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HB830Introduced in the House of Delegates

Pharmacy benefits managers; requirements, application of law, report, delayed effective date.

Passed

Introduced by Katrina Callsen, District 54

What does this bill do?

Plain-English breakdown

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Official description

Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill is identical to SB 669.

Where it stands

Acts of Assembly Chapter text (CHAP0678)

April 13, 2026

How did lawmakers vote?

House of Delegates votes

6 recorded votes · each counted separately

Senate votes

4 recorded votes · each counted separately

House of DelegatesStage: Senate substitute agreed to by House (98-Y 0-N 0-A) · March 11, 2026

98

Yes

0

No

1

Absent or Not Voting

99 delegates recorded in this House of Delegates vote. Colors show vote categories only, not whether a vote was good or bad.

See how each delegate voted

DelegateDistrictVote
Patrick Hope1Yes
Adele McClure2Yes
Alfonso Lopez3Yes
Charniele Herring4Yes
Kirk McPike5Yes
Richard Sullivan6Yes
Karen Keys-Gamarra7Yes
Irene Shin8Yes
Karrie Delaney9Yes
Dan Helmer10Yes

Bill history

  1. Prefiled and ordered printed; Offered 01-14-2026 26105289D

  2. Referred to Committee on Labor and Commerce

  3. Assigned HCL sub: Subcommittee #1

  4. House subcommittee offered

  5. Subcommittee recommends reporting with substitute and referring to Appropriations (9-Y 0-N)

  6. Fiscal Impact Statement from State Corporation Commission (HB830)

  7. Reported from Labor and Commerce with substitute and referred to Appropriations (22-Y 0-N)

  8. Committee substitute printed 26106561D-H1

  9. Fiscal Impact Statement from State Corporation Commission (HB830)

  10. Assigned HAPP sub: Compensation and Retirement

  11. House subcommittee offered

  12. Subcommittee recommends reporting with substitute (7-Y 0-N)

  13. Reported from Appropriations with substitute (22-Y 0-N)

  14. Committee substitute printed 26107837D-H2

  15. Read first time

  16. Read second time

  17. committee substitute rejected

  18. committee substitute agreed to

  19. Engrossed by House - committee substitute

  20. Read third time and passed House (97-Y 0-N 0-A)

  21. Constitutional reading dispensed (on 1st reading)

  22. Referred to Committee on Commerce and Labor

  23. Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (14-Y 0-N)

  24. Committee substitute printed 26108906D-S1

  25. Reported from Finance and Appropriations (14-Y 0-N)

  26. Constitutional reading dispensed (on 2nd reading) (40-Y 0-N 0-A)

  27. Passed by for the day (Voice Vote)

  28. Rules suspended

  29. Passed by for the day

  30. Read third time

  31. Commerce and Labor Substitute agreed to

  32. Engrossed by Senate - committee substitute

  33. Passed Senate with substitute Block Vote (40-Y 0-N 0-A)

  34. Senate substitute agreed to by House (98-Y 0-N 0-A)

  35. Fiscal Impact Statement from State Corporation Commission (HB830)

  36. Enrolled

  37. Bill text as passed House and Senate (HB830ER)

  38. Signed by President

  39. Signed by Speaker

  40. Enrolled Bill communicated to Governor on March 31, 2026

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

  42. Approved by Governor - Chapter 678 (effective 7/1/2027)

  43. Acts of Assembly Chapter text (CHAP0678)

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