republic-os/legislation/us/states/va/2022/sb-321.md

---
type: "Bill"
title: "Health insurance; definition of autism spectrum disorder."
description: "Health insurance; definition of autism spectrum disorder. Provides that for the purposes of required health insurance coverage for the diagnosis and treatment of autism spectrum disorder, \"autism spectrum disorder\" means any pervasive developmental disorder or autism spectrum disorder, as defined in the most recent edition or the most recent edition at the time of diagnosis of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association and \"medically necessary\" means in accordance with the generally accepted standards of mental disorder or condition care and clinically appropriate in terms of type, frequency, site, and duration, based upon evidence and reasonably expected to do any of the following: (i) prevent the onset of an illness, condition, injury, or disability; (ii) reduce or ameliorate the physical, mental, or developmental effects of an illness, condition, injury, or disability; or (iii) assist to achieve or maintain maximum functional capacity in performing daily activities, taking into account both the functional capacity of the individual and the functional capacities that are appropriate for individuals of the same age. This bill is identical to HB 225. "
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "SB 321"
citation: "Virginia SB 321 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jill Holtzman Vogel"]
version_count: 3
action_count: 22
vote_count: 5
first_action: "2022-01-11"
last_action: "2022-04-06"
source: "openstates"
source_identifier: "ocd-bill/e336c665-2e78-45e8-a51d-7d1d89f92ab3"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+SB321"
source_hash: "094a0b3deb35d097124acbcf18a570fbd5cd13d676fd63e2c9134cf0c2a7a202"
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 SB 321 (2022) — Health insurance; definition of autism spectrum disorder.

Health insurance; definition of autism spectrum disorder. Provides that for the purposes of required health insurance coverage for the diagnosis and treatment of autism spectrum disorder, "autism spectrum disorder" means any pervasive developmental disorder or autism spectrum disorder, as defined in the most recent edition or the most recent edition at the time of diagnosis of the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association and "medically necessary" means in accordance with the generally accepted standards of mental disorder or condition care and clinically appropriate in terms of type, frequency, site, and duration, based upon evidence and reasonably expected to do any of the following: (i) prevent the onset of an illness, condition, injury, or disability; (ii) reduce or ameliorate the physical, mental, or developmental effects of an illness, condition, injury, or disability; or (iii) assist to achieve or maintain maximum functional capacity in performing daily activities, taking into account both the functional capacity of the individual and the functional capacities that are appropriate for individuals of the same age. This bill is identical to HB 225. 

## Version chain

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

1. **CHAP0102** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0102)
2. **Prefiled and ordered printed; offered 01/12/22 22101498D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB321)
3. **SB321ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB321ER)

## Votes

- Constitutional reading dispensed (38-Y 0-N) — **38–0** (pass) · upper
- Read third time and passed Senate (39-Y 0-N) — **39–0** (pass) · upper
- Reported from Commerce and Labor (14-Y 0-N) — **14–0** (pass) · upper
- VOTE: Block Vote Passage (100-Y 0-N) — **99–0** (pass) · lower
- Reported from Commerce and Energy (22-Y 0-N) — **22–0** (pass) · lower

## Sponsors

- Jill Holtzman Vogel — primary (person)
- Adam P. Ebbin — cosponsor (person)

## Timeline

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

- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22101498D `introduction`
- **2022-01-11** Referred to Committee on Commerce and Labor `referral-committee`
- **2022-01-24** Impact statement from DPB (SB321)
- **2022-01-24** Reported from Commerce and Labor (14-Y 0-N) `committee-passage`
- **2022-01-26** Constitutional reading dispensed (38-Y 0-N)
- **2022-01-27** Read second time and engrossed `reading-2`
- **2022-01-28** Read third time and passed Senate (39-Y 0-N) `passage, reading-3`
- **2022-02-22** Placed on Calendar
- **2022-02-22** Read first time `reading-1`
- **2022-02-22** Referred to Committee on Commerce and Energy `referral-committee`
- **2022-02-24** Reported from Commerce and Energy (22-Y 0-N) `committee-passage`
- **2022-02-28** Read second time `reading-2`
- **2022-03-01** Read third time `reading-3`
- **2022-03-01** Passed House BLOCK VOTE (100-Y 0-N) `passage`
- **2022-03-01** VOTE: Block Vote Passage (100-Y 0-N)
- **2022-03-04** Enrolled
- **2022-03-04** Signed by President
- **2022-03-04** Impact statement from DPB (SB321ER)
- **2022-03-04** Signed by Speaker
- **2022-03-11** Enrolled Bill Communicated to Governor on March 11, 2022
- **2022-03-11** Governor's Action Deadline 11:59 p.m., April 11, 2022
- **2022-04-06** Approved by Governor-Chapter 102 (effective 7/1/22) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e336c665-2e78-45e8-a51d-7d1d89f92ab3`. Confidence: reported (aggregated from official Virginia legislature records).