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---
type: "Bill"
title: "Health insurance; coverage for prosthetic devices and components."
description: "Health insurance; coverage for prosthetic devices.Requires health insurers, corporations providing health care coveragesubscription contracts, and health maintenance organizations to providecoverage for prosthetic devices, including myoelectric, biomechanical, or microprocessor-controlled prosthetic devices that have a Medicarecode. The measure repeals the existing requirement that coveragefor prosthetic devices be offered and made available. The measureapplies to policies, contracts, and plans delivered, issued for delivery,or renewed on or after January 1, 2023, or at any time thereafterwhen any term of the policy, contract, or plan is changed or anypremium adjustment is made. This bill is a recommendation of the HealthInsurance Reform Commission."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "SB 405"
citation: "Virginia SB 405 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["George L. Barker"]
version_count: 5
action_count: 53
vote_count: 12
first_action: "2022-01-11"
last_action: "2022-04-11"
source: "openstates"
source_identifier: "ocd-bill/9d485e56-91c2-4bc9-80ce-3df59294c45c"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+SB405"
source_hash: "e8eda6c1fd7780395c60ed0cd1a201b0189f4dc445ff392aef02b0305e1a8a9d"
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 405 (2022) — Health insurance; coverage for prosthetic devices and components.
Health insurance; coverage for prosthetic devices.Requires health insurers, corporations providing health care coveragesubscription contracts, and health maintenance organizations to providecoverage for prosthetic devices, including myoelectric, biomechanical, or microprocessor-controlled prosthetic devices that have a Medicarecode. The measure repeals the existing requirement that coveragefor prosthetic devices be offered and made available. The measureapplies to policies, contracts, and plans delivered, issued for delivery,or renewed on or after January 1, 2023, or at any time thereafterwhen any term of the policy, contract, or plan is changed or anypremium adjustment is made. This bill is a recommendation of the HealthInsurance Reform Commission.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **CHAP0599** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0599)
2. **Committee substitute printed 22107042D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB405H1)
3. **Prefiled and ordered printed; offered 01/12/22 22102486D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB405)
4. **Printed as engrossed 22102486D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB405E)
5. **SB405ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB405ER)
## Votes
- Subcommittee recommends reporting (8-Y 0-N) — **80** (pass) · lower
- Senate acceded to request (40-Y 0-N) — **400** (pass) · upper
- Reported from Appropriations (21-Y 0-N) — **210** (pass) · lower
- Read third time and passed Senate (40-Y 0-N) — **400** (pass) · upper
- House substitute rejected by Senate (0-Y 39-N) — **039** (fail) · upper
- Constitutional reading dispensed (38-Y 0-N) — **380** (pass) · upper
- Reported from Commerce and Energy with substitute (22-Y 0-N) — **220** (pass) · lower
- Conference report agreed to by Senate (40-Y 0-N) — **400** (pass) · upper
- VOTE: Adoption (96-Y 0-N) — **950** (pass) · lower
- Reported from Finance and Appropriations with amendment (16-Y 0-N) — **160** (pass) · upper
- Reported from Commerce and Labor with amendments (14-Y 0-N 1-A) — **140** (pass) · upper
- VOTE: Passage (95-Y 3-N) — **943** (pass) · lower
## Sponsors
- George L. Barker — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22102486D `introduction`
- **2022-01-11** Referred to Committee on Commerce and Labor `referral-committee`
- **2022-01-24** Impact statement from DPB (SB405)
- **2022-01-31** Senate committee, floor amendments and substitutes offered
- **2022-01-31** Reported from Commerce and Labor with amendments (14-Y 0-N 1-A) `committee-passage`
- **2022-01-31** Rereferred to Finance and Appropriations `referral-committee`
- **2022-02-07** Senate subcommittee amendments and substitutes offered
- **2022-02-08** Senate committee, floor amendments and substitutes offered
- **2022-02-08** Reported from Finance and Appropriations with amendment (16-Y 0-N) `committee-passage`
- **2022-02-09** Constitutional reading dispensed (38-Y 0-N)
- **2022-02-10** Read second time `reading-2`
- **2022-02-10** Reading of amendments waived
- **2022-02-10** Committee amendments agreed to
- **2022-02-10** Reading of amendment waived
- **2022-02-10** Committee amendment agreed to
- **2022-02-10** Engrossed by Senate as amended SB405E
- **2022-02-10** Printed as engrossed 22102486D-E
- **2022-02-11** Read third time and passed Senate (40-Y 0-N) `passage, reading-3`
- **2022-02-17** Impact statement from DPB (SB405E)
- **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 with substitute (22-Y 0-N) `committee-passage`
- **2022-02-24** Committee substitute printed 22107042D-H1 `substitution`
- **2022-02-24** Referred to Committee on Appropriations `referral-committee`
- **2022-02-25** Assigned App. sub: Health & Human Resources `referral-committee`
- **2022-02-28** Impact statement from DPB (SB405H1)
- **2022-03-01** Subcommittee recommends reporting (8-Y 0-N)
- **2022-03-02** Reported from Appropriations (21-Y 0-N) `committee-passage`
- **2022-03-04** Read second time `reading-2`
- **2022-03-07** Read third time `reading-3`
- **2022-03-07** Committee substitute agreed to 22107042D-H1
- **2022-03-07** Engrossed by House - committee substitute SB405H1
- **2022-03-07** Passed House with substitute (95-Y 3-N) `passage`
- **2022-03-07** VOTE: Passage (95-Y 3-N)
- **2022-03-08** Passed by temporarily
- **2022-03-08** House substitute rejected by Senate (0-Y 39-N)
- **2022-03-09** House insisted on substitute
- **2022-03-09** House requested conference committee
- **2022-03-10** Senate acceded to request (40-Y 0-N)
- **2022-03-10** Conferees appointed by Senate
- **2022-03-10** Conferees appointed by House
- **2022-03-11** Amended by conference committee
- **2022-03-11** Conference report agreed to by Senate (40-Y 0-N)
- **2022-03-11** Conference report agreed to by House (96-Y 0-N)
- **2022-03-11** VOTE: Adoption (96-Y 0-N)
- **2022-03-21** Enrolled
- **2022-03-21** Impact statement from DPB (SB405ER)
- **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
- **2022-04-11** Approved by Governor-Chapter 599 (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/9d485e56-91c2-4bc9-80ce-3df59294c45c`. Confidence: reported (aggregated from official Virginia legislature records).