Bill Commons

VA HB 490

enacted

Health insurance; coverage for early refills of prescription eye drops.

Virginia · 2026 Regular Session · lower

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Quick answers

Did VA HB 490 pass?

Yes. VA HB 490 has been enacted into law. Latest recorded action (2026-04-06): Acts of Assembly Chapter text (CHAP0153)

What is VA HB 490 about?

Health insurance; coverage for early refills of prescription eye drops. Prohibits a health carrier from denying coverage to a covered person of an early refill of prescription eye drops if (i) the prescription eye drops are a covered benefit, (ii) the amount of time that has elapsed from the previous dispensing of such prescription would result in at least 85 percent of such prescription eye drops being used if taken consistently with the prescriber's directions, and (iii) the prescriber has indicated that additional quantities are medically necessary and the refill requested does not exceed such additional quantity. The provisions of the bill are applicable to contracts, policies, or plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2027.

Who sponsors VA HB 490?

Patrick A. Hope is the primary sponsor of VA HB 490.

Description

Health insurance; coverage for early refills of prescription eye drops. Prohibits a health carrier from denying coverage to a covered person of an early refill of prescription eye drops if (i) the prescription eye drops are a covered benefit, (ii) the amount of time that has elapsed from the previous dispensing of such prescription would result in at least 85 percent of such prescription eye drops being used if taken consistently with the prescriber's directions, and (iii) the prescriber has indicated that additional quantities are medically necessary and the refill requested does not exceed such additional quantity. The provisions of the bill are applicable to contracts, policies, or plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2027.

Introduced
2026-01-12
Latest action
2026-04-06 — Acts of Assembly Chapter text (CHAP0153)
Bill type
bill
Last updated
—

Sponsors

  • Patrick A. Hopeprimary

Committees

Not provided by source.

Action timeline

Newest first

  1. 2026-04-06

    Acts of Assembly Chapter text (CHAP0153)

  2. 2026-04-06

    Approved by Governor-Chapter 153 (effective 7/1/2026)

    executive-signature

  3. 2026-03-14

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

    executive-receipt

  4. 2026-03-14

    Enrolled Bill communicated to Governor on March 14, 2026

    enrolled,executive-receipt

  5. 2026-03-12

    Signed by President

    passage

  6. 2026-03-12

    Signed by Speaker

    passage

  7. 2026-03-12

    Fiscal Impact Statement from Department of Planning and Budget (HB490)

  8. 2026-03-12

    Bill text as passed House and Senate (HB490ER)

    passage

  9. 2026-03-12

    Enrolled

    enrolled

  10. 2026-03-05

    Passed Senate (39-Y 0-N 0-A)

    passage

  11. 2026-03-05

    Read third time

    reading-3

  12. 2026-03-04

    Passed by for the day (Voice Vote)

  13. 2026-03-04

    Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)

  14. 2026-03-04

    Rules suspended

  15. 2026-03-02

    Reported from Commerce and Labor (13-Y 0-N)

    committee-passage

  16. 2026-02-18

    Referred to Committee on Commerce and Labor

    referral-committee

  17. 2026-02-18

    Constitutional reading dispensed (on 1st reading)

  18. 2026-02-17

    Read third time and passed House (93-Y 4-N 0-A)

    passage,reading-3

  19. 2026-02-17

    Fiscal Impact Statement from Department of Planning and Budget (HB490)

  20. 2026-02-16

    Engrossed by House as amended

  21. 2026-02-16

    committee amendment agreed to

    amendment-passage

  22. 2026-02-16

    Read second time

    reading-2

  23. 2026-02-15

    Read first time

    reading-1

  24. 2026-02-13

    Reported from Appropriations (22-Y 0-N)

    committee-passage

  25. 2026-02-13

    Subcommittee recommends reporting (6-Y 0-N)

  26. 2026-02-05

    Assigned HAPP sub: Compensation and Retirement

    referral-committee

  27. 2026-02-05

    Reported from Labor and Commerce with amendment(s) and referred to Appropriations (20-Y 2-N)

    committee-passage

  28. 2026-02-03

    Subcommittee recommends reporting with amendment(s) and referring to Appropriations (9-Y 0-N)

