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Virginia bills · 2026 Regular Session

Virginia HB 625

Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.

  1. Introduced
  2. In committee
  3. Passed House
  4. Passed Senate
  5. To Governor
  6. Became law

Sponsors

Cosponsors (1)

Summary

Official abstract published by the Virginia legislature· SUMMARY AS PASSED

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.

Text versions

Roll-call votes

State vote data last updated Oct 15, 2026, 8:06 AM.

DateVoteResultYour legislators
Mar 11, 2026
Senate		Adopt Conference Committee Report RpassSet your home in Virginia to see
Mar 10, 2026
House		H VOTE:passSet your home in Virginia to see
Mar 4, 2026
Senate		Insist & Request RpassSet your home in Virginia to see
Mar 2, 2026
House		H VOTE:failSet your home in Virginia to see
Feb 26, 2026
Senate		Passage RpassSet your home in Virginia to see
Feb 25, 2026
Senate		Constitutional reading dispensed (on 2nd reading)passSet your home in Virginia to see
Feb 23, 2026
Senate		Reported from Commerce and Labor with substitutepassSet your home in Virginia to see
Feb 11, 2026
House		H VOTE:passSet your home in Virginia to see
Feb 5, 2026
House		Reported from Labor and Commerce with amendment(s)passSet your home in Virginia to see
Feb 3, 2026
House		Subcommittee recommends reporting with amendment(s)passSet your home in Virginia to see
Feb 3, 2026
House		Subcommittee recommends reportingfailSet your home in Virginia to see

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