republic-os/legislation/us/states/va/2022/hb-421.md

---
type: "Bill"
title: "Insurance; discrimination based on status as living organ donor prohibited."
description: "Living organ donors; discrimination prohibited. Prohibits any person from refusing to insure, refusing to continue to insure, or limiting the amount or extent of life insurance, disability insurance, or long-term care insurance coverage available to an individual or to charge an individual a different rate for the same coverage based solely and without any additional actuarial risks upon the status of such individual as a living organ donor. The provisions of the bill apply to such insurance plans that are entered into, amended, extended, or renewed on or after January 1, 2023. This bill is identical to SB 271."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "HB 421"
citation: "Virginia HB 421 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Karrie K. Delaney"]
version_count: 4
action_count: 40
vote_count: 10
first_action: "2022-01-11"
last_action: "2022-04-11"
source: "openstates"
source_identifier: "ocd-bill/cc3d7c8a-0f03-4065-9ceb-286e729df428"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB421"
source_hash: "7cb98cb9fd0c01e228a48deccfdbe2658c0e3b18c752f12a5275f2ca8d170485"
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 421 (2022) — Insurance; discrimination based on status as living organ donor prohibited.

Living organ donors; discrimination prohibited. Prohibits any person from refusing to insure, refusing to continue to insure, or limiting the amount or extent of life insurance, disability insurance, or long-term care insurance coverage available to an individual or to charge an individual a different rate for the same coverage based solely and without any additional actuarial risks upon the status of such individual as a living organ donor. The provisions of the bill apply to such insurance plans that are entered into, amended, extended, or renewed on or after January 1, 2023. This bill is identical to SB 271.

## Version chain

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

1. **CHAP0649** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0649)
2. **Committee substitute printed 22106801D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB421S1)
3. **HB421ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB421ER)
4. **Prefiled and ordered printed; offered 01/12/22 22101025D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB421)

## Votes

- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- Reported from Commerce and Energy (22-Y 0-N) — **22–0** (pass) · lower
- Reported from Commerce and Labor with substitute (15-Y 0-N) — **15–0** (pass) · upper
- VOTE: Adoption (97-Y 0-N) — **96–0** (pass) · lower
- VOTE: Block Vote Passage (98-Y 0-N) — **97–0** (pass) · lower
- Subcommittee recommends reporting (8-Y 0-N) — **8–0** (pass) · lower
- Passed Senate with substitute (40-Y 0-N) — **40–0** (pass) · upper
- Conference report agreed to by Senate (40-Y 0-N) — **40–0** (pass) · upper
- VOTE: Rejected (0-Y 98-N) — **0–97** (fail) · lower
- Senate insisted on substitute (40-Y 0-N) — **40–0** (pass) · upper

## Sponsors

- Karrie K. Delaney — primary (person)
- Dan I. Helmer — cosponsor (person)

## Timeline

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

- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22101025D `introduction`
- **2022-01-11** Referred to Committee on Commerce and Energy `referral-committee`
- **2022-01-16** Impact statement from SCC (HB421)
- **2022-01-20** Assigned sub: Subcommittee #1 `referral-committee`
- **2022-01-25** Subcommittee recommends reporting (8-Y 0-N)
- **2022-01-27** Reported from Commerce and Energy (22-Y 0-N) `committee-passage`
- **2022-01-31** Read first time `reading-1`
- **2022-02-01** Read second time and engrossed `reading-2`
- **2022-02-02** Read third time and passed House BLOCK VOTE (98-Y 0-N) `passage, reading-3`
- **2022-02-02** VOTE: Block Vote Passage (98-Y 0-N)
- **2022-02-03** Constitutional reading dispensed
- **2022-02-03** Referred to Committee on Commerce and Labor `referral-committee`
- **2022-02-21** Reported from Commerce and Labor with substitute (15-Y 0-N) `committee-passage`
- **2022-02-21** Committee substitute printed 22106801D-S1 `substitution`
- **2022-02-23** Constitutional reading dispensed (40-Y 0-N)
- **2022-02-24** Read third time `reading-3`
- **2022-02-24** Reading of substitute waived
- **2022-02-24** Committee substitute agreed to 22106801D-S1
- **2022-02-24** Engrossed by Senate - committee substitute HB421S1
- **2022-02-24** Passed Senate with substitute (40-Y 0-N) `passage`
- **2022-02-28** Impact statement from SCC (HB421S1)
- **2022-02-28** Senate substitute rejected by House 22106801D-S1 (0-Y 98-N)
- **2022-02-28** VOTE: Rejected (0-Y 98-N)
- **2022-03-02** Passed by for the day
- **2022-03-03** Senate insisted on substitute (40-Y 0-N)
- **2022-03-03** Senate requested conference committee
- **2022-03-04** House acceded to request
- **2022-03-07** Conferees appointed by Senate
- **2022-03-09** Conferees appointed by House
- **2022-03-10** Amended by conference committee
- **2022-03-11** Conference report agreed to by House (97-Y 0-N)
- **2022-03-11** VOTE: Adoption (97-Y 0-N)
- **2022-03-11** Conference report agreed to by Senate (40-Y 0-N)
- **2022-03-21** Enrolled
- **2022-03-21** Signed by President
- **2022-03-22** Signed by Speaker
- **2022-03-22** Enrolled Bill communicated to Governor on March 22, 2022
- **2022-03-22** Governor's Action Deadline 11:59 p.m., April 11, 2022
- **2022-03-24** Impact statement from SCC (HB421ER)
- **2022-04-11** Approved by Governor-Chapter 649 (effective 1/1/23) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cc3d7c8a-0f03-4065-9ceb-286e729df428`. Confidence: reported (aggregated from official Virginia legislature records).