republic-os/legislation/us/states/va/2026/hb-424.md

---
type: "Bill"
title: "Health insurance; definitions, prohibited restrictions on in-network referrals."
description: "Health insurance; prohibited restrictions on in-network referrals. Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws. This bill is identical to SB 745."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "HB 424"
citation: "Virginia HB 424 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Destiny LeVere Bolling"]
version_count: 5
action_count: 34
vote_count: 8
first_action: "2026-01-12"
last_action: "2026-04-13"
source: "openstates"
source_identifier: "ocd-bill/abdef0fb-cc32-4ae9-b940-9fa8ddf6d9cf"
source_url: "https://lis.virginia.gov/bill-details/20261/HB424"
source_hash: "0af12adb28031e17804c62ebc7eb18d8b402128a4cb99a5c34a6870c262b35c0"
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 424 (2026) — Health insurance; definitions, prohibited restrictions on in-network referrals.

Health insurance; prohibited restrictions on in-network referrals. Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws. This bill is identical to SB 745.

## 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/1084391.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1216621.PDF)
3. **Labor and Commerce Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1103504.PDF)
4. **Subcommittee #1 Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1098959.PDF)
5. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1210806.PDF)

## Votes

- H VOTE: — **98–0** (pass) · lower
- Passage R — **40–0** (pass) · upper
- Reported from Commerce and Labor — **14–0** (pass) · upper
- Reported from Finance and Appropriations — **14–0** (pass) · upper
- Reported from Labor and Commerce with substitute — **22–0** (pass) · lower
- Constitutional reading dispensed (on 2nd reading) — **40–0** (pass) · upper
- Subcommittee recommends reporting with substitute — **9–0** (pass) · lower
- H VOTE: — **97–1** (pass) · lower

## Sponsors

- Destiny LeVere Bolling — primary (person)
- Bonita G. Anthony — cosponsor (person)
- Irene Shin — cosponsor (person)
- Jackie H. Glass — cosponsor (person)
- Nadarius E. Clark — cosponsor (person)
- Rodney T. Willett — cosponsor (person)
- Rozia A. Henson, Jr. — cosponsor (person)
- Virgil Thornton — cosponsor (person)

## Timeline

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

- **2026-01-12** Prefiled and ordered printed; Offered 01-14-2026 26102329D `filing, introduction`
- **2026-01-12** Referred to Committee on Labor and Commerce `referral-committee`
- **2026-01-19** Assigned HCL sub: Subcommittee #1 `referral-committee`
- **2026-01-27** House subcommittee offered
- **2026-01-27** Subcommittee recommends reporting with substitute (9-Y 0-N) `substitution`
- **2026-01-29** Reported from Labor and Commerce with substitute (22-Y 0-N) `committee-passage`
- **2026-01-29** Committee substitute printed 26106236D-H1 `substitution`
- **2026-01-29** Substitute bill reprinted 26106236D
- **2026-02-02** Read first time `reading-1`
- **2026-02-03** Read second time `reading-2`
- **2026-02-03** committee substitute agreed to `substitution`
- **2026-02-03** Engrossed by House - committee substitute `substitution`
- **2026-02-04** Read third time and passed House (97-Y 1-N 0-A) `passage, reading-3`
- **2026-02-04** Reconsideration of passage agreed to by House
- **2026-02-04** Passed House (98-Y 0-N 0-A) `passage`
- **2026-02-05** Constitutional reading dispensed (on 1st reading)
- **2026-02-05** Referred to Committee on Commerce and Labor `referral-committee`
- **2026-02-23** Reported from Commerce and Labor and rereferred to Finance and Appropriations (14-Y 0-N) `committee-passage`
- **2026-03-03** Fiscal Impact Statement from State Corporation Commission (HB424)
- **2026-03-06** Reported from Finance and Appropriations (14-Y 0-N) `committee-passage`
- **2026-03-09** Rules suspended
- **2026-03-09** Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
- **2026-03-09** Passed by for the day Block Vote (Voice Vote)
- **2026-03-10** Read third time `reading-3`
- **2026-03-10** Passed Senate (40-Y 0-N 0-A) `passage`
- **2026-03-30** Enrolled `enrolled`
- **2026-03-30** Bill text as passed House and Senate (HB424ER) `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`
- **2026-04-06** Approved by Governor-Chapter 138 (effective 7/1/2026) `executive-signature`
- **2026-04-06** Acts of Assembly Chapter text (CHAP0138)
- **2026-04-13** Fiscal Impact Statement from State Corporation Commission (HB424)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/abdef0fb-cc32-4ae9-b940-9fa8ddf6d9cf`. Confidence: reported (aggregated from official Virginia legislature records).