VA SB 161
enactedHealth insurance; limit on cost-sharing payments for prescription drugs under certain plans.
Virginia · 2026 Regular Session · upper
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Quick answers
Did VA SB 161 pass?
Yes. VA SB 161 has been enacted into law. 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
Newest first
2026-04-13
Acts of Assembly Chapter text (CHAP0642)
2026-04-13
Approved by Governor-Chapter 642 (effective 7/1/2026)
executive-signature
2026-03-31
Governor's Action Deadline 11:59 p.m., April 13, 2026
executive-receipt
2026-03-31
Enrolled Bill communicated to Governor on March 31, 2026
enrolled,executive-receipt
2026-03-31
Signed by Speaker
passage
2026-03-30
Signed by President
passage
2026-03-30
Bill text as passed Senate and House (SB161ER)
passage
2026-03-30
Enrolled
enrolled
2026-03-10
Conference report agreed to by House (63-Y 33-N 0-A)
committee-passage-favorable
2026-03-09
Conference report agreed to by Senate (38-Y 2-N 0-A)
committee-passage-favorable
2026-03-06
Conference Report released
2026-03-05
House Conferees: Henson, Ward, McLaughlin
2026-03-05
Conferees appointed by House
2026-03-03
Fiscal Impact Statement from State Corporation Commission (SB161)
2026-03-03
Senate Conferees: Perry, Rouse, Stanley
2026-03-03
Conferees appointed by Senate
2026-03-03
Senate acceded to request Block Vote (40-Y 0-N 0-A)
2026-02-27
House requested conference committee
referral-committee
2026-02-27
House insisted on substitute
substitution
2026-02-26
House substitute rejected by Senate (0-Y 40-N 0-A)
2026-02-24
Passed House with substitute (64-Y 34-N 0-A)
passage
2026-02-24
Engrossed by House - committee substitute
substitution
2026-02-24
committee substitute agreed to
substitution
2026-02-24
Read third time
reading-3
2026-02-23
Read second time
reading-2
2026-02-19
Committee substitute printed 26108163D-H1
substitution
2026-02-19
Reported from Labor and Commerce with substitute (14-Y 6-N)
committee-passage
2026-02-12
Referred to Committee on Labor and Commerce
referral-committee
2026-02-12
Read first time
reading-1
2026-02-12
Placed on Calendar
2026-02-06
Read third time and passed Senate (34-Y 6-N 0-A)
passage,reading-3
2026-02-05
Engrossed by Senate as amended (Voice Vote)
2026-02-05
Commerce and Labor Amendment agreed to
amendment-passage
2026-02-05
Read second time
reading-2
2026-02-04
Passed by for the day Block Vote (Voice Vote)
2026-02-04
Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
2026-02-04
Rules suspended
2026-02-02
Reported from Commerce and Labor with amendment (9-Y 4-N)
committee-passage
2026-01-26
Senate committee offered
2026-01-25
Fiscal Impact Statement from State Corporation Commission (SB161)
2026-01-07
Referred to Committee on Commerce and Labor
referral-committee
2026-01-07
Prefiled and ordered printed; Offered 01-14-2026 26101280D
filing,introduction
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
Attribution
Data from openstates_bulk_csv, retrieved 2026-07-24T05:35:59.552682Z
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