if such health care services meet DMAS's medical necessity criteria and (b) the provider does not participate in the Commonwealth's program of medical assistance and will not accept payment from DMAS for such health care services. Such notice and the patient's acknowledgement of such notice shall be documented in the patient's medical record. This bill is identical to

## Version chain

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

1. **Governor: Acts of Assembly Chapter text (CHAP0223)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0223)
2. **House amendments adopted** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+amd+HB2558AH)
3. **House: Bill text as passed House and Senate (HB2558ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2558ER)
4. **House: Prefiled and ordered printed; offered 01/09/19 19100464D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2558)
5. **House: Printed as engrossed 19100464D-E** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2558E)
6. **Senate: Committee substitute printed 19106525D-S1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2558S1)

## Votes

- Reported from Health, Welfare and Institutions with amendments — **22–0** (pass) · lower
- Reported from Education and Health with substitute — **15–0** (pass) · upper
- Senate substitute agreed to by House 19106525D-S1 — **97–0** (pass) · lower
- Constitutional reading dispensed — **40–0** (pass) · upper
- Read third time and passed House BLOCK VOTE — **98–0** (pass) · lower
- Passed Senate with substitute — **40–0** (pass) · upper
- Passed House BLOCK VOTE — **99–0** (pass) · lower

## Sponsors

- Todd E. Pillion — primary (person)
- Christopher K. Peace — cosponsor (person)
- Israel D. O'Quinn — cosponsor (person)

## Timeline

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

- **2019-01-09** Prefiled and ordered printed; offered 01/09/19 19100464D `introduction`
- **2019-01-09** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2019-01-28** Read first time `reading-1`
- **2019-01-29** Read second time `reading-2`
- **2019-01-29** Committee amendments agreed to
- **2019-01-29** Engrossed by House as amended HB2558E
- **2019-01-29** Printed as engrossed 19100464D-E
- **2019-01-30** Read third time and passed House BLOCK VOTE (98-Y 0-N) `passage, reading-3`
- **2019-01-30** Reconsideration of passage agreed to by House
- **2019-01-30** Passed House BLOCK VOTE (99-Y 0-N) `passage`
- **2019-01-31** Constitutional reading dispensed
- **2019-01-31** Referred to Committee on Education and Health `referral-committee`
- **2019-02-11** Read third time `reading-3`
- **2019-02-11** Reading of substitute waived
- **2019-02-11** Committee substitute agreed to 19106525D-S1
- **2019-02-11** Engrossed by Senate - committee substitute HB2558S1
- **2019-02-13** Placed on Calendar
- **2019-02-13** Senate substitute agreed to by House 19106525D-S1 (97-Y 0-N)
- **2019-02-15** Enrolled
- **2019-02-15** Signed by Speaker
- **2019-02-15** Signed by President
- **2019-02-19** Enrolled Bill communicated to Governor on February 19, 2019
- **2019-02-19** Governor's Action Deadline Midnight, March 26, 2019
- **2019-03-05** Approved by Governor-Chapter 223 (effective 7/1/19) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d0c72402-4429-4103-8a90-7cbbbff091ef`. Confidence: reported (aggregated from official Virginia legislature records).