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HB490Introduced in the House of Delegates

Health insurance; coverage for early refills of prescription eye drops.

Passed

Introduced by Patrick Hope, District 1

What does this bill do?

Plain-English breakdown

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Official description

Health insurance; coverage for early refills of prescription eye drops. Prohibits a health carrier from denying coverage to a covered person of an early refill of prescription eye drops if (i) the prescription eye drops are a covered benefit, (ii) the amount of time that has elapsed from the previous dispensing of such prescription would result in at least 85 percent of such prescription eye drops being used if taken consistently with the prescriber's directions, and (iii) the prescriber has indicated that additional quantities are medically necessary and the refill requested does not exceed such additional quantity. The provisions of the bill are applicable to contracts, policies, or plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2027.

Where it stands

Acts of Assembly Chapter text (CHAP0153)

April 6, 2026

How did lawmakers vote?

House of Delegates votes

5 recorded votes · each counted separately

Senate votes

3 recorded votes · each counted separately

SenateStage: Passed Senate (39-Y 0-N 0-A) · March 5, 2026

39

Yes

0

No

1

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 26102668D

  2. Referred to Committee on Labor and Commerce

  3. Assigned HCL sub: Subcommittee #1

  4. Fiscal Impact Statement from Department of Planning and Budget (HB490)

  5. House subcommittee offered

  6. Subcommittee recommends reporting with amendment(s) and referring to Appropriations (9-Y 0-N)

  7. Reported from Labor and Commerce with amendment(s) and referred to Appropriations (20-Y 2-N)

  8. Assigned HAPP sub: Compensation and Retirement

  9. Subcommittee recommends reporting (6-Y 0-N)

  10. Reported from Appropriations (22-Y 0-N)

  11. Read first time

  12. Read second time

  13. committee amendment agreed to

  14. Engrossed by House as amended

  15. Fiscal Impact Statement from Department of Planning and Budget (HB490)

  16. Read third time and passed House (93-Y 4-N 0-A)

  17. Constitutional reading dispensed (on 1st reading)

  18. Referred to Committee on Commerce and Labor

  19. Reported from Commerce and Labor (13-Y 0-N)

  20. Rules suspended

  21. Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)

  22. Passed by for the day (Voice Vote)

  23. Read third time

  24. Passed Senate (39-Y 0-N 0-A)

  25. Enrolled

  26. Bill text as passed House and Senate (HB490ER)

  27. Fiscal Impact Statement from Department of Planning and Budget (HB490)

  28. Signed by Speaker

  29. Signed by President

  30. Enrolled Bill communicated to Governor on March 14, 2026

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

  32. Approved by Governor-Chapter 153 (effective 7/1/2026)

  33. Acts of Assembly Chapter text (CHAP0153)

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