SB 642 Virginia Senate · 2027 Regular Session

Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood.

Summary
Health insurance; treatment of cancer and certain diseases; coverage of certain medications. Requires an insurer, corporation providing preferred provider subscription contracts, or health maintenance organization that provides coverage for drugs approved by the Food and Drug Administration and prescribed for the treatment of cancer or diseases of the blood to allow, at the patient's direction, (i) provider-administered drugs for such treatment to be dispensed by an in-network treating provider consistent with a provider agreement; (ii) provider-administered drugs for such treatment to be dispensed by an in-network treating provider when there is a documented delay of at least three days in the delivery of a medication from the designated specialty pharmacy; and (iii) self-administered drugs for such treatment to be sent to the pharmacy of the patient's choosing.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
Senate Passage
Feb 2026
House of Delegates Passage
Governor
Introduced Jan 14, 2026 Last action Jul 21, 2026
Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
33
Key actions
9
Committee
12
Mar 2, 2026
Committee
Assigned HAPP sub: Compensation and Retirement
lower
Feb 26, 2026
Lower · Passed
Reported from Labor and Commerce and referred to Appropriations (18-Y 3-N)
lower
Feb 24, 2026
Lower · Passed
Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)
lower
Feb 20, 2026
Committee
Assigned HCL sub: Subcommittee #1
lower
Feb 19, 2026
Committee
Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote)
lower
Feb 13, 2026
Committee
Referred to Committee on Health and Human Services
lower
Feb 10, 2026
Upper · Passed
Read third time and passed Senate (40-Y 0-N 0-A)
upper
Feb 9, 2026
Upper · Passed
Committee substitute reconsidered
upper
Feb 5, 2026
Upper · Passed
Reported from Finance and Appropriations with substitute (15-Y 0-N)
upper
Jan 29, 2026
Committee
Rereferred to Finance and Appropriations
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 27, 2026
Upper · Passed
Senate committee offered
upper
Jan 26, 2026
Upper · Passed
Reported from Commerce and Labor with substitute (15-Y 0-N)
upper
Jan 14, 2026
Committee
Referred to Committee on Commerce and Labor
upper
1 primary · 1 co-sponsor

Sponsors