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 · House of Delegates Mar 31, 2026

HB 220: Health insurance; tobacco surcharge.

Health insurance; tobacco surcharge. Eliminates the authority of a health carrier to vary its premium rates based on tobacco use. Under current law, a health carrier may charge premium rates up to 1.5 times higher for a tobacco user than for a nonuser. The provisions of the bill apply to health benefit plans providing individual or small group health insurance coverage entered into, amended, extended, or renewed on or after January 1, 2027.

Topics ✓ HealthcareSupports HealthcareEliminates tobacco-based premium surcharges, making health insurance more accessible and affordable for tobacco users by removing a cost barrier.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Virginia · Senate Mar 31, 2026

SB 630: Health insurance; tobacco surcharge.

Health insurance; tobacco surcharge. Eliminates the authority of a health carrier to vary its premium rates based on tobacco use. Under current law, a health carrier may charge premium rates up to 1.5 times higher for a tobacco user than for a nonuser. The provisions of the bill apply to health benefit plans providing individual or small group health insurance coverage entered into, amended, extended, or renewed on or after January 1, 2027. This bill is identical to HB 220.

Topics ✓ HealthcareSupports HealthcareEliminates tobacco surcharge, preventing higher premiums for users and improving insurance affordability/access for all enrollees.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

passed · Virginia · House of Delegates Mar 6, 2026

HB 66: Federal benefit programs; DMAS & DSS shall study technology systems used to administer.

Department of Medical Assistance Services; Department of Social Services; administration of medical assistance and social services programs; technology modernization; report. Directs the Department of Social Services (DSS) and the Department of Medical Assistance Services (DMAS) to contract with a third-party vendor to study and create a plan for the modernization of the technological systems used to administer federal benefit programs in the Commonwealth. The bill requires DSS and DMAS to develop and submit a legislative report that includes a plan to modernize the current technological systems to the Governor and the Chairs of the House Committee on Health and Human Services and the Senate Committee on Rehabilitation and Social Services by December 1, 2026, and to use the recommendations and plan outlined in such legislative report to move forward with the procurement process.

Topics ✓ HealthcareSupports HealthcareModernizes DMAS/DSS tech systems to improve administration of healthcare programs, ensuring efficient eligibility processing and compliance with federal requirements.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Virginia · House of Delegates Mar 4, 2026

HB 470: Medicaid waivers; consumer-directed services, employer of record.

Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record. Directs the Department of Medical Assistance Services (DMAS) to modify the program rules for consumer-directed services available through certain Medicaid waivers to allow an individual receiving services to serve as the employer of record (EOR) for his own service delivery and designate another individual to perform all or a portion of the duties of the EOR on the individual's behalf when the individual receiving services is unable to perform such duties or direct his own care. The bill specifies that when an individual (i) has not yet reached the age of majority, (ii) is ineligible to use his existing employer identification number (EIN) to facilitate the taxation of benefits, or (iii) is otherwise determined to be ineligible by DMAS by administrative rule, the EIN shall be assigned to the individual receiving services and shall not be transferred to another individual. Under the bill, DMAS has the authority to limit such amendments to specify that an individual receiving services may make such designation no more than twice per calendar year.

Topics ✓ HealthcareSupports HealthcareBill modifies Medicaid waiver rules to allow recipients to serve as employer of record for services, enhancing patient control and flexibility in care delivery within Medicaid program.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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