Health insurance; mandated benefits, coverage for treatment of menopause and perimenopause.

The House version added a new amendment to § 38.2-4319, which defines how this bill relates to other laws in the Code of Virginia.

The header information changed from 'Senate Substitute' to 'House Substitute', reflecting the bill's progression through the legislative process.

The committee proposing the amendment changed from the Senate Committee on Finance and Appropriations to the House Committee on Labor and Commerce.

The text was converted from an 'Enrolled' legislative format to a 'Senate Substitute' format, adding header metadata, page numbers, and committee attribution while removing the original approval stamp and chapter number.

The effective date for the new coverage requirements was changed from January 1, 2026, to January 1, 2027, giving insurers an additional year to comply.

The bill's structure was changed from adding a new standalone section to amending and reenacting an existing section on statutory construction, which is a common procedural step when a bill becomes law.

The list of policy types exempt from the menopause coverage mandate was slightly narrowed by removing 'limited or specified disease policies or contracts' from the exclusion list.