HB625Introduced in the House of Delegates
Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.
Introduced by Rozia Henson, District 19
What does this bill do?
Plain-English breakdown
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Official description
Health insurance; limit on cost-sharing payments for prescription drugs under certain plans. Requires each carrier that offers a health plan in either the individual or small group market to ensure that at least one health plan in each of the bronze, silver, gold, and platinum levels of coverage in each rating area in the individual and small group market conform with the following: (i) a plan that offers a platinum level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $150 per 30-day supply of the prescription drug; (ii) a plan that offers a gold level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $200 per 30-day supply of the prescription drug; (iii) a plan that offers a silver level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $250 per 30-day supply of the prescription drug; and (iv) a plan that offers a bronze level of coverage shall limit a person's cost-sharing payment for prescription drugs covered under the plan to an amount that does not exceed $300 per 30-day supply of the prescription drug. The bill requires that any plans offered to meet its requirements are (a) clearly and appropriately named to aid the consumer or plan sponsor in the plan selection process and (b) marketed in the same manner as other plans offered by the carrier. The bill's provisions apply to any individual or group accident and sickness insurance policy, any individual or group accident and sickness subscription contract, and any health care plan for health care services delivered, issued for delivery, or renewed in the Commonwealth on or after January 1, 2028. This bill is identical to SB 161.
Where it stands
Acts of Assembly Chapter text (CHAP0641)
April 13, 2026
How did lawmakers vote?
House of Delegates votes
6 recorded votes · each counted separately
Senate votes
5 recorded votes · each counted separately
SenateStage: Conference report agreed to by Senate (39-Y 0-N 0-A) · March 11, 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.
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 26101225D
Referred to Committee on Labor and Commerce
Assigned HCL sub: Subcommittee #1
Subcommittee failed to recommend reporting (4-Y 5-N)
Reconsidered by Labor and Commerce (Voice Vote)
Subcommittee recommends reporting with amendment(s) (6-Y 3-N)
Reported from Labor and Commerce with amendment(s) (15-Y 7-N)
Read first time
Read second time
committee amendment agreed to
Engrossed by House as amended
Read third time and passed House (63-Y 35-N 0-A)
Constitutional reading dispensed (on 1st reading)
Referred to Committee on Commerce and Labor
Reported from Commerce and Labor with substitute (11-Y 4-N)
Committee substitute printed 26108395D-S1
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
Commerce and Labor Substitute agreed to
Engrossed by Senate - committee substitute
Passed Senate with substitute (37-Y 3-N 0-A)
Senate substitute rejected by House (2-Y 97-N 0-A)
Fiscal Impact Statement from State Corporation Commission (HB625)
Senate insisted on amendment (40-Y 0-N 0-A)
Senate requested conference committee
House acceded to request
Conferees appointed by Senate
Senate Conferees: Perry, Rouse, Stanley
Conferees appointed by House
House Conferees: Henson, Ward, McLaughlin
Conference Report released
Conference report agreed to by House (63-Y 33-N 0-A)
Conference report agreed to by Senate (39-Y 0-N 0-A)
Enrolled
Bill text as passed House and Senate (HB625ER)
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
Fiscal Impact Statement from State Corporation Commission (HB625)
Approved by Governor-Chapter 641 (effective 7/1/2026)
Acts of Assembly Chapter text (CHAP0641)
Verify the information
- Official page on the Virginia Legislature website
- Subcommittee #1 Subcommittee Amendment (amendment)
- Labor and Commerce Amendment (amendment)
- Fiscal Note/Analysis (supplement)
- Conference Report (supplement)
- Fiscal Note/Analysis (supplement)
- Introduced (text)
- Engrossed (text)
- Comm Sub (text)
- Comm Sub (text)
- Enrolled (text)
- Chaptered (text)
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