SB 780 Virginia Senate · 2025 Regular Session

Health insurance; coverage for contraceptive drugs and devices.

Summary
Health insurance; coverage for contraceptive drugs and devices. Requires health insurance carriers to provide coverage, under any health insurance contract, policy, or plan that includes coverage for prescription drugs on an outpatient basis, for contraceptive drugs and contraceptive devices, as defined in the bill, including those available over-the-counter. The bill prohibits a health insurance carrier from imposing upon any person receiving contraceptive benefits pursuant to the provisions of the bill any copayment, coinsurance payment, or fee, except in certain circumstances. This bill is identical to HB 2371.
Bill status vetoed 4 of 5 stages cleared
Introduction
Dec 2024
Committee Review
Feb 2025
Senate Passage
Feb 2025
House of Delegates Passage
Feb 2025
Vetoed
May 2025
Introduced Dec 26, 2024 Vetoed May 2, 2025
Maddy AI version diff · 3 comparisons

What changed between versions

Governor Substitute Not Adopted Enrolled · 6 edits · Feb 20, 2025
MODERATE
The bill was converted from a Senate Substitute (a draft proposal) to an Enrolled Act (final law), changing its title from a broad 'Right to Access' statement to a specific mandate for health insurance coverage of contraceptives. The final law requires insurers and health plans to cover FDA-approved contraceptive drugs and devices without cost-sharing, replacing the previous version which focused on protecting the right to access rather than mandating insurance coverage.
Scope change
The bill's scope shifted from a general policy statement about individual rights to a specific regulatory requirement for insurance companies and health plans to provide contraceptive coverage.
REQUIREMENT

The primary requirement changed from a declaration of public policy regarding the right to access contraception to a mandatory obligation for insurers, corporations, and health maintenance organizations to cover FDA-approved contraceptive drugs and devices.

New rules were added prohibiting insurers from imposing unequal copayments or fees on contraceptives and requiring coverage for a specific drug or device if a doctor recommends it based on medical need.

Insurers are now required to provide clear, written information about contraceptive coverage on their websites and upon request.

The previous provision allowing private institutions or physicians to refuse contraception based on religious or conscientious objection was removed, as the new law focuses on insurance coverage mandates rather than provider refusal rights.

DEFINITION

New definitions were added for 'Contraceptive device', 'Contraceptive drug', 'FDA', 'Medical need', and 'Therapeutically equivalent version' to clarify what must be covered.

ELIGIBILITY

The applicability of the coverage mandate was updated to apply to contracts, policies, or plans delivered, issued, or renewed on or after January 1, 2026.

Floor votes · Senate Jan 22, 2025 · House of Delegates Feb 12, 2025

How they voted

400
Passed
Total votes 40
Jan 22, 2025
D Democratic21
21 Yea
100% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
42
Key actions
16
Committee
5
Amendments
8
May 2, 2025
Vetoed
Vetoed by Governor
executive
Apr 2, 2025
Vetoed
Senate rejected Governor's recommendation (19-Y 21-N)
upper
Mar 24, 2025
Vetoed
Governor's recommendation received by Senate
executive
Feb 20, 2025
Upper · Passed
Signed by President
upper
Feb 18, 2025
Lower · Passed
Signed by Speaker
lower
Feb 18, 2025
Upper · Passed
Bill text as passed Senate and House (SB780ER)
upper
Feb 14, 2025
Upper · Passed
House Amendment agreed to by Senate (24-Y 12-N)
upper
Feb 14, 2025
Upper · Passed
Reconsideration of House amendment agreed to by Senate (36-Y 0-N)
upper
Feb 14, 2025
Upper · Passed
House amendment agreed to by Senate (24-Y 11-N)
upper
Feb 12, 2025
Lower · Passed
Passed House with amendment (67-Y 30-N)
lower
Feb 12, 2025
Introduced
Engrossed by House as amended
lower
Feb 12, 2025
Lower · Passed
Labor and Commerce Amendment agreed to
lower
Feb 11, 2025
Lower · Passed
Passed by for the day
lower
Feb 6, 2025
Lower · Passed
Reported from Labor and Commerce with amendment(s) (15-Y 6-N)
lower
Feb 5, 2025
Committee
Referred to Committee on Labor and Commerce
lower
Jan 24, 2025
Upper · Passed
Read third time and passed Senate (21-Y 17-N)
upper
Jan 23, 2025
Introduced
Engrossed by Senate as amended
upper
Jan 23, 2025
Upper · Passed
Commerce and Labor Amendments agreed to
upper
Jan 23, 2025
Introduced
Reading of amendments waived
upper
Jan 22, 2025
Upper · Passed
Passed by for the day
upper
Jan 21, 2025
Upper · Passed
Reported from Finance and Appropriations (10-Y 5-N)
upper
Jan 13, 2025
Upper · Passed
Reported from Commerce and Labor with amendments and rereferred to Finance and Appropriations (9-Y 6-N)
upper
Dec 26, 2024
Committee
Referred to Committee on Commerce and Labor
upper
1 primary · 3 co-sponsors

Sponsors