Healthcare

signed · Virginia · Senate Apr 6, 2026

SB 172: Health insurance claims; electronic information or attachments accepted, delayed effective date.

Health insurance; carrier business practices; electronic attachments. Provides that, in the following contexts, information may be submitted by a provider to a health insurance carrier through electronic attachment, as defined in the bill: (i) information related to services rendered as required by the carrier in its provider contract; (ii) information related to any defect or impropriety that prevents the carrier from deeming a health insurance claim a clean claim, as defined in existing law; and (iii) information required to establish medical necessity, benefit coverage, or prior authorization of services, or to conduct reconsideration activities. The bill has a delayed effective date of January 1, 2027. This bill is identical to HB 676.

Topics ✓ HealthcareSupports HealthcareMandates electronic claim processing for insurers, improving efficiency and access to healthcare services by reducing administrative barriers.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · Senate Apr 6, 2026

SB 626: Health insurance; reporting requirements.

Health insurance; reporting requirements. Amends various reporting requirements related to health insurance, including by requiring the State Corporation Commission to maintain and publicly post an inventory of mandated benefits and providers, requiring health carriers to report annually on provider terminations and reinstatements, and consolidating reports related to balance billing and arbitration. The bill repeals reporting requirements related to the Comparable Health Care Service Incentive Program and Virginia Health Savings Account Plan.

Topics ✓ HealthcareSupports HealthcareRequires transparency in mandated benefits and provider terminations, improving accountability and access to health insurance services.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · Senate Apr 6, 2026

SB 735: Temporary detention; certified evaluators, sunset extended.

Temporary detention; certified evaluators; sunset extended. Extends from July 1, 2026, to July 1, 2027, the sunset date on the current provisions of law authorizing hospitals with a psychiatric emergency department located in the City of Hampton to employ certain trained individuals to perform evaluations to determine whether a person meets the criteria for temporary detention for behavioral health treatment. The current law also requires participating hospitals with psychiatric emergency departments in the City of Hampton to submit monthly and annual reports on temporary detentions and crisis evaluations. This bill is identical to HB 1292.

Topics ✓ HealthcareSupports HealthcareRepeals sunset on hospital use of certified evaluators for behavioral health temporary detention, extending mental health evaluation services in Hampton.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · House of Delegates Apr 6, 2026

HB 1292: Temporary detention; certified evaluators, sunset extended.

Temporary detention; certified evaluators; sunset extended. Extends from July 1, 2026, to July 1, 2027, the sunset date on the current provisions of law authorizing hospitals with a psychiatric emergency department located in the City of Hampton to employ certain trained individuals to perform evaluations to determine whether a person meets the criteria for temporary detention for behavioral health treatment. The current law also requires participating hospitals with psychiatric emergency departments in the City of Hampton to submit monthly and annual reports on temporary detentions and crisis evaluations. This bill is identical to SB 735.

Topics ✓ HealthcareSupports HealthcareBill preserves hospital access to certified evaluators for behavioral health temporary detention, sustaining mental health emergency services without restrictions.92% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · House of Delegates Apr 6, 2026

HB 37: Developmental disability waivers; financial eligibility standards, sunset repeal.

Developmental disability waivers; financial eligibility standards; sunset repeal. Repeals the July 1, 2026, sunset on provisions directing the Department of Medical Assistance Services to disregard Social Security Disability Insurance income above the maximum monthly Supplemental Security Income when determining financial eligibility for developmental disability waivers.

Topics ✓ HealthcareSupports HealthcareRepeals sunset on waiver eligibility rule, maintaining access to developmental disability services by excluding excess SSDI income from financial calculations.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · House of Delegates Apr 2, 2026

HB 195: Programs for at-risk students; permissible uses of funding.

