HB 1109 Virginia House of Delegates · 2026 Regular Session

Managed care organizations & pharmacy benefits manager; data collection and reporting requirements.

Summary
Managed care organizations; pharmacy benefits manager; data collection and reporting requirements; civil penalty. Requires the Department of Medical Assistance Services to develop, and managed care organizations and pharmacy benefits managers to comply with, standardized methodologies for the collection and reporting of data related to expenditures, rebates, and the source of all cost components to the Department and the Centers for Medicare and Medicaid Services. The bill requires managed care organizations to solicit and undergo an independent audit of their reporting practices every two years and directs the Department to establish a compliance unit that may impose penalties on noncompliant managed care organizations and pharmacy benefits managers.
Bill status in committee 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House of Delegates Passage
Feb 2026
Senate Passage
Governor
Introduced Jan 14, 2026 Last action Feb 18, 2026
Floor votes · House of Delegates Feb 10, 2026

How they voted

210
Passed
Total votes 21
Feb 10, 2026
D Democratic14
14 Yea
100% Yea
R Republican7
7 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
9
Key actions
4
Committee
6
Feb 18, 2026
Lower · Passed
Left in Committee Appropriations
lower
Feb 13, 2026
Lower · Passed
Subcommittee recommends laying on the table (5-Y 2-N)
lower
Feb 10, 2026
Committee
Assigned HAPP sub: Health & Human Resources
lower
Feb 10, 2026
Lower · Passed
Reported from Health and Human Services and referred to Appropriations (22-Y 0-N)
lower
Feb 10, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (21-0)
house of delegates
Jan 23, 2026
Committee
Assigned sub: Social Services
lower
Jan 14, 2026
Committee
Referred to Committee on Health and Human Services
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Keith Hodges
Keith Hodges
RRepublican
VA
68