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---
type: "Bill"
title: "Health insurance; cost sharing for breast examinations."
description: "Health insurance; cost sharing for breast examinations. Prohibits health insurance carriers from imposing cost sharing for diagnostic breast examinations and supplemental breast examinations, as those terms are defined in the bill, under certain insurance policies, subscription contracts, and health care plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2026. The bill provides that such examinations include examinations using diagnostic mammography, breast magnetic resonance imaging, or breast ultrasound. As introduced, this bill was a recommendation of the Health Insurance Reform Commission. This bill incorporates SB 1238 and is identical to HB 1828."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2025"
identifier: "SB 1436"
citation: "Virginia SB 1436 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Russet Perry"]
version_count: 4
action_count: 32
vote_count: 6
first_action: "2025-01-17"
last_action: "2025-03-24"
source: "openstates"
source_identifier: "ocd-bill/70ed6c01-f494-4534-97c6-ab4ca0ea7b13"
source_url: "https://lis.virginia.gov/bill-details/20251/SB1436"
source_hash: "dd380e3e31c3712f4a2b391311aa047bb8e154ad89fe5f1ee40c8384cfc07b6f"
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 1436 (2025) — Health insurance; cost sharing for breast examinations.
Health insurance; cost sharing for breast examinations. Prohibits health insurance carriers from imposing cost sharing for diagnostic breast examinations and supplemental breast examinations, as those terms are defined in the bill, under certain insurance policies, subscription contracts, and health care plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2026. The bill provides that such examinations include examinations using diagnostic mammography, breast magnetic resonance imaging, or breast ultrasound. As introduced, this bill was a recommendation of the Health Insurance Reform Commission. This bill incorporates SB 1238 and is identical to HB 1828.
## 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/1023071.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1076847.PDF)
3. **Commerce and Labor Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1031220.PDF)
4. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1047290.PDF)
## Votes
- Passed House (94-Y 0-N) — **940** (pass) · lower
- Constitutional reading dispensed (on 1st reading) (38-Y 0-N) — **380** (pass) · upper
- Constitutional reading dispensed (on 3rd reading) (39-Y 1-N) — **391** (pass) · upper
- Reported from Labor and Commerce (21-Y 0-N) — **210** (pass) · lower
- Constitutional reading dispensed (on 3rd reading) (39-Y 1-N) — **400** (pass) · upper
- Reported from Commerce and Labor with substitute (15-Y 0-N) — **150** (pass) · upper
## Sponsors
- Russet Perry — primary (person)
- Luther Cifers, III — cosponsor (person)
- Tara A. Durant — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-17** Presented and ordered printed 25104716D `introduction`
- **2025-01-17** Referred to Committee on Commerce and Labor `referral-committee`
- **2025-01-27** Incorporates SB1238(Durant)
- **2025-01-27** Reported from Commerce and Labor with substitute (15-Y 0-N) `committee-passage`
- **2025-01-27** Committee substitute printed 25106242D-S1 `substitution`
- **2025-01-29** Rules suspended
- **2025-01-29** Constitutional reading dispensed (on 1st reading) (38-Y 0-N)
- **2025-01-29** Passed by for the day
- **2025-01-30** Read second time `reading-2`
- **2025-01-30** Reading of substitute waived
- **2025-01-30** Commerce and Labor Substitute agreed to
- **2025-01-30** Rules suspended
- **2025-01-30** Engrossed by Senate - committee substitute `substitution`
- **2025-01-30** Constitutional reading dispensed (on 3rd reading) (39-Y 1-N)
- **2025-01-30** Passed Senate (40-Y 0-N) `passage`
- **2025-01-31** Fiscal Impact Statement from Department of Planning and Budget (SB1436)
- **2025-02-03** Placed on Calendar
- **2025-02-03** Read first time `reading-1`
- **2025-02-03** Referred to Committee on Labor and Commerce `referral-committee`
- **2025-02-06** Reported from Labor and Commerce (21-Y 0-N) `committee-passage`
- **2025-02-10** Read second time `reading-2`
- **2025-02-11** Read third time `reading-3`
- **2025-02-11** Passed House (94-Y 0-N) `passage`
- **2025-02-13** Enrolled `enrolled`
- **2025-02-13** Bill text as passed Senate and House (SB1436ER) `passage`
- **2025-02-13** Signed by Speaker `passage`
- **2025-02-14** Fiscal Impact Statement from Department of Planning and Budget (SB1436)
- **2025-02-16** Signed by President `passage`
- **2025-02-20** Enrolled Bill Communicated to Governor on February 20, 2025 `enrolled`
- **2025-02-20** Governor's Action Deadline 11:59 p.m., March 24, 2025 `executive-receipt`
- **2025-03-24** Approved by Governor-Chapter 496 (Effective 07/01/25) `executive-signature`
- **2025-03-24** Acts of Assembly Chapter text (CHAP0496)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/70ed6c01-f494-4534-97c6-ab4ca0ea7b13`. Confidence: reported (aggregated from official Virginia legislature records).