Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
9.4 KiB
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 | Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. | Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least one health plan in each of the bronze, silver, gold, and platinum levels of coverage in each rating area in the individual and small group market conform with the following: (i) a plan that offers a platinum level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $150 per 30-day supply of the prescription drug; (ii) a plan that offers a gold level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $200 per 30-day supply of the prescription drug; (iii) a plan that offers a silver level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $250 per 30-day supply of the prescription drug; and (iv) a plan that offers a bronze level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $300 per 30-day supply of the prescription drug. The bill requires that any plans offered to meet its requirements are (a) clearly and appropriately named to aid the consumer or plan sponsor in the plan selection process and (b) marketed in the same manner as other plans offered by the carrier. The bill's provisions apply to any individual or group accident and sickness insurance policy, any individual or group accident and sickness subscription contract, and any health care plan for health care services delivered, issued for delivery, or renewed in the Commonwealth on or after January 1, 2028. This bill is identical to HB 625. | us/states/va | Virginia General Assembly | 2026 | SB 161 | Virginia SB 161 (2026) |
|
enacted |
|
8 | 42 | 9 | 2026-01-07 | 2026-04-13 | openstates | ocd-bill/261202ea-b5b4-431b-bdb2-95701793d579 | https://lis.virginia.gov/bill-details/20261/SB161 | dd01202c06cdb6fdfecbc113cc9760083b558b5c9a698c9d9dd0fc1244aa75ce | 2026-07-01 | https://data.openstates.org/daily/2026-07-01/public.pgdump | 2026-07-06 | reported |
|
Virginia SB 161 (2026) — Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.
Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least one health plan in each of the bronze, silver, gold, and platinum levels of coverage in each rating area in the individual and small group market conform with the following: (i) a plan that offers a platinum level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $150 per 30-day supply of the prescription drug; (ii) a plan that offers a gold level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $200 per 30-day supply of the prescription drug; (iii) a plan that offers a silver level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $250 per 30-day supply of the prescription drug; and (iv) a plan that offers a bronze level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $300 per 30-day supply of the prescription drug. The bill requires that any plans offered to meet its requirements are (a) clearly and appropriately named to aid the consumer or plan sponsor in the plan selection process and (b) marketed in the same manner as other plans offered by the carrier. The bill's provisions apply to any individual or group accident and sickness insurance policy, any individual or group accident and sickness subscription contract, and any health care plan for health care services delivered, issued for delivery, or renewed in the Commonwealth on or after January 1, 2028. This bill is identical to HB 625.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
- Introduced (filed) — source
- Chaptered (committee substitute) — source
- Commerce and Labor Amendment (committee substitute) — source
- Conference Report (committee substitute) — source
- Conference Report Substitute (committee substitute) — source
- Engrossed (committee substitute) — source
- Labor and Commerce Substitute (committee substitute) — source
- Enrolled (enrolled) — source
Votes
- Reported from Labor and Commerce with substitute — 14–6 (pass) · lower
- Reported from Commerce and Labor with amendment — 9–4 (pass) · upper
- Passage R — 34–6 (pass) · upper
- Adopt Conference Committee Report R — 38–2 (pass) · upper
- Constitutional reading dispensed R — 40–0 (pass) · upper
- Adopt Conference Committee Report R — 64–33 (pass) · lower
- Concur House Substitute R — 0–40 (fail) · upper
- H VOTE: — 64–34 (pass) · lower
- Accede Conference Committee R — 40–0 (pass) · upper
Sponsors
- Russet Perry — primary (person)
Timeline
The legislative action history — every referral, reading, and vote.
- 2026-01-07 Prefiled and ordered printed; Offered 01-14-2026 26101280D
filing, introduction - 2026-01-07 Referred to Committee on Commerce and Labor
referral-committee - 2026-01-25 Fiscal Impact Statement from State Corporation Commission (SB161)
- 2026-01-26 Senate committee offered
- 2026-02-02 Reported from Commerce and Labor with amendment (9-Y 4-N)
committee-passage - 2026-02-04 Rules suspended
- 2026-02-04 Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
- 2026-02-04 Passed by for the day Block Vote (Voice Vote)
- 2026-02-05 Read second time
reading-2 - 2026-02-05 Commerce and Labor Amendment agreed to
amendment-passage - 2026-02-05 Engrossed by Senate as amended (Voice Vote)
- 2026-02-06 Read third time and passed Senate (34-Y 6-N 0-A)
passage, reading-3 - 2026-02-12 Placed on Calendar
- 2026-02-12 Read first time
reading-1 - 2026-02-12 Referred to Committee on Labor and Commerce
referral-committee - 2026-02-19 Reported from Labor and Commerce with substitute (14-Y 6-N)
committee-passage - 2026-02-19 Committee substitute printed 26108163D-H1
substitution - 2026-02-23 Read second time
reading-2 - 2026-02-24 Read third time
reading-3 - 2026-02-24 committee substitute agreed to
substitution - 2026-02-24 Engrossed by House - committee substitute
substitution - 2026-02-24 Passed House with substitute (64-Y 34-N 0-A)
passage - 2026-02-26 House substitute rejected by Senate (0-Y 40-N 0-A)
- 2026-02-27 House insisted on substitute
substitution - 2026-02-27 House requested conference committee
referral-committee - 2026-03-03 Senate acceded to request Block Vote (40-Y 0-N 0-A)
- 2026-03-03 Conferees appointed by Senate
- 2026-03-03 Senate Conferees: Perry, Rouse, Stanley
- 2026-03-03 Fiscal Impact Statement from State Corporation Commission (SB161)
- 2026-03-05 Conferees appointed by House
- 2026-03-05 House Conferees: Henson, Ward, McLaughlin
- 2026-03-06 Conference Report released
- 2026-03-09 Conference report agreed to by Senate (38-Y 2-N 0-A)
committee-passage-favorable - 2026-03-10 Conference report agreed to by House (63-Y 33-N 0-A)
committee-passage-favorable - 2026-03-30 Enrolled
enrolled - 2026-03-30 Bill text as passed Senate and House (SB161ER)
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 642 (effective 7/1/2026)
executive-signature - 2026-04-13 Acts of Assembly Chapter text (CHAP0642)
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/261202ea-b5b4-431b-bdb2-95701793d579. Confidence: reported (aggregated from official Virginia legislature records).