republic-os/legislation/us/states/va/2020/sb-568.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	Medical assistance services; managed care organization contracts with pharmacy benefits managers.	Board of Medical Assistance Services; state pharmacy benefits manager. Requires the Board of Medical AssistanceServices (the Board) to select, every four years, a third-party administratorto serve as the state pharmacy benefits manager used by Medicaidmanaged care organizations under the state plan for medical assistance.Under the bill, the state pharmacy benefits manager is responsiblefor all claims under the state plan. The bill requires the Board,in selecting the state pharmacy benefits manager, to establish eligibilitycriteria, develop a master contract to be used between the statepharmacy benefits manager and a Medicaid managed care organization,and establish mandatory disclosures for the applicants. The billrequires the state pharmacy benefits manager, in consultation withthe Director of Medical Assistance Services (the Director), to developa drug formulary for use when administering prescribed drug benefits on behalf of a Medicaid managed care organization under the stateplan. The bill prohibits payments for drugs that exceed the per unitprice on the formulary. The bill requires the Director to establishan appeals process by which pharmacies may appeal any disputes relatingto the maximum allowable cost set by the state pharmacy benefitsmanager. The bill requires the state pharmacy benefits manager toprovide a quarterly report to the Board containing certain information.	us/states/va	Virginia General Assembly	2020	SB 568	Virginia SB 568 (2020)	bill		enacted	Siobhan S. Dunnavant	4	36	10	2020-01-07	2020-04-10	openstates	ocd-bill/6ff337c0-2ae4-4025-952a-bf34be5c9ed3	https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+SB568	9adb93efb2547d4c563e79bc73b1e4ed2d378b2c458bdd5939ee19028bc77ca7	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-va

Virginia SB 568 (2020) — Medical assistance services; managed care organization contracts with pharmacy benefits managers.

Board of Medical Assistance Services; state pharmacy benefits manager. Requires the Board of Medical AssistanceServices (the Board) to select, every four years, a third-party administratorto serve as the state pharmacy benefits manager used by Medicaidmanaged care organizations under the state plan for medical assistance.Under the bill, the state pharmacy benefits manager is responsiblefor all claims under the state plan. The bill requires the Board,in selecting the state pharmacy benefits manager, to establish eligibilitycriteria, develop a master contract to be used between the statepharmacy benefits manager and a Medicaid managed care organization,and establish mandatory disclosures for the applicants. The billrequires the state pharmacy benefits manager, in consultation withthe Director of Medical Assistance Services (the Director), to developa drug formulary for use when administering prescribed drug benefits on behalf of a Medicaid managed care organization under the stateplan. The bill prohibits payments for drugs that exceed the per unitprice on the formulary. The bill requires the Director to establishan appeals process by which pharmacies may appeal any disputes relatingto the maximum allowable cost set by the state pharmacy benefitsmanager. The bill requires the state pharmacy benefits manager toprovide a quarterly report to the Board containing certain information.

Version chain

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

1. Acts of Assembly Chapter text (CHAP1083) (committee substitute) — source
2. Bill text as passed Senate and House (SB568ER) (committee substitute) — source
3. Impact statement from DPB (SB568) (committee substitute) — source
4. Impact statement from DPB (SB568S1) (committee substitute) — source

Votes

• Reported from Education and Health with substitute (15-Y 0-N) — 15–0 (pass) · upper
• Reconsideration of passage agreed to by Senate (40-Y 0-N) — 40–0 (pass) · upper
• VOTE: Block Vote Passage (100-Y 0-N) — 99–0 (pass) · lower
• Reported from Health, Welfare and Institutions with amendments (22-Y 0-N) — 22–0 (pass) · lower
• Constitutional reading dispensed (40-Y 0-N) — 40–0 (pass) · upper
• Constitutional reading dispensed (36-Y 0-N) — 36–0 (pass) · upper
• Passed Senate (39-Y 0-N) — 39–0 (pass) · upper
• Passed Senate (40-Y 0-N) — 40–0 (pass) · upper
• Reported from Finance and Appropriations (16-Y 0-N) — 16–0 (pass) · upper
• House amendments agreed to by Senate (40-Y 0-N) — 40–0 (pass) · upper

Sponsors

• Siobhan S. Dunnavant — primary (person)

Timeline

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

• 2020-01-07 Prefiled and ordered printed; offered 01/08/20 20101952D introduction
• 2020-01-07 Referred to Committee on Education and Health referral-committee
• 2020-01-17 Assigned Education sub: Health referral-committee
• 2020-01-28 Impact statement from DPB (SB568)
• 2020-02-06 Reported from Education and Health with substitute (15-Y 0-N) committee-passage
• 2020-02-06 Committee substitute printed 20107311D-S1 substitution
• 2020-02-06 Rereferred to Finance and Appropriations referral-committee
• 2020-02-06 Reported from Finance and Appropriations (16-Y 0-N) committee-passage
• 2020-02-07 Impact statement from DPB (SB568S1)
• 2020-02-10 Constitutional reading dispensed (36-Y 0-N)
• 2020-02-11 Read second time reading-2
• 2020-02-11 Reading of substitute waived
• 2020-02-11 Committee substitute agreed to 20107311D-S1
• 2020-02-11 Engrossed by Senate - committee substitute SB568S1
• 2020-02-11 Constitutional reading dispensed (40-Y 0-N)
• 2020-02-11 Passed Senate (39-Y 0-N) passage
• 2020-02-11 Reconsideration of passage agreed to by Senate (40-Y 0-N)
• 2020-02-11 Passed Senate (40-Y 0-N) passage
• 2020-02-14 Placed on Calendar
• 2020-02-14 Read first time reading-1
• 2020-02-14 Referred to Committee on Health, Welfare and Institutions referral-committee
• 2020-02-25 Reported from Health, Welfare and Institutions with amendments (22-Y 0-N) committee-passage
• 2020-02-27 Read second time reading-2
• 2020-02-28 Read third time reading-3
• 2020-02-28 Committee amendments agreed to
• 2020-02-28 Engrossed by House as amended
• 2020-02-28 Passed House with amendments BLOCK VOTE (100-Y 0-N) passage
• 2020-02-28 VOTE: Block Vote Passage (100-Y 0-N)
• 2020-03-02 House amendments agreed to by Senate (40-Y 0-N)
• 2020-03-06 Enrolled
• 2020-03-06 Impact statement from DPB (SB568ER)
• 2020-03-06 Signed by President
• 2020-03-06 Signed by Speaker
• 2020-03-12 Enrolled Bill Communicated to Governor on March 12, 2020
• 2020-03-12 Governor's Action Deadline 11:59 p.m., April 11, 2020
• 2020-04-10 Approved by Governor-Chapter 1083 (effective 7/1/20) executive-signature

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/6ff337c0-2ae4-4025-952a-bf34be5c9ed3. Confidence: reported (aggregated from official Virginia legislature records).