Bill Commons

VA SB 161

enacted

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

Virginia · 2026 Regular Session · upper

Quick answers

Did VA SB 161 pass?

Yes. VA SB 161 has been enacted into law as of 2026-04-13. Latest recorded action (2026-04-13): Acts of Assembly Chapter text (CHAP0642)

What is VA SB 161 about?

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.

Who sponsors VA SB 161?

Russet Perry is the primary sponsor of VA SB 161.

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.

Introduced
2026-01-07
Latest action
2026-04-13 — Acts of Assembly Chapter text (CHAP0642)
Bill type
bill
Last updated
—

Sponsors

  • Russet Perryprimary

Committees

Not provided by source.

Action timeline

  1. 2026-01-07

    Prefiled and ordered printed; Offered 01-14-2026 26101280D

    filing,introduction

  2. 2026-01-07

    Referred to Committee on Commerce and Labor

    referral-committee

  3. 2026-01-25

    Fiscal Impact Statement from State Corporation Commission (SB161)

  4. 2026-01-26

    Senate committee offered

  5. 2026-02-02

    Reported from Commerce and Labor with amendment (9-Y 4-N)

    committee-passage

  6. 2026-02-04

    Rules suspended

  7. 2026-02-04

    Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)

  8. 2026-02-04

    Passed by for the day Block Vote (Voice Vote)

  9. 2026-02-05

    Read second time

    reading-2

  10. 2026-02-05

    Commerce and Labor Amendment agreed to

    amendment-passage

  11. 2026-02-05

    Engrossed by Senate as amended (Voice Vote)

  12. 2026-02-06

    Read third time and passed Senate (34-Y 6-N 0-A)

    passage,reading-3

  13. 2026-02-12

    Placed on Calendar

  14. 2026-02-12

    Read first time

    reading-1

  15. 2026-02-12

    Referred to Committee on Labor and Commerce

    referral-committee

  16. 2026-02-19

    Reported from Labor and Commerce with substitute (14-Y 6-N)

    committee-passage

  17. 2026-02-19

    Committee substitute printed 26108163D-H1

    substitution

  18. 2026-02-23

    Read second time

    reading-2

  19. 2026-02-24

    Read third time

    reading-3

  20. 2026-02-24

    committee substitute agreed to

    substitution

  21. 2026-02-24

    Engrossed by House - committee substitute

    substitution

  22. 2026-02-24

    Passed House with substitute (64-Y 34-N 0-A)

    passage

  23. 2026-02-26

    House substitute rejected by Senate (0-Y 40-N 0-A)

  24. 2026-02-27

    House insisted on substitute

    substitution

  25. 2026-02-27

    House requested conference committee

    referral-committee

  26. 2026-03-03

    Senate acceded to request Block Vote (40-Y 0-N 0-A)

  27. 2026-03-03

    Conferees appointed by Senate

  28. 2026-03-03

    Senate Conferees: Perry, Rouse, Stanley

  29. 2026-03-03

    Fiscal Impact Statement from State Corporation Commission (SB161)

  30. 2026-03-05

    Conferees appointed by House

  31. 2026-03-05

    House Conferees: Henson, Ward, McLaughlin

  32. 2026-03-06

    Conference Report released

  33. 2026-03-09

    Conference report agreed to by Senate (38-Y 2-N 0-A)

    committee-passage-favorable

  34. 2026-03-10

    Conference report agreed to by House (63-Y 33-N 0-A)

    committee-passage-favorable

  35. 2026-03-30

    Enrolled

    enrolled

  36. 2026-03-30

    Bill text as passed Senate and House (SB161ER)

    passage

  37. 2026-03-30

    Signed by President

    passage

  38. 2026-03-31

    Signed by Speaker

    passage

  39. 2026-03-31

    Enrolled Bill communicated to Governor on March 31, 2026

    enrolled,executive-receipt

  40. 2026-03-31

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

    executive-receipt

  41. 2026-04-13

    Approved by Governor-Chapter 642 (effective 7/1/2026)

    executive-signature

  42. 2026-04-13

    Acts of Assembly Chapter text (CHAP0642)

Versions

Documents

Votes

  • Reported from Commerce and Labor with amendment

    2026-02-02 · pass · 9-4

    Member-level votes (15)
    • R. Creigh Deeds: yes
    • Mark D. Obenshain: no
    • L. Louise Lucas: yes
    • David W. Marsden: yes
    • Adam P. Ebbin: yes
    • Scott A. Surovell: yes
    • William M. Stanley, Jr.: no
    • Ryan T. McDougle: yes
    • Mamie E. Locke: not voting
    • Bryce E. Reeves: no
    • Bill DeSteph: no
    • Jeremy S. McPike: yes
    • Mark J. Peake: yes
    • Aaron R. Rouse: yes
    • Lamont Bagby: not voting

