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---
type: "Bill"
title: "Health insurance; tobacco surcharge."
description: "Health insurance; tobacco surcharge. Eliminates the authority of a health carrier to vary its premium rates based on tobacco use. Under current law, a health carrier may charge premium rates up to 1.5 times higher for a tobacco user than for a nonuser. The provisions of the bill apply to health benefit plans providing individual or small group health insurance coverage entered into, amended, extended, or renewed on or after January 1, 2027."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "HB 220"
citation: "Virginia HB 220 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Patrick A. Hope"]
version_count: 3
action_count: 26
vote_count: 6
first_action: "2026-01-08"
last_action: "2026-03-31"
source: "openstates"
source_identifier: "ocd-bill/dc5e58dc-a1a8-42b4-9307-73963a4b8080"
source_url: "https://lis.virginia.gov/bill-details/20261/HB220"
source_hash: "a51677d43ddf78a8e0c8af07ed6107a71a436c434022cc2a5b655aa8786b0b35"
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 220 (2026) — Health insurance; tobacco surcharge.
Health insurance; tobacco surcharge. Eliminates the authority of a health carrier to vary its premium rates based on tobacco use. Under current law, a health carrier may charge premium rates up to 1.5 times higher for a tobacco user than for a nonuser. The provisions of the bill apply to health benefit plans providing individual or small group health insurance coverage entered into, amended, extended, or renewed on or after January 1, 2027.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1083145.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1214927.PDF)
3. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1186999.PDF)
## Votes
- Subcommittee recommends reporting — **90** (pass) · lower
- Constitutional reading dispensed (on 2nd reading) — **400** (pass) · upper
- Reported from Commerce and Labor — **140** (pass) · upper
- Passage R — **400** (pass) · upper
- Reported from Labor and Commerce — **211** (pass) · lower
- H VOTE: — **8116** (pass) · lower
## Sponsors
- Patrick A. Hope — primary (person)
- Charlie Schmidt — cosponsor (person)
- Elizabeth R. Guzman — cosponsor (person)
- Irene Shin — cosponsor (person)
- Marty Martinez — cosponsor (person)
- Michelle Lopes Maldonado — cosponsor (person)
- Nadarius E. Clark — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-01-08** Prefiled and ordered printed; Offered 01-14-2026 26101268D `filing, introduction`
- **2026-01-08** Referred to Committee on Labor and Commerce `referral-committee`
- **2026-01-15** Assigned HCL sub: Subcommittee #1 `referral-committee`
- **2026-01-20** Subcommittee recommends reporting (9-Y 0-N)
- **2026-01-22** Reported from Labor and Commerce (21-Y 1-N) `committee-passage`
- **2026-01-26** Read first time `reading-1`
- **2026-01-27** Read second time and engrossed `reading-2`
- **2026-01-28** Read third time and passed House (81-Y 16-N 0-A) `passage, reading-3`
- **2026-01-29** Constitutional reading dispensed (on 1st reading)
- **2026-01-29** Referred to Committee on Commerce and Labor `referral-committee`
- **2026-02-08** Fiscal Impact Statement from State Corporation Commission (HB220)
- **2026-02-23** Reported from Commerce and Labor (14-Y 0-N) `committee-passage`
- **2026-02-25** Rules suspended
- **2026-02-25** Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
- **2026-02-25** Passed by for the day Block Vote (Voice Vote)
- **2026-02-26** Read third time `reading-3`
- **2026-02-26** Passed Senate (40-Y 0-N 0-A) `passage`
- **2026-03-03** Enrolled `enrolled`
- **2026-03-03** Bill text as passed House and Senate (HB220ER) `passage`
- **2026-03-03** Signed by Speaker `passage`
- **2026-03-03** Signed by President `passage`
- **2026-03-05** Fiscal Impact Statement from State Corporation Commission (HB220)
- **2026-03-10** Enrolled Bill communicated to Governor on March 10, 2026 `enrolled, executive-receipt`
- **2026-03-10** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
- **2026-03-31** Approved by Governor-Chapter 34 (effective 7/1/2026) `executive-signature`
- **2026-03-31** Acts of Assembly Chapter text (CHAP0034)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/dc5e58dc-a1a8-42b4-9307-73963a4b8080`. Confidence: reported (aggregated from official Virginia legislature records).