Files
2026-07-06 17:28:36 -04:00

9.7 KiB
Raw Permalink Blame History

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
type title description jurisdiction legislature session identifier citation classification subjects status primary_sponsors version_count action_count vote_count first_action last_action source source_identifier source_url source_hash vintage source_snapshot retrieved_at confidence tags
Bill Pharmacy benefits managers; requirements, application of law, report, delayed effective date. Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill is identical to SB 669. us/states/va Virginia General Assembly 2026 HB 830 Virginia HB 830 (2026)
bill
enacted
Katrina Callsen
8 43 10 2026-01-13 2026-04-13 openstates ocd-bill/903de120-d33a-42c2-ac3a-9d0e3a1062b5 https://lis.virginia.gov/bill-details/20261/HB830 a3468e4683ab5c7d04fc826d2a4d05f78ec9ab6e4ceda82c3c10225188589a90 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
bill
us-va

Virginia HB 830 (2026) — Pharmacy benefits managers; requirements, application of law, report, delayed effective date.

Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill is identical to SB 669.

Version chain

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

  1. Introduced (filed) — source
  2. Appropriations Substitute (committee substitute) — source
  3. Chaptered (committee substitute) — source
  4. Commerce and Labor Substitute (committee substitute) — source
  5. Compensation and Retirement Subcommittee Substitute (committee substitute) — source
  6. Labor and Commerce Substitute (committee substitute) — source
  7. Subcommittee #1 Subcommittee Substitute (committee substitute) — source
  8. Enrolled (enrolled) — source

Votes

  • Reported from Labor and Commerce with substitute — 220 (pass) · lower
  • H VOTE: — 960 (pass) · lower
  • Reported from Finance and Appropriations — 140 (pass) · upper
  • Subcommittee recommends reporting with substitute — 90 (pass) · lower
  • Constitutional reading dispensed (on 2nd reading) — 400 (pass) · upper
  • Passage R — 400 (pass) · upper
  • Reported from Appropriations with substitute — 220 (pass) · lower
  • Subcommittee recommends reporting with substitute — 70 (pass) · lower
  • Reported from Commerce and Labor with substitute — 140 (pass) · upper
  • H VOTE: — 980 (pass) · lower

Sponsors

  • Katrina Callsen — primary (person)
  • Adele Y. McClure — cosponsor (person)
  • Amy J. Laufer — cosponsor (person)
  • Bonita G. Anthony — cosponsor (person)
  • Charlie Schmidt — cosponsor (person)
  • Elizabeth B. Bennett-Parker — cosponsor (person)
  • Elizabeth R. Guzman — cosponsor (person)
  • Gretchen M. Bulova — cosponsor (person)
  • H. Otto Wachsmann, Jr. — cosponsor (person)
  • Jessica L. Anderson — cosponsor (person)
  • Karen Keys-Gamarra — cosponsor (person)
  • Karen R. "Kacey" Carnegie — cosponsor (person)
  • Kathy K.L. Tran — cosponsor (person)
  • Kimberly Pope Adams — cosponsor (person)
  • Leslie Chambers Mehta — cosponsor (person)
  • Lily V. Franklin — cosponsor (person)
  • Lindsey Dougherty — cosponsor (person)
  • Marcia S. "Cia" Price — cosponsor (person)
  • Margaret A. Franklin — cosponsor (person)
  • Mark C. Downey — cosponsor (person)
  • Marty Martinez — cosponsor (person)
  • May Nivar — cosponsor (person)
  • Nadarius E. Clark — cosponsor (person)
  • Nicole Cole — cosponsor (person)
  • Phil M. Hernandez — cosponsor (person)
  • Rae Cousins — cosponsor (person)
  • Rodney T. Willett — cosponsor (person)
  • Sam Rasoul — cosponsor (person)
  • Shelly A. Simonds — cosponsor (person)
  • Stacey Annie Carroll — cosponsor (person)
  • Virgil Thornton — cosponsor (person)

Timeline

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

  • 2026-01-13 Prefiled and ordered printed; Offered 01-14-2026 26105289D filing, introduction
  • 2026-01-13 Referred to Committee on Labor and Commerce referral-committee
  • 2026-01-22 Assigned HCL sub: Subcommittee #1 referral-committee
  • 2026-02-03 House subcommittee offered
  • 2026-02-03 Subcommittee recommends reporting with substitute and referring to Appropriations (9-Y 0-N) substitution
  • 2026-02-03 Fiscal Impact Statement from State Corporation Commission (HB830)
  • 2026-02-05 Reported from Labor and Commerce with substitute and referred to Appropriations (22-Y 0-N) committee-passage
  • 2026-02-05 Committee substitute printed 26106561D-H1 substitution
  • 2026-02-10 Fiscal Impact Statement from State Corporation Commission (HB830)
  • 2026-02-12 Assigned HAPP sub: Compensation and Retirement referral-committee
  • 2026-02-13 House subcommittee offered
  • 2026-02-13 Subcommittee recommends reporting with substitute (7-Y 0-N) substitution
  • 2026-02-13 Reported from Appropriations with substitute (22-Y 0-N) committee-passage
  • 2026-02-13 Committee substitute printed 26107837D-H2 substitution
  • 2026-02-15 Read first time reading-1
  • 2026-02-16 Read second time reading-2
  • 2026-02-16 committee substitute rejected
  • 2026-02-16 committee substitute agreed to substitution
  • 2026-02-16 Engrossed by House - committee substitute substitution
  • 2026-02-17 Read third time and passed House (97-Y 0-N 0-A) passage, reading-3
  • 2026-02-18 Constitutional reading dispensed (on 1st reading)
  • 2026-02-18 Referred to Committee on Commerce and Labor referral-committee
  • 2026-03-02 Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (14-Y 0-N) committee-passage
  • 2026-03-03 Committee substitute printed 26108906D-S1 substitution
  • 2026-03-06 Reported from Finance and Appropriations (14-Y 0-N) committee-passage
  • 2026-03-09 Constitutional reading dispensed (on 2nd reading) (40-Y 0-N 0-A)
  • 2026-03-09 Passed by for the day (Voice Vote)
  • 2026-03-09 Rules suspended
  • 2026-03-09 Passed by for the day
  • 2026-03-10 Read third time reading-3
  • 2026-03-10 Commerce and Labor Substitute agreed to
  • 2026-03-10 Engrossed by Senate - committee substitute substitution
  • 2026-03-10 Passed Senate with substitute Block Vote (40-Y 0-N 0-A) passage
  • 2026-03-11 Senate substitute agreed to by House (98-Y 0-N 0-A) substitution
  • 2026-03-12 Fiscal Impact Statement from State Corporation Commission (HB830)
  • 2026-03-30 Enrolled enrolled
  • 2026-03-30 Bill text as passed House and Senate (HB830ER) passage
  • 2026-03-30 Signed by President passage
  • 2026-03-31 Signed by Speaker passage
  • 2026-03-31 Enrolled Bill communicated to Governor on March 31, 2026 enrolled, executive-receipt
  • 2026-03-31 Governor's Action Deadline 11:59 p.m., April 13, 2026 executive-receipt
  • 2026-04-13 Approved by Governor-Chapter 678 (Effective 7/1/2027) executive-signature
  • 2026-04-13 Acts of Assembly Chapter text (CHAP0678)

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/903de120-d33a-42c2-ac3a-9d0e3a1062b5. Confidence: reported (aggregated from official Virginia legislature records).