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HB220Introduced in the House of Delegates

Health insurance; tobacco surcharge.

Passed

Introduced by Patrick Hope, District 1

What does this bill do?

Plain-English breakdown

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Official description

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.

Where it stands

Acts of Assembly Chapter text (CHAP0034)

March 31, 2026

How did lawmakers vote?

House of Delegates votes

3 recorded votes · each counted separately

Senate votes

3 recorded votes · each counted separately

SenateStage: Passed Senate (40-Y 0-N 0-A) · February 26, 2026

40

Yes

0

No

0

Absent or Not Voting

40 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

What do people think?

Citizen Voice

How would you vote on this bill?

An unofficial public opinion poll. It does not affect the bill or the official vote.

One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.

See how each senator voted

Bill history

  1. Prefiled and ordered printed; Offered 01-14-2026 26101268D

  2. Referred to Committee on Labor and Commerce

  3. Assigned HCL sub: Subcommittee #1

  4. Subcommittee recommends reporting (9-Y 0-N)

  5. Reported from Labor and Commerce (21-Y 1-N)

  6. Read first time

  7. Read second time and engrossed

  8. Read third time and passed House (81-Y 16-N 0-A)

  9. Constitutional reading dispensed (on 1st reading)

  10. Referred to Committee on Commerce and Labor

  11. Fiscal Impact Statement from State Corporation Commission (HB220)

  12. Reported from Commerce and Labor (14-Y 0-N)

  13. Rules suspended

  14. Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)

  15. Passed by for the day Block Vote (Voice Vote)

  16. Read third time

  17. Passed Senate (40-Y 0-N 0-A)

  18. Enrolled

  19. Bill text as passed House and Senate (HB220ER)

  20. Signed by Speaker

  21. Signed by President

  22. Fiscal Impact Statement from State Corporation Commission (HB220)

  23. Enrolled Bill communicated to Governor on March 10, 2026

  24. Governor's Action Deadline 11:59 p.m., April 13, 2026

  25. Approved by Governor-Chapter 34 (effective 7/1/2026)

  26. Acts of Assembly Chapter text (CHAP0034)

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