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---
type: "Bill"
title: "Health insurance; mandated benefits, coverage for treatment of menopause and perimenopause."
description: "Health insurance; mandated benefits; treatment of menopause and perimenopause. Requires each insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; each corporation providing individual or group accident and sickness subscription contracts; and each health maintenance organization providing a health care plan for health care services to provide coverage for medically necessary treatment and care for menopause and perimenopause, as described in the bill."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "SB 790"
citation: "Virginia SB 790 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Ryan T. McDougle"]
version_count: 6
action_count: 38
vote_count: 8
first_action: "2026-01-23"
last_action: "2026-04-13"
source: "openstates"
source_identifier: "ocd-bill/d601d1ee-883d-4fcc-816e-a9d7814cdf94"
source_url: "https://lis.virginia.gov/bill-details/20261/SB790"
source_hash: "e0e3c57b5845edae4ea9ad435f8c01870746ddcdbbfb741d4b90f29b27f6f573"
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 790 (2026) — Health insurance; mandated benefits, coverage for treatment of menopause and perimenopause.
Health insurance; mandated benefits; treatment of menopause and perimenopause. Requires each insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; each corporation providing individual or group accident and sickness subscription contracts; and each health maintenance organization providing a health care plan for health care services to provide coverage for medically necessary treatment and care for menopause and perimenopause, as described in the bill.
## 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/1095716.PDF)
2. **Commerce and Labor Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1113420.HTML)
3. **Finance and Appropriations Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1133896.PDF)
4. **Labor and Commerce Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1185539.PDF)
5. **Subcommittee #1 Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1179246.PDF)
6. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1201648.PDF)
## Votes
- Reported from Finance and Appropriations with substitute — **150** (pass) · upper
- Reported from Commerce and Labor with amendment — **120** (pass) · upper
- Constitutional reading dispensed R — **400** (pass) · upper
- Passage R — **400** (pass) · upper
- Reported from Labor and Commerce with substitute — **210** (pass) · lower
- Subcommittee recommends reporting with substitute — **80** (pass) · lower
- H VOTE: — **970** (pass) · lower
- Concur House Substitute R — **390** (pass) · upper
## Sponsors
- Ryan T. McDougle — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-01-23** Presented and ordered printed 26104365D `introduction`
- **2026-01-23** Referred to Committee on Commerce and Labor `referral-committee`
- **2026-02-02** Fiscal Impact Statement from Department of Planning and Budget (SB790)
- **2026-02-02** Reported from Commerce and Labor with amendment and rereferred to Finance and Appropriations (12-Y 0-N 1-A) `committee-passage`
- **2026-02-05** Reported from Finance and Appropriations with substitute (15-Y 0-N) `committee-passage`
- **2026-02-09** Committee substitute printed 26107293D-S1 `substitution`
- **2026-02-09** Rules suspended
- **2026-02-09** Constitutional reading dispensed (on 1st reading) (40-Y 0-N 0-A)
- **2026-02-09** Passed by for the day (Voice Vote)
- **2026-02-09** Passed by for the day
- **2026-02-10** Fiscal Impact Statement from Department of Planning and Budget (SB790)
- **2026-02-10** Read second time `reading-2`
- **2026-02-10** Commerce and Labor Amendment rejected `amendment-failure`
- **2026-02-10** Finance and Appropriations Substitute agreed to
- **2026-02-10** Engrossed by Senate - committee substitute (Voice Vote) `substitution`
- **2026-02-11** Read third time and passed Senate (40-Y 0-N 0-A) `passage, reading-3`
- **2026-02-17** Placed on Calendar
- **2026-02-17** Read first time `reading-1`
- **2026-02-17** Referred to Committee on Labor and Commerce `referral-committee`
- **2026-02-17** Assigned HCL sub: Subcommittee #1 `referral-committee`
- **2026-02-24** Subcommittee recommends reporting with substitute (8-Y 0-N) `substitution`
- **2026-02-26** Reported from Labor and Commerce with substitute (21-Y 0-N) `committee-passage`
- **2026-02-27** Committee substitute printed 26108621D-H1 `substitution`
- **2026-03-02** Read second time `reading-2`
- **2026-03-03** Fiscal Impact Statement from Department of Planning and Budget (SB790)
- **2026-03-03** Read third time `reading-3`
- **2026-03-03** committee substitute agreed to `substitution`
- **2026-03-03** Engrossed by House - committee substitute `substitution`
- **2026-03-03** Passed House with substitute (97-Y 0-N 0-A) `passage`
- **2026-03-05** House substitute agreed to by Senate (39-Y 0-N 0-A) `substitution`
- **2026-03-11** Enrolled `enrolled`
- **2026-03-11** Bill text as passed Senate and House (SB790ER) `passage`
- **2026-03-11** Fiscal Impact Statement from Department of Planning and Budget (SB790)
- **2026-03-11** Signed by President `passage`
- **2026-03-12** Signed by Speaker `passage`
- **2026-03-14** Enrolled Bill communicated to Governor on March 14, 2026 `enrolled, executive-receipt`
- **2026-03-14** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
- **2026-04-13** Approved by Governor-Chapter 955 (effective 7/1/2026) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d601d1ee-883d-4fcc-816e-a9d7814cdf94`. Confidence: reported (aggregated from official Virginia legislature records).