  29. 2026-02-03

    House subcommittee offered

  30. 2026-01-23

    Fiscal Impact Statement from Department of Planning and Budget (HB490)

  31. 2026-01-19

    Assigned HCL sub: Subcommittee #1

    referral-committee

  32. 2026-01-12

    Referred to Committee on Labor and Commerce

    referral-committee

  33. 2026-01-12

    Prefiled and ordered printed; Offered 01-14-2026 26102668D

    filing,introduction

Versions

Documents

Votes

  • Subcommittee recommends reporting with amendment(s)

    2026-02-03 · pass · 9-0

    Member-level votes (9)
    • Michelle Lopes Maldonado: yes
    • Richard C. "Rip" Sullivan, Jr.: yes
    • Irene Shin: yes
    • Laura Jane Cohen: yes
    • Rae Cousins: yes
    • JJ Singh: yes
    • Terry G. Kilgore: yes
    • Israel D. O'Quinn: yes
    • Jason S. Ballard: yes
  • Reported from Labor and Commerce with amendment(s)

    2026-02-05 · pass · 20-2

    Member-level votes (22)
    • Jeion A. Ward: yes
    • Richard C. "Rip" Sullivan, Jr.: yes
    • Alfonso H. Lopez: yes
    • Kelly K. Convirs-Fowler: yes
    • Dan I. Helmer: yes
    • Michelle Lopes Maldonado: yes
    • Irene Shin: yes
    • Destiny LeVere Bolling: yes
    • Michael B. Feggans: yes
    • Nadarius E. Clark: yes
    • Rae Cousins: yes
    • Bonita G. Anthony: yes
    • Laura Jane Cohen: yes
    • JJ Singh: yes
    • May Nivar: yes
    • Terry G. Kilgore: yes
    • Israel D. O'Quinn: yes
    • Michael J. Webert: no
    • Tony O. Wilt: yes
    • Chris S. Runion: yes
    • Jason S. Ballard: yes
    • Wren M. Williams: no
  • Subcommittee recommends reporting

    2026-02-13 · pass · 6-0

    Member-level votes (7)
    • Alex Q. Askew: yes
    • C.E. Cliff Hayes, Jr.: yes
    • Rodney T. Willett: yes
    • Kathy K.L. Tran: yes
    • Shelly A. Simonds: not voting
    • M. Keith Hodges: yes
    • Scott A. Wyatt: yes
  • Reported from Appropriations

    2026-02-13 · pass · 22-0

    Member-level votes (22)
    • Luke E. Torian: yes
    • Betsy B. Carr: yes
    • Delores L. McQuinn: yes
    • Paul E. Krizek: yes
    • C.E. Cliff Hayes, Jr.: yes
    • David A. Reid: yes
    • Rodney T. Willett: yes
    • Briana D. Sewell: yes
    • Alex Q. Askew: yes
    • Charniele L. Herring: yes
    • Marcia S. "Cia" Price: yes
    • Kathy K.L. Tran: yes
    • Shelly A. Simonds: yes
    • Joshua E. Thomas: yes
    • Amy J. Laufer: yes
    • Terry L. Austin: yes
    • James W. Morefield: yes
    • Robert S. Bloxom, Jr.: yes
    • M. Keith Hodges: yes
    • Scott A. Wyatt: yes
    • Bill Wiley: yes
    • Ellen H. McLaughlin: yes
  • H VOTE:

