SB161Introduced in the Senate
Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.
Introduced by Russet Perry, District 31
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 HB 625.
Where it stands
Acts of Assembly Chapter text (CHAP0642)
April 13, 2026
How did lawmakers vote?
House of Delegates votes
3 recorded votes · each counted separately
Senate votes
6 recorded votes · each counted separately
House of DelegatesStage: Conference report agreed to by House (63-Y 33-N 0-A) · March 10, 2026
64
Yes
33
No
2
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
| Delegate | District | Vote |
|---|---|---|
| Patrick Hope | 1 | Yes |
| Adele McClure | 2 | Yes |
| Alfonso Lopez | 3 | Yes |
| Charniele Herring | 4 | Yes |
| Kirk McPike | 5 | Yes |
| Richard Sullivan | 6 | Yes |
| Karen Keys-Gamarra | 7 | Yes |
| Irene Shin | 8 | Yes |
| Karrie Delaney | 9 | Yes |
| Dan Helmer | 10 | Yes |
Bill history
Prefiled and ordered printed; Offered 01-14-2026 26101280D
Referred to Committee on Commerce and Labor
Fiscal Impact Statement from State Corporation Commission (SB161)
Senate committee offered
Reported from Commerce and Labor with amendment (9-Y 4-N)
Rules suspended
Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
Passed by for the day Block Vote (Voice Vote)
Read second time
Commerce and Labor Amendment agreed to
Engrossed by Senate as amended (Voice Vote)
Read third time and passed Senate (34-Y 6-N 0-A)
Placed on Calendar
Read first time
Referred to Committee on Labor and Commerce
Reported from Labor and Commerce with substitute (14-Y 6-N)
Committee substitute printed 26108163D-H1
Read second time
Read third time
committee substitute agreed to
Engrossed by House - committee substitute
Passed House with substitute (64-Y 34-N 0-A)
House substitute rejected by Senate (0-Y 40-N 0-A)
House insisted on substitute
House requested conference committee
Senate acceded to request Block Vote (40-Y 0-N 0-A)
Conferees appointed by Senate
Senate Conferees: Perry, Rouse, Stanley
Fiscal Impact Statement from State Corporation Commission (SB161)
Conferees appointed by House
House Conferees: Henson, Ward, McLaughlin
Conference Report released
Conference report agreed to by Senate (38-Y 2-N 0-A)
Conference report agreed to by House (63-Y 33-N 0-A)
Enrolled
Bill text as passed Senate and House (SB161ER)
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 642 (effective 7/1/2026)
Acts of Assembly Chapter text (CHAP0642)
Verify the information
- Official page on the Virginia Legislature website
- Commerce and Labor Amendment (amendment)
- Commerce and Labor Amendment (amendment)
- Fiscal Note/Analysis (supplement)
- Fiscal Note/Analysis (supplement)
- Conference Report (supplement)
- Conference Report (supplement)
- Introduced (text)
- Engrossed (text)
- Comm Sub (text)
- Comm Sub (text)
- Enrolled (text)
- Chaptered (text)
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