republic-os/legislation/us/states/va/2020/sb-423.md

---
type: "Bill"
title: "Health insurance; mandated coverage for hearing aids for minors and services."
description: "Health insurance; mandated coverage for hearing aids for minors. Requires health insurers, health maintenance organizations, and corporations providing health care coverage subscription contracts to provide coverage for hearing aids and related services for children 18 years of age or younger when an otolaryngologist recommends such hearing aids and related services. The coverage includes one hearing aid per hearing-impaired ear, up to a cost of $1,500, every 24 months. The measure applies to policies, contracts, and plans delivered, issued for delivery, or renewed on and after January 1, 2021."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2020"
identifier: "SB 423"
citation: "Virginia SB 423 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bill DeSteph"]
version_count: 4
action_count: 52
vote_count: 13
first_action: "2020-01-07"
last_action: "2020-04-10"
source: "openstates"
source_identifier: "ocd-bill/43cb5945-2f64-4438-9bb3-027a8185ae22"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+SB423"
source_hash: "d35836cbdb972623dfaca14f27905b6880d9a126c4b564c249a710a9cf4e7e9b"
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 423 (2020) — Health insurance; mandated coverage for hearing aids for minors and services.

Health insurance; mandated coverage for hearing aids for minors. Requires health insurers, health maintenance organizations, and corporations providing health care coverage subscription contracts to provide coverage for hearing aids and related services for children 18 years of age or younger when an otolaryngologist recommends such hearing aids and related services. The coverage includes one hearing aid per hearing-impaired ear, up to a cost of $1,500, every 24 months. The measure applies to policies, contracts, and plans delivered, issued for delivery, or renewed on and after January 1, 2021.

## Version chain

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

1. **Acts of Assembly Chapter text (CHAP1094)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP1094)
2. **Bill text as passed Senate and House (SB423ER)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+SB423ER)
3. **Engrossed by Senate as amended SB423E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+SB423E)
4. **Impact statement from SCC (SB423)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+SB423)

## Votes

- Reported from Appropriations with amendments (21-Y 0-N) — **21–0** (pass) · lower
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- VOTE: Passage #2 (97-Y 2-N) — **96–2** (pass) · lower
- Senate acceded to request (39-Y 0-N) — **39–0** (pass) · upper
- Reported from Commerce and Labor with amendment (15-Y 0-N) — **15–0** (pass) · upper
- Reported from Labor and Commerce (22-Y 0-N) — **22–0** (pass) · lower
- VOTE: Passage (95-Y 1-N) — **94–1** (pass) · lower
- Subcommittee recommends reporting (7-Y 1-N) — **7–1** (pass) · lower
- VOTE: Adoption (91-Y 2-N) — **90–2** (pass) · lower
- Read third time and passed Senate (40-Y 0-N) — **40–0** (pass) · upper
- House amendments rejected by Senate (0-Y 39-N) — **0–39** (fail) · upper
- Conference report agreed to by Senate (38-Y 0-N) — **38–0** (pass) · upper
- Reported from Finance and Appropriations (15-Y 0-N) — **15–0** (pass) · upper

## Sponsors

- Bill DeSteph — primary (person)
- Adam P. Ebbin — cosponsor (person)
- Amanda F. Chase — cosponsor (person)
- David W. Marsden — cosponsor (person)
- Jennifer A. Kiggans — cosponsor (person)
- Jennifer B. Boysko — cosponsor (person)
- Jill Holtzman Vogel — cosponsor (person)
- John A. Cosgrove, Jr. — cosponsor (person)
- John J. Bell — cosponsor (person)
- John S. Edwards — cosponsor (person)
- Joseph D. Morrissey — cosponsor (person)
- Joshua G. Cole — cosponsor (person)
- Kenneth R. Plum — cosponsor (person)
- L. Louise Lucas — cosponsor (person)
- Lionell Spruill, Sr. — cosponsor (person)
- Scott A. Surovell — cosponsor (person)
- T. Montgomery "Monty" Mason — cosponsor (person)
- Thomas K. Norment, Jr. — cosponsor (person)