    2026-02-17 · pass · 92-4

    Member-level votes (99)
    • Jessica L. Anderson: yes
    • Bonita G. Anthony: yes
    • Alex Q. Askew: yes
    • Terry L. Austin: yes
    • Jason S. Ballard: yes
    • Robert S. Bloxom, Jr.: yes
    • Gretchen M. Bulova: yes
    • Katrina Callsen: yes
    • Karen R. "Kacey" Carnegie: yes
    • Betsy B. Carr: yes
    • Stacey Annie Carroll: yes
    • Mike A. Cherry: yes
    • Nadarius E. Clark: not voting
    • Laura Jane Cohen: yes
    • Joshua G. Cole: yes
    • Nicole Cole: yes
    • Kelly K. Convirs-Fowler: yes
    • Mitchell Cornett: yes
    • Rae Cousins: yes
    • Will Davis: yes
    • Karrie K. Delaney: yes
    • Lindsey Dougherty: yes
    • Mark C. Downey: yes
    • Michael B. Feggans: yes
    • Hyland F. "Buddy" Fowler, Jr.: yes
    • Lily V. Franklin: yes
    • Margaret A. Franklin: yes
    • Debra D. Gardner: yes
    • Thomas A. Garrett, Jr.: yes
    • Jackie H. Glass: yes
    • Timothy P. Griffin: yes
    • Elizabeth R. Guzman: yes
    • Karen Hamilton: no
    • C.E. Cliff Hayes, Jr.: yes
    • Dan I. Helmer: yes
    • Rozia A. Henson, Jr.: yes
    • Phil M. Hernandez: yes
    • Charniele L. Herring: yes
    • M. Keith Hodges: yes
    • Patrick A. Hope: yes
    • Hillary Pugh Kent: yes
    • Karen Keys-Gamarra: yes
    • Terry G. Kilgore: yes
    • Barry D. Knight: not voting
    • Paul E. Krizek: yes
    • Amy J. Laufer: yes
    • James A. "Jay" Leftwich: yes
    • Destiny LeVere Bolling: yes
    • Alfonso H. Lopez: yes
    • Michelle Lopes Maldonado: yes
    • Marty Martinez: yes
    • John Chilton McAuliff: not voting
    • Adele Y. McClure: yes
    • Garrett McGuire: yes
    • Ellen H. McLaughlin: yes
    • Joseph P. McNamara: yes
    • Delores L. McQuinn: yes
    • Leslie Chambers Mehta: yes
    • James W. Morefield: yes
    • May Nivar: yes
    • Delores Oates: yes
    • Israel D. O'Quinn: yes
    • Justin Pence: yes
    • Eric Phillips: yes
    • Kimberly Pope Adams: yes
    • Marcia S. "Cia" Price: yes
    • Sam Rasoul: yes
    • Atoosa R. Reaser: yes
    • David A. Reid: yes
    • Chris S. Runion: yes
    • Charlie Schmidt: yes
    • Don Scott: yes
    • Phillip A. Scott: no
    • Holly M. Seibold: yes
    • Briana D. Sewell: yes
    • Irene Shin: yes
    • Marcus B. Simon: yes
    • Shelly A. Simonds: yes
    • JJ Singh: yes
    • Richard C. "Rip" Sullivan, Jr.: yes
    • Anne Ferrell Tata: yes
    • Joshua E. Thomas: yes
    • Virgil Thornton: yes
    • Luke E. Torian: yes
    • Kathy K.L. Tran: yes
    • H. Otto Wachsmann, Jr.: yes
    • Wendell S. Walker: yes
    • Jeion A. Ward: yes
    • R. Lee Ware: yes
    • Vivian E. Watts: yes
    • Michael J. Webert: no
    • Madison Whittle: yes
    • Bill Wiley: yes
    • Rodney T. Willett: yes
    • Wren M. Williams: yes
    • Tony O. Wilt: yes
    • Thomas C. Wright, Jr.: yes
    • Scott A. Wyatt: yes
    • Eric R. Zehr: no
  • Reported from Commerce and Labor

    2026-03-02 · pass · 13-0

    Member-level votes (15)
    • R. Creigh Deeds: yes
    • Mark D. Obenshain: yes
    • L. Louise Lucas: not voting
    • David W. Marsden: yes
    • Scott A. Surovell: yes
    • William M. Stanley, Jr.: yes
    • Ryan T. McDougle: yes
    • Mamie E. Locke: yes
    • Bill DeSteph: yes
    • Jeremy S. McPike: yes
    • Mark J. Peake: yes
    • Aaron R. Rouse: yes
    • Lamont Bagby: yes
    • Richard H. Stuart: not voting
    • Jennifer B. Boysko: yes
  • Constitutional reading dispensed (on 2nd reading)

