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Virginia bills · 2026 Regular Session

Virginia SB 161

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

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

Sponsors

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 HB 625.

Text versions

Roll-call votes

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

DateVoteResultYour legislators
Mar 10, 2026
House		Adopt Conference Committee Report RpassSet your home in Virginia to see
Mar 9, 2026
Senate		Adopt Conference Committee Report RpassSet your home in Virginia to see
Mar 3, 2026
Senate		Accede Conference Committee RpassSet your home in Virginia to see
Feb 26, 2026
Senate		Concur House Substitute RfailSet your home in Virginia to see
Feb 24, 2026
House		H VOTE:passSet your home in Virginia to see
Feb 19, 2026
House		Reported from Labor and Commerce with substitutepassSet your home in Virginia to see
Feb 6, 2026
Senate		Passage RpassSet your home in Virginia to see
Feb 4, 2026
Senate		Constitutional reading dispensed RpassSet your home in Virginia to see
Feb 2, 2026
Senate		Reported from Commerce and Labor with amendmentpassSet your home in Virginia to see

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