SB 593 Virginia Senate · 2026 Regular Session

Health insurance; balance billing protection, emergency medical services vehicle transportation.

Summary

Health insurance; balance billing protection; emergency medical services vehicle transportation. Prohibits an out-of-network health insurance provider from balance billing any enrollee for transportation provided by an emergency medical services vehicle, defined in the bill as any vehicle, vessel, or aircraft that holds a valid permit issued by the Office of Emergency Medical Services and that is equipped, maintained, or operated to provide emergency medical care or transportation of patients who are sick, injured, wounded, or otherwise incapacitated or helpless.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Feb 2026

Senate Passage

Jan 2026

House of Delegates Passage

Governor

Introduced Jan 14, 2026 Last action Mar 10, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Labor and Commerce Substitute · 3 edits

MINOR

The bill was amended from its original 'Introduced' version to a 'Labor and Commerce Substitute' version, primarily changing the header and formatting while maintaining the core legislative text. The substantive policy content regarding balance billing protections and emergency medical services remains unchanged, though the document now includes substitute language indicating it was proposed by the House Committee on Labor and Commerce.

Scope change

The bill's scope and applicability remain unchanged; the amendment only affects the document's header information and formatting rather than the actual legislative provisions.

TECHNICAL

Header information changed from 'Introduced' and 'Referred to Committee on Commerce and Labor' to 'OFFERED FOR CONSIDERATION' dated 2/24/2026 with substitute language indicating House Committee on Labor and Commerce proposal.

Formatting changes including line breaks, spacing, and page numbering were added to conform to substitute bill formatting standards.

Original introduction date (January 14, 2026) and patron list were removed in favor of substitute bill header information.

Floor votes · Senate Jan 28, 2026

How they voted

39–0

Passed

Total votes 39

Jan 28, 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

Feb 24, 2026

Lower · Passed

Subcommittee recommends laying on the table (9-Y 0-N)

lower

Feb 24, 2026

Lower · Passed

House subcommittee offered

lower

Feb 17, 2026

Committee

Assigned HCL sub: Subcommittee #1

lower

Feb 4, 2026

Committee

Referred to Committee on Labor and Commerce

lower

Jan 30, 2026

Upper · Passed

Read third time and passed Senate (38-Y 0-N 0-A)

upper

Jan 28, 2026

Upper · Passed

Passed by for the day

upper

Jan 28, 2026

Upper · Passed

Passed by for the day Block Vote (Voice Vote)

upper

Jan 26, 2026

Upper · Passed

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

upper

Jan 14, 2026

Committee

Referred to Committee on Commerce and Labor

upper

1 primary · 3 co-sponsors