## Timeline

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

- **2020-01-07** Prefiled and ordered printed; offered 01/08/20 20102201D `introduction`
- **2020-01-07** Referred to Committee on Commerce and Labor `referral-committee`
- **2020-01-20** Reported from Commerce and Labor with amendment (15-Y 0-N) `committee-passage`
- **2020-01-20** Rereferred to Finance and Appropriations `referral-committee`
- **2020-01-21** Impact statement from SCC (SB423)
- **2020-01-28** Reported from Finance and Appropriations (15-Y 0-N) `committee-passage`
- **2020-01-29** Constitutional reading dispensed (40-Y 0-N)
- **2020-01-30** Read second time `reading-2`
- **2020-01-30** Reading of amendment waived
- **2020-01-30** Committee amendment agreed to
- **2020-01-30** Engrossed by Senate as amended SB423E
- **2020-01-30** Printed as engrossed 20102201D-E
- **2020-01-31** Read third time and passed Senate (40-Y 0-N) `passage, reading-3`
- **2020-02-13** Placed on Calendar
- **2020-02-13** Read first time `reading-1`
- **2020-02-13** Referred to Committee on Labor and Commerce `referral-committee`
- **2020-02-14** Assigned L & C sub: Subcommittee #2 `referral-committee`
- **2020-02-18** Subcommittee recommends reporting (7-Y 1-N)
- **2020-02-18** Subcommittee recommends referring to Committee on Appropriations
- **2020-02-20** Reported from Labor and Commerce (22-Y 0-N) `committee-passage`
- **2020-02-20** Referred to Committee on Appropriations `referral-committee`
- **2020-02-21** Impact statement from SCC (SB423E)
- **2020-02-28** House committee, floor amendments and substitutes offered
- **2020-02-28** Reported from Appropriations with amendments (21-Y 0-N) `committee-passage`
- **2020-03-03** Read second time `reading-2`
- **2020-03-04** Read third time `reading-3`
- **2020-03-04** Committee amendments agreed to
- **2020-03-04** Passed by for the day
- **2020-03-05** Read third time `reading-3`
- **2020-03-05** Engrossed by House as amended
- **2020-03-05** Passed House with amendments (95-Y 1-N) `passage`
- **2020-03-05** VOTE: Passage (95-Y 1-N)
- **2020-03-05** Reconsideration of House passage agreed to by House
- **2020-03-05** Passed House with amendments (97-Y 2-N) `passage`
- **2020-03-05** VOTE: Passage #2 (97-Y 2-N)
- **2020-03-05** House amendments rejected by Senate (0-Y 39-N)
- **2020-03-05** House insisted on amendments
- **2020-03-05** House requested conference committee
- **2020-03-05** Senate acceded to request (39-Y 0-N)
- **2020-03-05** Conferees appointed by Senate
- **2020-03-05** Conferees appointed by House
- **2020-03-07** Amended by conference committee
- **2020-03-07** Conference report agreed to by Senate (38-Y 0-N)
- **2020-03-08** Conference report agreed to by House (91-Y 2-N)
- **2020-03-08** VOTE: Adoption (91-Y 2-N)
- **2020-03-18** Enrolled
- **2020-03-18** Signed by President
- **2020-03-19** Signed by Speaker
- **2020-03-20** Impact statement from SCC (SB423ER)
- **2020-03-20** Enrolled Bill Communicated to Governor on March 20, 2020
- **2020-03-20** Governor's Action Deadline 11:59 p.m., April 11, 2020
- **2020-04-10** Approved by Governor-Chapter 1094 (effective 7/1/20) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/43cb5945-2f64-4438-9bb3-027a8185ae22`. Confidence: reported (aggregated from official Virginia legislature records).