    2026-03-04 · pass · 39-0

    Member-level votes (40)
    • Lashrecse D. Aird: yes
    • Lamont Bagby: yes
    • Elizabeth B. Bennett-Parker: yes
    • Jennifer B. Boysko: yes
    • Jennifer D. Carroll Foy: yes
    • Luther Cifers, III: yes
    • Christie New Craig: yes
    • R. Creigh Deeds: yes
    • Bill DeSteph: yes
    • J.D. "Danny" Diggs: yes
    • Tara A. Durant: yes
    • Barbara A. Favola: yes
    • Timmy French: yes
    • T. Travis Hackworth: yes
    • Christopher T. Head: yes
    • Michael J. Jones: yes
    • Emily M. Jordan: yes
    • Mamie E. Locke: yes
    • L. Louise Lucas: yes
    • David W. Marsden: yes
    • Ryan T. McDougle: yes
    • Jeremy S. McPike: yes
    • Tammy Brankley Mulchi: yes
    • Mark D. Obenshain: not voting
    • Mark J. Peake: yes
    • Stella G. Pekarsky: yes
    • Russet Perry: yes
    • Todd E. Pillion: yes
    • Bryce E. Reeves: yes
    • Danica A. Roem: yes
    • Aaron R. Rouse: yes
    • Saddam Azlan Salim: yes
    • Kannan Srinivasan: yes
    • William M. Stanley, Jr.: yes
    • Richard H. Stuart: yes
    • Glen H. Sturtevant, Jr.: yes
    • David R. Suetterlein: yes
    • Scott A. Surovell: yes
    • Schuyler T. VanValkenburg: yes
    • Angelia Williams Graves: yes
  • Passage R

    2026-03-05 · pass · 39-0

    Member-level votes (40)
    • Lashrecse D. Aird: yes
    • Lamont Bagby: yes
    • Elizabeth B. Bennett-Parker: yes
    • Jennifer B. Boysko: yes
    • Jennifer D. Carroll Foy: yes
    • Luther Cifers, III: yes
    • Christie New Craig: yes
    • R. Creigh Deeds: yes
    • Bill DeSteph: yes
    • J.D. "Danny" Diggs: yes
    • Tara A. Durant: yes
    • Barbara A. Favola: yes
    • Timmy French: yes
    • T. Travis Hackworth: yes
    • Christopher T. Head: yes
    • Michael J. Jones: yes
    • Emily M. Jordan: yes
    • Mamie E. Locke: yes
    • L. Louise Lucas: yes
    • David W. Marsden: not voting
    • Ryan T. McDougle: yes
    • Jeremy S. McPike: yes
    • Tammy Brankley Mulchi: yes
    • Mark D. Obenshain: yes
    • Mark J. Peake: yes
    • Stella G. Pekarsky: yes
    • Russet Perry: yes
    • Todd E. Pillion: yes
    • Bryce E. Reeves: yes
    • Danica A. Roem: yes
    • Aaron R. Rouse: yes
    • Saddam Azlan Salim: yes
    • Kannan Srinivasan: yes
    • William M. Stanley, Jr.: yes
    • Richard H. Stuart: yes
    • Glen H. Sturtevant, Jr.: yes
    • David R. Suetterlein: yes
    • Scott A. Surovell: yes
    • Schuyler T. VanValkenburg: yes
    • Angelia Williams Graves: yes

Related bills

No related bills recorded for this bill.

Official source

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T05:35:59.552682Z

Inspect retained evidence for changes recorded after evidence tracking began:

Session-wide evidence can include changes to other bills:

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Every field on this page is available from the free public API — no key or licence required. Fetch this bill as JSON: GET /api/v1/bills?jurisdiction=VA&identifier=HB 490. See the API docs or the MCP server for AI assistants.

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