SB642Introduced in the Senate
Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood.
Introduced by Todd Pillion, District 6
What does this bill do?
Plain-English breakdown
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Official description
Health insurance; treatment of cancer and certain diseases; coverage of certain medications. Requires an insurer, corporation providing preferred provider subscription contracts, or health maintenance organization that provides coverage for drugs approved by the Food and Drug Administration and prescribed for the treatment of cancer or diseases of the blood to allow, at the patient's direction, (i) provider-administered drugs for such treatment to be dispensed by an in-network treating provider consistent with a provider agreement; (ii) provider-administered drugs for such treatment to be dispensed by an in-network treating provider when there is a documented delay of at least three days in the delivery of a medication from the designated specialty pharmacy; and (iii) self-administered drugs for such treatment to be sent to the pharmacy of the patient's choosing.
Where it stands
Continued to next session in Appropriations (Voice Vote)
March 2, 2026
How did lawmakers vote?
House of Delegates votes
2 recorded votes · each counted separately
Senate votes
5 recorded votes · each counted separately
House of DelegatesStage: Reported from Labor and Commerce and referred to Appropriations (18-Y 3-N) · February 26, 2026
18
Yes
3
No
1
Absent or Not Voting
22 delegates recorded in this House of Delegates 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 delegate voted
| Delegate | District | Vote |
|---|---|---|
| Alfonso Lopez | 3 | Yes |
| Richard Sullivan | 6 | Yes |
| Irene Shin | 8 | Yes |
| Dan Helmer | 10 | Yes |
| Laura Jane Cohen | 15 | Yes |
| Michelle Maldonado | 20 | Yes |
| J.J. Singh | 26 | Yes |
| Tony Wilt | 34 | Yes |
| Chris Runion | 35 | Yes |
| Jason Ballard | 42 | Yes |
Bill history
Prefiled and ordered printed; Offered 01-14-2026 26105211D
Referred to Committee on Commerce and Labor
Reported from Commerce and Labor with substitute (15-Y 0-N)
Senate committee offered
Committee substitute printed 26106270D-S1
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)
Passed by for the day
Read second time
Commerce and Labor Substitute agreed to
Motion to rerefer to Finance and Appropriations agreed to
Rereferred to Finance and Appropriations
Fiscal Impact Statement from Department of Planning and Budget (SB642)
Reported from Finance and Appropriations with substitute (15-Y 0-N)
Committee substitute printed 26107336D-S2
Read second time
Committee substitute reconsidered
Commerce and Labor Substitute rejected
Finance and Appropriations Substitute agreed to
Engrossed by Senate - committee substitute (Voice Vote)
Read third time and passed Senate (40-Y 0-N 0-A)
Placed on Calendar
Read first time
Referred to Committee on Health and Human Services
Fiscal Impact Statement from Department of Planning and Budget (SB642)
Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote)
Assigned HCL sub: Subcommittee #1
Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)
Reported from Labor and Commerce and referred to Appropriations (18-Y 3-N)
Assigned HAPP sub: Compensation and Retirement
Continued to next session in Appropriations (Voice Vote)
Verify the information
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