Programs for at-risk students; permissible uses of funding. Includes as covered programs that are eligible for funding under the At-Risk Program initiatives to support both the physical and mental health of students in public schools, including the hiring of licensed practical nurses, registered nurses, and advanced practice registered nurses. This bill is a recommendation of the School Health Services Committee and is identical to SB 33.

Topics ✓ EducationSupports EducationFunds health programs for at-risk students in public schools, including hiring nurses, directly enhancing educational access and student well-being through targeted support.95% confidence ✓ HealthcareSupports HealthcareFunds school health programs including mental health services and nurse staffing, directly advancing student healthcare access through public school initiatives.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · Senate Apr 2, 2026

SB 33: Programs for at-risk students; permissible uses of funding.

Programs for at-risk students; permissible uses of funding. Includes as covered programs that are eligible for funding under the At-Risk Program initiatives to support both the physical and mental health of students in public schools, including the hiring of licensed practical nurses, registered nurses, and advanced practice registered nurses. This bill is a recommendation of the School Health Services Committee and is identical to HB 195.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill allocates existing funding for student health programs including nurse hiring, directly supporting essential public services within budget appropriations.95% confidence ✓ EducationSupports EducationFunds health programs for at-risk students including nurse hiring, directly supporting student well-being and educational access in schools.95% confidence ✓ HealthcareSupports HealthcareFunds mental/physical health programs in schools including hiring nurses, directly advancing healthcare access for students.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · Senate Mar 31, 2026

SB 669: Pharmacy benefits managers; requirements, application of law, report, delayed effective date.

Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill incorporates SB 410 and SB 413 and is identical to HB 830.

Topics ✓ HealthcareSupports HealthcareRequires pass-through pricing for PBMs, prevents revenue from services beyond fees, and stops claim reversals without requirements - reducing drug costs and protecting pharmacy access.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · Senate Mar 31, 2026

SB 405: Virginia Health Workforce Development Authority; administration of nursing scholarships.

Virginia Health Workforce Development Authority; administration of nursing scholarships. Grants the Virginia Health Workforce Development Authority the authority to administer scholarships related to nursing and to promulgate regulations exempt from the requirements of the Administrative Process Act as may be necessary to carry out the administration of nursing scholarship and loan programs. Under current law, the Board of Health is the administrative authority for such scholarships and the Commissioner of Health serves as the fiscal agent for the Board in the administration of some scholarship funds. The bill directs the Authority to establish an annual reporting schedule requiring submission of health workforce data, requires the Authority to establish and provide oversight and strategic guidance to the Virginia Nursing Workforce Center, and grants the Authority the authority to evaluate health workforce programs administered or supported by the Commonwealth. The bill directs the Virginia Nursing Workforce Center to establish an advisory board to provide it with strategic oversight and guidance. This bill is identical to HB 815.

Topics ✓ EducationSupports EducationAdministers nursing scholarships, providing funding for higher education in health fields, directly supporting educational access and workforce development within higher education.90% confidence ✓ HealthcareSupports HealthcareAdministers nursing scholarships to develop healthcare workforce, directly funding provider training and strengthening nursing workforce capacity.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed · Virginia · House of Delegates Mar 9, 2026

HB 1276: Health care providers; required estimate for nonemergency health care services.

Health care providers; required estimate for nonemergency health care services. Requires health care providers to provide a good faith estimate of the payment amount for which the patient will be responsible for such nonemergency health care service, including any fees or other charges for an item or service the patient may reasonably be expected to receive in connection with the nonemergency health care service. The bill requires the good faith estimate to include (i) description of the scheduled nonemergency health care service, (ii) the provider's standard charge for the service and any related item or service, (iii) the provider's standard charges and any contracted rates known at the time the estimate is prepared, and (iv) a statement that the estimate is not binding and the actual amount billed may differ depending on changes in the scope of services or the health carrier's processing of the claim.

Topics ✓ HealthcareSupports HealthcareMandates cost estimates for patients, improving transparency and access to healthcare costs, aligning with patient rights and access indicators.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track