  • Constitutional reading dispensed R

    2026-02-04 · pass · 40-0

    Member-level votes (40)
    • Lashrecse D. Aird: yes
    • Lamont Bagby: 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
    • Adam P. Ebbin: 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: 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

  • Passage R

    2026-02-06 · pass · 34-6

    Member-level votes (40)
    • Lashrecse D. Aird: yes
    • Lamont Bagby: yes
    • Jennifer B. Boysko: yes
    • Jennifer D. Carroll Foy: yes
    • Luther Cifers, III: yes
    • Christie New Craig: no
    • R. Creigh Deeds: yes
    • Bill DeSteph: no
    • J.D. "Danny" Diggs: yes
    • Tara A. Durant: yes
    • Adam P. Ebbin: yes
    • Barbara A. Favola: yes
    • Timmy French: no
    • 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: no
    • Mark J. Peake: yes
    • Stella G. Pekarsky: yes
    • Russet Perry: yes
    • Todd E. Pillion: yes
    • Bryce E. Reeves: no
    • Danica A. Roem: yes
    • Aaron R. Rouse: yes
    • Saddam Azlan Salim: yes
    • Kannan Srinivasan: yes
    • William M. Stanley, Jr.: yes
    • Richard H. Stuart: no
    • Glen H. Sturtevant, Jr.: yes
    • David R. Suetterlein: yes
    • Scott A. Surovell: yes
    • Schuyler T. VanValkenburg: yes
    • Angelia Williams Graves: yes

  • Reported from Labor and Commerce with substitute

    2026-02-19 · pass · 14-6

    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: not voting
    • Rae Cousins: yes
    • Bonita G. Anthony: yes
    • Laura Jane Cohen: yes
    • JJ Singh: yes
    • May Nivar: yes
    • Terry G. Kilgore: no
    • Israel D. O'Quinn: no
    • Michael J. Webert: not voting
    • Tony O. Wilt: no
    • Chris S. Runion: no
    • Jason S. Ballard: no
    • Wren M. Williams: no

  • H VOTE:

    2026-02-24 · pass · 64-34

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

  • Concur House Substitute R

    2026-02-26 · fail · 0-40

    Member-level votes (40)
    • Lashrecse D. Aird: no
    • Lamont Bagby: no
    • Elizabeth B. Bennett-Parker: no
    • Jennifer B. Boysko: no
    • Jennifer D. Carroll Foy: no
    • Luther Cifers, III: no
    • Christie New Craig: no
    • R. Creigh Deeds: no
    • Bill DeSteph: no
    • J.D. "Danny" Diggs: no
    • Tara A. Durant: no
    • Barbara A. Favola: no
    • Timmy French: no
    • T. Travis Hackworth: no
    • Christopher T. Head: no
    • Michael J. Jones: no
    • Emily M. Jordan: no
    • Mamie E. Locke: no
    • L. Louise Lucas: no
    • David W. Marsden: no
    • Ryan T. McDougle: no
    • Jeremy S. McPike: no
    • Tammy Brankley Mulchi: no
    • Mark D. Obenshain: no
    • Mark J. Peake: no
    • Stella G. Pekarsky: no
    • Russet Perry: no
    • Todd E. Pillion: no
    • Bryce E. Reeves: no
    • Danica A. Roem: no
    • Aaron R. Rouse: no
    • Saddam Azlan Salim: no
    • Kannan Srinivasan: no
    • William M. Stanley, Jr.: no
    • Richard H. Stuart: no
    • Glen H. Sturtevant, Jr.: no
    • David R. Suetterlein: no
    • Scott A. Surovell: no
    • Schuyler T. VanValkenburg: no
    • Angelia Williams Graves: no

  • Accede Conference Committee R

    2026-03-03 · pass · 40-0

    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: 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

  • Adopt Conference Committee Report R

    2026-03-09 · pass · 38-2

    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: no
    • J.D. "Danny" Diggs: yes
    • Tara A. Durant: yes
    • Barbara A. Favola: yes
    • Timmy French: no
    • 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: 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

  • Adopt Conference Committee Report R

    2026-03-10 · pass · 64-33

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

Related bills

No related bills recorded for this bill.

Official source

https://lis.virginia.gov/bill-details/20261/SB161

Attribution

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

Inspect retained evidence for changes recorded after evidence tracking began:

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