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republic-os/legislation/us/states/va/2024/hb-238.md
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---
type: "Bill"
title: "Health insurance; coverage for colorectal cancer screening."
description: "Health insurance; coverage for colorectal cancer screening. Requires health insurers to provide coverage for examinations and laboratory tests related to colorectal cancer screening in accordance with the most recently published recommendations established by the U.S. Preventive Services Task Force for colorectal cancer screening for which a rating of A or B is in effect with respect to the individual involved. The bill requires such coverage to include coverage of a follow-up colonoscopy after a positive noninvasive stool-based screening test or direct visualization screening test. The bill prohibits such coverage from being subject to any deductible, coinsurance, or any other cost-sharing requirements for services received from participating providers. The provisions of the bill apply to individual or group accident and sickness insurance policies, individual or group accident and sickness subscription contracts, or health care plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2025."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2024"
identifier: "HB 238"
citation: "Virginia HB 238 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Delores L. McQuinn"]
version_count: 4
action_count: 30
vote_count: 6
first_action: "2024-01-04"
last_action: "2024-03-28"
source: "openstates"
source_identifier: "ocd-bill/54047a32-201f-4f69-8f2e-33ff893e1ba6"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB238"
source_hash: "ee7b91d3423a2e4e94a403d987187be21904f404c61f6d2eaa1b9701ff7bc78c"
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 HB 238 (2024) — Health insurance; coverage for colorectal cancer screening.
Health insurance; coverage for colorectal cancer screening. Requires health insurers to provide coverage for examinations and laboratory tests related to colorectal cancer screening in accordance with the most recently published recommendations established by the U.S. Preventive Services Task Force for colorectal cancer screening for which a rating of A or B is in effect with respect to the individual involved. The bill requires such coverage to include coverage of a follow-up colonoscopy after a positive noninvasive stool-based screening test or direct visualization screening test. The bill prohibits such coverage from being subject to any deductible, coinsurance, or any other cost-sharing requirements for services received from participating providers. The provisions of the bill apply to individual or group accident and sickness insurance policies, individual or group accident and sickness subscription contracts, or health care plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2025.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **CHAP0181** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0181)
2. **Committee substitute printed 24106386D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB238H1)
3. **HB238ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB238ER)
4. **Prefiled and ordered printed; offered 01/10/24 24101094D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB238)
## Votes
- Passed Senate (40-Y 0-N) — **400** (pass) · upper
- Reported from Labor and Commerce with substitute (22-Y 0-N) — **220** (pass) · lower
- VOTE: Block Vote Passage (100-Y 0-N) — **990** (pass) · lower
- Subcommittee recommends reporting with substitute (7-Y 0-N) — **70** (pass) · lower
- Reported from Commerce and Labor (15-Y 0-N) — **150** (pass) · upper
- Constitutional reading dispensed (40-Y 0-N) — **400** (pass) · upper
## Sponsors
- Delores L. McQuinn — primary (person)
- Amy J. Laufer — cosponsor (person)
- Bonita G. Anthony — cosponsor (person)
- Candi Mundon King — cosponsor (person)
- Carrie E. Coyner — cosponsor (person)
- Elizabeth B. Bennett-Parker — cosponsor (person)
- Ellen H. Campbell — cosponsor (person)
- Irene Shin — cosponsor (person)
- Karen Keys-Gamarra — cosponsor (person)
- Kelly K. Convirs-Fowler — cosponsor (person)
- Michael B. Feggans — cosponsor (person)
- Michael J. Jones — cosponsor (person)
- Nadarius E. Clark — cosponsor (person)
- Rodney T. Willett — cosponsor (person)
- Rozia A. Henson, Jr. — cosponsor (person)
- William M. Stanley, Jr. — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-04** Prefiled and ordered printed; offered 01/10/24 24101094D `filing, introduction`
- **2024-01-04** Referred to Committee on Labor and Commerce `referral-committee`
- **2024-01-15** Assigned L & C sub: Subcommittee #1 `referral-committee`
- **2024-01-23** Impact statement from DPB (HB238)
- **2024-01-30** House subcommittee amendments and substitutes offered
- **2024-01-30** Subcommittee recommends reporting with substitute (7-Y 0-N) `substitution`
- **2024-02-01** Reported from Labor and Commerce with substitute (22-Y 0-N) `committee-passage`
- **2024-02-01** Committee substitute printed 24106386D-H1 `substitution`
- **2024-02-05** Impact statement from DPB (HB238H1)
- **2024-02-05** Read first time `reading-1`
- **2024-02-06** Read second time `reading-2`
- **2024-02-06** Committee substitute agreed to 24106386D-H1 `substitution`
- **2024-02-06** Engrossed by House - committee substitute HB238H1 `substitution`
- **2024-02-07** Read third time and passed House BLOCK VOTE (100-Y 0-N) `passage, reading-3`
- **2024-02-07** VOTE: Block Vote Passage (100-Y 0-N) `passage`
- **2024-02-08** Constitutional reading dispensed
- **2024-02-08** Referred to Committee on Commerce and Labor `referral-committee`
- **2024-02-19** Reported from Commerce and Labor (15-Y 0-N) `committee-passage`
- **2024-02-21** Constitutional reading dispensed (40-Y 0-N)
- **2024-02-22** Read third time `reading-3`
- **2024-02-22** Passed Senate (40-Y 0-N) `passage`
- **2024-02-27** Enrolled `enrolled`
- **2024-02-27** Bill text as passed House and Senate (HB238ER) `passage`
- **2024-02-27** Impact statement from DPB (HB238ER)
- **2024-02-27** Signed by Speaker `passage`
- **2024-03-01** Signed by President `passage`
- **2024-03-11** Enrolled Bill communicated to Governor on March 11, 2024 `enrolled, executive-receipt`
- **2024-03-11** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
- **2024-03-28** Approved by Governor-Chapter 181 (effective 7/1/24) `executive-signature`
- **2024-03-28** Acts of Assembly Chapter text (CHAP0181)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/54047a32-201f-4f69-8f2e-33ff893e1ba6`. Confidence: reported (aggregated from official Virginia legislature records).