HB490Introduced in the House of Delegates
Health insurance; coverage for early refills of prescription eye drops.
Introduced by Patrick Hope, District 1
What does this bill do?
Plain-English breakdown
Writing a plain-English summary of this bill… this can take a few seconds the first time.
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
| 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 26102668D
Referred to Committee on Labor and Commerce
Assigned HCL sub: Subcommittee #1
Fiscal Impact Statement from Department of Planning and Budget (HB490)
House subcommittee offered
Subcommittee recommends reporting with amendment(s) and referring to Appropriations (9-Y 0-N)
Reported from Labor and Commerce with amendment(s) and referred to Appropriations (20-Y 2-N)
Assigned HAPP sub: Compensation and Retirement
Subcommittee recommends reporting (6-Y 0-N)
Reported from Appropriations (22-Y 0-N)
Read first time
Read second time
committee amendment agreed to
Engrossed by House as amended
Fiscal Impact Statement from Department of Planning and Budget (HB490)
Read third time and passed House (93-Y 4-N 0-A)
Constitutional reading dispensed (on 1st reading)
Referred to Committee on Commerce and Labor
Reported from Commerce and Labor (13-Y 0-N)
Rules suspended
Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)
Passed by for the day (Voice Vote)
Read third time
Passed Senate (39-Y 0-N 0-A)
Enrolled
Bill text as passed House and Senate (HB490ER)
Fiscal Impact Statement from Department of Planning and Budget (HB490)
Signed by Speaker
Signed by President
Enrolled Bill communicated to Governor on March 14, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026
Approved by Governor-Chapter 153 (effective 7/1/2026)
Acts of Assembly Chapter text (CHAP0153)
Verify the information
- Official page on the Virginia Legislature website
- Labor and Commerce Amendment (amendment)
- Subcommittee #1 Subcommittee Amendment (amendment)
- Labor and Commerce Amendment (amendment)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Introduced (text)
- Engrossed (text)
- Enrolled (text)
- Chaptered (text)
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