HB 1400 Virginia House of Delegates · 2026 Regular Session

Health insurance; coverage for maternal mental health screenings.

Summary

Health insurance; coverage for maternal mental health screenings. Requires health insurance carriers to provide coverage for maternal mental health screenings. The bill requires such coverage to include at least one maternal mental health screening to be conducted during pregnancy, at least one additional screening to be conducted during the first six weeks of the postpartum period, and additional medically necessary postpartum screenings. Additionally, the bill provides that coverage for a prescription drug for the treatment of a maternal mental health condition shall not be subject to prior authorization requirements unless there are clinically significant safety or efficacy concerns.

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

House of Delegates Passage

Mar 2026

Senate Passage

Mar 2026

Signed into Law

Apr 2026

Introduced Jan 22, 2026 Signed Apr 13, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Enrolled · 2 edits · Apr 13, 2026

MINOR

The bill was finalized and enrolled, meaning it is ready to be signed into law. The most significant substantive change is a modification to the rules for prescription drug coverage, which now allows prior authorization and step therapy if there are clinically significant safety or efficacy concerns, whereas the original draft prohibited these requirements entirely. The rest of the bill, which mandates mental health screenings and postpartum care coverage for insurers, remains unchanged.

Scope change

The bill's scope remains the same, applying to individual and group health insurance policies issued or renewed in Virginia on or after January 1, 2027.

REQUIREMENT

The requirement that prescription drugs for maternal mental health conditions be exempt from prior authorization and step therapy was modified to allow these requirements if there are clinically significant safety or efficacy concerns.

TECHNICAL

The document status changed from 'Introduced' to 'Enrolled', indicating the bill has passed all legislative stages and is prepared for the Governor's signature.

Floor votes · Senate Mar 11, 2026 · House of Delegates Feb 17, 2026

How they voted

39–0

Passed

Total votes 39

Mar 11, 2026

D Democratic20

20 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

Key actions

Committee

Amendments

Apr 13, 2026

Signed into law

Approved by Governor-Chapter 840 (effective 7/1/2026)

executive

Mar 31, 2026

Lower · Passed

Signed by Speaker

lower

Mar 30, 2026

Upper · Passed

Signed by President

upper

Mar 30, 2026

Lower · Passed

Bill text as passed House and Senate (HB1400ER)

lower

Mar 12, 2026

Lower · Passed

Senate amendment agreed to by House (70-Y 25-N 0-A)

lower

Mar 11, 2026

Upper · Passed

Passed Senate with amendment Block Vote (40-Y 0-N 0-A)

upper

Mar 11, 2026

Upper · Passed

Passed Senate with amendment Block Vote (39-Y 0-N 0-A)

upper

Mar 11, 2026

Introduced

Engrossed by Senate as amended

upper

Mar 11, 2026

Upper · Passed

Commerce and Labor Amendment agreed to

upper

Mar 10, 2026

Upper · Passed

Passed by for the day (Voice Vote)

upper

Mar 9, 2026

Upper · Passed

Reported from Commerce and Labor with amendment (15-Y 0-N)

upper

Feb 18, 2026

Committee

Referred to Committee on Commerce and Labor

upper

Feb 17, 2026

Lower · Passed

Read third time and passed House (66-Y 30-N 0-A)

lower

Feb 12, 2026

Lower · Passed

Reported from Labor and Commerce (13-Y 7-N)

lower

Feb 10, 2026

Lower · Passed

Subcommittee recommends reporting (5-Y 3-N)

lower

Jan 27, 2026

Committee

Assigned HCL sub: Subcommittee #1

lower

Jan 22, 2026

Committee

Referred to Committee on Labor and Commerce

lower

Jan 22, 2026

Introduced

Presented and ordered printed 26105744D

lower

0 primary · 10 co-sponsors