Fabio
102 lines
6.5 KiB
Markdown
102 lines
6.5 KiB
Markdown
---
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type: "Bill"
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title: "Health insurance; coverage for early refills of prescription eye drops."
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description: "Health insurance; coverage for early refills of prescription eye drops. Prohibits a health carrier from denying coverage to a covered person of an early refill of prescription eye drops if (i) the prescription eye drops are a covered benefit, (ii) the amount of time that has elapsed from the previous dispensing of such prescription would result in at least 85 percent of such prescription eye drops being used if taken consistently with the prescriber's directions, and (iii) the prescriber has indicated that additional quantities are medically necessary and the refill requested does not exceed such additional quantity. The provisions of the bill are applicable to contracts, policies, or plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2027."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2026"
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identifier: "HB 490"
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citation: "Virginia HB 490 (2026)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Patrick A. Hope"]
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version_count: 6
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action_count: 33
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vote_count: 8
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first_action: "2026-01-12"
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last_action: "2026-04-06"
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source: "openstates"
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source_identifier: "ocd-bill/ddca7d3a-f8c1-475e-bb43-6d0c67228214"
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source_url: "https://lis.virginia.gov/bill-details/20261/HB490"
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source_hash: "9beb1512b4afb71e141c7c2d7323e152b49292cfecd850edb3365382d1b2a166"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-va"]
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---
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# Virginia HB 490 (2026) — Health insurance; coverage for early refills of prescription eye drops.
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Health insurance; coverage for early refills of prescription eye drops. Prohibits a health carrier from denying coverage to a covered person of an early refill of prescription eye drops if (i) the prescription eye drops are a covered benefit, (ii) the amount of time that has elapsed from the previous dispensing of such prescription would result in at least 85 percent of such prescription eye drops being used if taken consistently with the prescriber's directions, and (iii) the prescriber has indicated that additional quantities are medically necessary and the refill requested does not exceed such additional quantity. The provisions of the bill are applicable to contracts, policies, or plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2027.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1084654.PDF)
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2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1216741.PDF)
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3. **Engrossed** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1148709.PDF)
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4. **Labor and Commerce Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1129895.HTML)
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5. **Subcommittee #1 Subcommittee Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1115875.HTML)
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6. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1201154.PDF)
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## Votes
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- Reported from Labor and Commerce with amendment(s) — **20–2** (pass) · lower
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- Subcommittee recommends reporting with amendment(s) — **9–0** (pass) · lower
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- Reported from Appropriations — **22–0** (pass) · lower
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- H VOTE: — **92–4** (pass) · lower
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- Subcommittee recommends reporting — **6–0** (pass) · lower
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- Passage R — **39–0** (pass) · upper
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- Reported from Commerce and Labor — **13–0** (pass) · upper
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- Constitutional reading dispensed (on 2nd reading) — **39–0** (pass) · upper
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## Sponsors
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- Patrick A. Hope — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2026-01-12** Prefiled and ordered printed; Offered 01-14-2026 26102668D `filing, introduction`
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- **2026-01-12** Referred to Committee on Labor and Commerce `referral-committee`
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- **2026-01-19** Assigned HCL sub: Subcommittee #1 `referral-committee`
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- **2026-01-23** Fiscal Impact Statement from Department of Planning and Budget (HB490)
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- **2026-02-03** House subcommittee offered
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- **2026-02-03** Subcommittee recommends reporting with amendment(s) and referring to Appropriations (9-Y 0-N)
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- **2026-02-05** Reported from Labor and Commerce with amendment(s) and referred to Appropriations (20-Y 2-N) `committee-passage`
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- **2026-02-05** Assigned HAPP sub: Compensation and Retirement `referral-committee`
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- **2026-02-13** Subcommittee recommends reporting (6-Y 0-N)
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- **2026-02-13** Reported from Appropriations (22-Y 0-N) `committee-passage`
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- **2026-02-15** Read first time `reading-1`
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- **2026-02-16** Read second time `reading-2`
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- **2026-02-16** committee amendment agreed to `amendment-passage`
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- **2026-02-16** Engrossed by House as amended
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- **2026-02-17** Fiscal Impact Statement from Department of Planning and Budget (HB490)
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- **2026-02-17** Read third time and passed House (93-Y 4-N 0-A) `passage, reading-3`
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- **2026-02-18** Constitutional reading dispensed (on 1st reading)
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- **2026-02-18** Referred to Committee on Commerce and Labor `referral-committee`
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- **2026-03-02** Reported from Commerce and Labor (13-Y 0-N) `committee-passage`
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- **2026-03-04** Rules suspended
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- **2026-03-04** Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)
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- **2026-03-04** Passed by for the day (Voice Vote)
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- **2026-03-05** Read third time `reading-3`
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- **2026-03-05** Passed Senate (39-Y 0-N 0-A) `passage`
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- **2026-03-12** Enrolled `enrolled`
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- **2026-03-12** Bill text as passed House and Senate (HB490ER) `passage`
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- **2026-03-12** Fiscal Impact Statement from Department of Planning and Budget (HB490)
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- **2026-03-12** Signed by Speaker `passage`
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- **2026-03-12** Signed by President `passage`
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- **2026-03-14** Enrolled Bill communicated to Governor on March 14, 2026 `enrolled, executive-receipt`
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- **2026-03-14** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
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- **2026-04-06** Approved by Governor-Chapter 153 (effective 7/1/2026) `executive-signature`
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- **2026-04-06** Acts of Assembly Chapter text (CHAP0153)
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ddca7d3a-f8c1-475e-bb43-6d0c67228214`. Confidence: reported (aggregated from official Virginia legislature records).
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