Fabio
116 lines
7.8 KiB
Markdown
116 lines
7.8 KiB
Markdown
---
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type: "Bill"
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title: "Health insurance; requirements for certain opioid antagonists."
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description: "Health insurance; requirements for certain opioid antagonists. Requires each health insurer, corporation providing health care subscription plans, and health maintenance organization whose policy, contract, or plan includes coverage for prescription drugs to include coverage for at least one opioid antagonist used for overdose reversal dispensed pursuant to an oral, written, or standing order of a prescriber and ensure that cost-sharing for at least one opioid antagonist used for overdose reversal is included on the lowest cost tier of the insurer's, corporation's, or health maintenance organization's prescription drug formulary. The bill provides that such coverage shall be exempt from any prior authorization or step therapy requirement on coverage of benefits. As introduced, this bill was a recommendation of the Joint Commission on Health Care. This bill is identical to HB 795."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2026"
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identifier: "SB 257"
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citation: "Virginia SB 257 (2026)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Barbara A. Favola"]
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version_count: 7
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action_count: 44
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vote_count: 9
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first_action: "2026-01-12"
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last_action: "2026-04-08"
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source: "openstates"
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source_identifier: "ocd-bill/fbf03eb2-943c-40e4-a21b-ca1ef341d82c"
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source_url: "https://lis.virginia.gov/bill-details/20261/SB257"
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source_hash: "23ec8baf290c4e0096b72d2ee29f11208f6bdb7942b8d23f6cabe47fb396e092"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-va"]
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---
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# Virginia SB 257 (2026) — Health insurance; requirements for certain opioid antagonists.
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Health insurance; requirements for certain opioid antagonists. Requires each health insurer, corporation providing health care subscription plans, and health maintenance organization whose policy, contract, or plan includes coverage for prescription drugs to include coverage for at least one opioid antagonist used for overdose reversal dispensed pursuant to an oral, written, or standing order of a prescriber and ensure that cost-sharing for at least one opioid antagonist used for overdose reversal is included on the lowest cost tier of the insurer's, corporation's, or health maintenance organization's prescription drug formulary. The bill provides that such coverage shall be exempt from any prior authorization or step therapy requirement on coverage of benefits. As introduced, this bill was a recommendation of the Joint Commission on Health Care. This bill is identical to HB 795.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1087011.PDF)
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2. **Appropriations Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1200631.PDF)
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3. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1218018.PDF)
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4. **Commerce and Labor Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1108436.PDF)
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5. **Labor and Commerce Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1185525.PDF)
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6. **Subcommittee #1 Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1179363.PDF)
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7. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1213371.PDF)
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## Votes
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- Reported from Labor and Commerce with substitute — **21–0** (pass) · lower
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- Reported from Finance and Appropriations — **15–0** (pass) · upper
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- Subcommittee recommends reporting with substitute — **6–0** (pass) · lower
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- H VOTE: — **96–0** (pass) · lower
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- Reported from Commerce and Labor with substitute — **10–2** (pass) · upper
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- Passage R — **37–1** (pass) · upper
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- Reported from Appropriations with substitute — **22–0** (pass) · lower
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- Concur House Substitute R — **39–1** (pass) · upper
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- Constitutional reading dispensed R — **40–0** (pass) · upper
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## Sponsors
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- Barbara A. Favola — primary (person)
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- Kannan Srinivasan — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2026-01-12** Prefiled and ordered printed; Offered 01-14-2026 26104746D `filing, introduction`
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- **2026-01-12** Referred to Committee on Commerce and Labor `referral-committee`
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- **2026-01-23** Fiscal Impact Statement from Department of Planning and Budget (SB257)
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- **2026-02-02** Senate committee offered
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- **2026-02-02** Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (10-Y 2-N 1-A) `committee-passage`
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- **2026-02-03** Committee substitute printed 26106753D-S1 `substitution`
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- **2026-02-04** Fiscal Impact Statement from Department of Planning and Budget (SB257)
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- **2026-02-11** Reported from Finance and Appropriations (15-Y 0-N) `committee-passage`
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- **2026-02-12** Rules suspended
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- **2026-02-12** Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
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- **2026-02-12** Passed by for the day Block Vote (Voice Vote)
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- **2026-02-13** Read second time `reading-2`
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- **2026-02-13** Committee substitute agreed to (Voice Vote) `substitution`
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- **2026-02-13** Engrossed by Senate - committee substitute (Voice Vote) `substitution`
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- **2026-02-16** Read third time and passed Senate (37-Y 1-N 0-A) `passage, reading-3`
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- **2026-02-19** Placed on Calendar
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- **2026-02-19** Read first time `reading-1`
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- **2026-02-19** Referred to Committee on Labor and Commerce `referral-committee`
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- **2026-02-24** House subcommittee offered
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- **2026-02-24** Assigned HCL sub: Subcommittee #1 `referral-committee`
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- **2026-02-24** Subcommittee recommends reporting with substitute and referring to Appropriations (6-Y 0-N) `substitution`
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- **2026-02-26** Reported from Labor and Commerce with substitute and referred to Appropriations (21-Y 0-N) `committee-passage`
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- **2026-02-27** Assigned HAPP sub: Health & Human Resources `referral-committee`
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- **2026-02-27** Committee substitute printed 26108572D-H1 `substitution`
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- **2026-03-04** Fiscal Impact Statement from Department of Planning and Budget (SB257)
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- **2026-03-09** Reported from Appropriations with substitute (22-Y 0-N) `committee-passage`
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- **2026-03-09** Committee substitute printed 26109143D-H2 `substitution`
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- **2026-03-10** Fiscal Impact Statement from Department of Planning and Budget (SB257)
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- **2026-03-11** Read second time `reading-2`
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- **2026-03-12** Read third time `reading-3`
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- **2026-03-12** committee substitute rejected
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- **2026-03-12** committee substitute agreed to `substitution`
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- **2026-03-12** Engrossed by House - committee substitute `substitution`
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- **2026-03-12** Passed House with substitute (96-Y 0-N 0-A) `passage`
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- **2026-03-12** House substitute agreed to by Senate (39-Y 1-N 0-A) `substitution`
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- **2026-03-30** Enrolled `enrolled`
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- **2026-03-30** Bill text as passed Senate and House (SB257ER) `passage`
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- **2026-03-30** Signed by President `passage`
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- **2026-03-31** Signed by Speaker `passage`
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- **2026-03-31** Enrolled Bill communicated to Governor on March 31, 2026 `enrolled, executive-receipt`
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- **2026-03-31** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
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- **2026-04-01** Fiscal Impact Statement from Department of Planning and Budget (SB257)
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- **2026-04-08** Approved by Governor-Chapter 424 (effective 7/1/2026) `executive-signature`
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- **2026-04-08** Acts of Assembly Chapter text (CHAP0424)
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fbf03eb2-943c-40e4-a21b-ca1ef341d82c`. Confidence: reported (aggregated from official Virginia legislature records).
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