HB424Introduced in the House of Delegates
Health insurance; definitions, prohibited restrictions on in-network referrals.
Introduced by Destiny LeVere Bolling, District 80
What does this bill do?
Plain-English breakdown
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Official description
Health insurance; prohibited restrictions on in-network referrals. Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws. This bill is identical to SB 745.
Where it stands
Fiscal Impact Statement from State Corporation Commission (HB424)
April 13, 2026
How did lawmakers vote?
House of Delegates votes
4 recorded votes · each counted separately
Senate votes
4 recorded votes · each counted separately
SenateStage: Passed Senate (40-Y 0-N 0-A) · March 10, 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.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Elizabeth Bennett-Parker | 5 | Yes |
| Michael Jones | 77 | Yes |
| Timmy French | 1 | Yes |
| Mark Obenshain | 2 | Yes |
| Chris Head | 3 | Yes |
| David Suetterlein | 4 | Yes |
| Travis Hackworth | 5 | Yes |
| Todd Pillion | 6 | Yes |
| William Stanley | 7 | Yes |
| Mark Peake | 8 | Yes |
Bill history
Prefiled and ordered printed; Offered 01-14-2026 26102329D
Referred to Committee on Labor and Commerce
Assigned HCL sub: Subcommittee #1
House subcommittee offered
Subcommittee recommends reporting with substitute (9-Y 0-N)
Reported from Labor and Commerce with substitute (22-Y 0-N)
Committee substitute printed 26106236D-H1
Substitute bill reprinted 26106236D
Read first time
Read second time
committee substitute agreed to
Engrossed by House - committee substitute
Read third time and passed House (97-Y 1-N 0-A)
Reconsideration of passage agreed to by House
Passed House (98-Y 0-N 0-A)
Constitutional reading dispensed (on 1st reading)
Referred to Committee on Commerce and Labor
Reported from Commerce and Labor and rereferred to Finance and Appropriations (14-Y 0-N)
Fiscal Impact Statement from State Corporation Commission (HB424)
Reported from Finance and Appropriations (14-Y 0-N)
Rules suspended
Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)
Passed by for the day Block Vote (Voice Vote)
Read third time
Passed Senate (40-Y 0-N 0-A)
Enrolled
Bill text as passed House and Senate (HB424ER)
Signed by President
Signed by Speaker
Enrolled Bill communicated to Governor on March 31, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026
Approved by Governor-Chapter 138 (effective 7/1/2026)
Acts of Assembly Chapter text (CHAP0138)
Fiscal Impact Statement from State Corporation Commission (HB424)
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