Bill Commons

VA SB 257

enacted

Health insurance; requirements for certain opioid antagonists.

Virginia · 2026 Regular Session · upper

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Quick answers

Did VA SB 257 pass?

Yes. VA SB 257 has been enacted into law. Latest recorded action (2026-04-08): Acts of Assembly Chapter text (CHAP0424)

What is VA SB 257 about?

Health insurance; requirements for certain opioid antagonists. Requires each health insurer, corporation providing health care subscription plans, and health maintenance organization whose policy, contract, or plan includes coverage for prescription drugs to include coverage for at least one opioid antagonist used for overdose reversal dispensed pursuant to an oral, written, or standing order of a prescriber and ensure that cost-sharing for at least one opioid antagonist used for overdose reversal is included on the lowest cost tier of the insurer's, corporation's, or health maintenance organization's prescription drug formulary. The bill provides that such coverage shall be exempt from any prior authorization or step therapy requirement on coverage of benefits. As introduced, this bill was a recommendation of the Joint Commission on Health Care. This bill is identical to HB 795.

Who sponsors VA SB 257?

Barbara A. Favola is the primary sponsor of VA SB 257, joined by 1 cosponsor.

Description

Health insurance; requirements for certain opioid antagonists. Requires each health insurer, corporation providing health care subscription plans, and health maintenance organization whose policy, contract, or plan includes coverage for prescription drugs to include coverage for at least one opioid antagonist used for overdose reversal dispensed pursuant to an oral, written, or standing order of a prescriber and ensure that cost-sharing for at least one opioid antagonist used for overdose reversal is included on the lowest cost tier of the insurer's, corporation's, or health maintenance organization's prescription drug formulary. The bill provides that such coverage shall be exempt from any prior authorization or step therapy requirement on coverage of benefits. As introduced, this bill was a recommendation of the Joint Commission on Health Care. This bill is identical to HB 795.

Introduced
2026-01-12
Latest action
2026-04-08 — Acts of Assembly Chapter text (CHAP0424)
Bill type
bill
Last updated
—

Sponsors

  • Barbara A. Favolaprimary
  • Kannan Srinivasancosponsor

Committees

Not provided by source.

Action timeline

Newest first

  1. 2026-04-08

    Acts of Assembly Chapter text (CHAP0424)

  2. 2026-04-08

    Approved by Governor-Chapter 424 (effective 7/1/2026)

    executive-signature

  3. 2026-04-01

    Fiscal Impact Statement from Department of Planning and Budget (SB257)

  4. 2026-03-31

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

    executive-receipt

  5. 2026-03-31

    Enrolled Bill communicated to Governor on March 31, 2026

    enrolled,executive-receipt

  6. 2026-03-31

    Signed by Speaker

    passage

  7. 2026-03-30

    Signed by President

    passage

  8. 2026-03-30

    Bill text as passed Senate and House (SB257ER)

    passage

  9. 2026-03-30

    Enrolled

    enrolled

  10. 2026-03-12

    House substitute agreed to by Senate (39-Y 1-N 0-A)

    substitution

  11. 2026-03-12

    Passed House with substitute (96-Y 0-N 0-A)

    passage

  12. 2026-03-12

    Engrossed by House - committee substitute

    substitution

  13. 2026-03-12

    committee substitute agreed to

    substitution

  14. 2026-03-12

    committee substitute rejected

  15. 2026-03-12

    Read third time

    reading-3

  16. 2026-03-11

    Read second time

    reading-2

  17. 2026-03-10

    Fiscal Impact Statement from Department of Planning and Budget (SB257)

  18. 2026-03-09

    Committee substitute printed 26109143D-H2

    substitution

  19. 2026-03-09

    Reported from Appropriations with substitute (22-Y 0-N)

    committee-passage

  20. 2026-03-04

    Fiscal Impact Statement from Department of Planning and Budget (SB257)

  21. 2026-02-27

    Committee substitute printed 26108572D-H1

    substitution

  22. 2026-02-27

    Assigned HAPP sub: Health & Human Resources

    referral-committee

  23. 2026-02-26

    Reported from Labor and Commerce with substitute and referred to Appropriations (21-Y 0-N)

    committee-passage

  24. 2026-02-24

    Subcommittee recommends reporting with substitute and referring to Appropriations (6-Y 0-N)

    substitution

  25. 2026-02-24

    Assigned HCL sub: Subcommittee #1

    referral-committee

  26. 2026-02-24

    House subcommittee offered

  27. 2026-02-19

    Referred to Committee on Labor and Commerce

    referral-committee

  28. 2026-02-19

    Read first time

    reading-1

  29. 2026-02-19

    Placed on Calendar

  30. 2026-02-16

    Read third time and passed Senate (37-Y 1-N 0-A)

    passage,reading-3

  31. 2026-02-13

    Engrossed by Senate - committee substitute (Voice Vote)

    substitution

  32. 2026-02-13

    Committee substitute agreed to (Voice Vote)

    substitution

  33. 2026-02-13

    Read second time

    reading-2

  34. 2026-02-12

    Passed by for the day Block Vote (Voice Vote)

  35. 2026-02-12

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

  36. 2026-02-12

    Rules suspended

  37. 2026-02-11

    Reported from Finance and Appropriations (15-Y 0-N)

    committee-passage

  38. 2026-02-04

    Fiscal Impact Statement from Department of Planning and Budget (SB257)

  39. 2026-02-03

    Committee substitute printed 26106753D-S1

    substitution

  40. 2026-02-02

    Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (10-Y 2-N 1-A)

    committee-passage

  41. 2026-02-02

    Senate committee offered

  42. 2026-01-23

    Fiscal Impact Statement from Department of Planning and Budget (SB257)

  43. 2026-01-12

    Referred to Committee on Commerce and Labor

    referral-committee

  44. 2026-01-12

    Prefiled and ordered printed; Offered 01-14-2026 26104746D

    filing,introduction

Versions

Documents

Votes

  • Reported from Commerce and Labor with substitute

    2026-02-02 · pass · 10-2

    Member-level votes (15)
    • R. Creigh Deeds: yes
    • Mark D. Obenshain: yes
    • 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: abstain
    • Bill DeSteph: no
    • Jeremy S. McPike: yes
    • Mark J. Peake: yes
    • Aaron R. Rouse: yes
    • Lamont Bagby: not voting

  • Reported from Finance and Appropriations

    2026-02-11 · pass · 15-0

    Member-level votes (15)
    • L. Louise Lucas: yes
    • R. Creigh Deeds: yes
    • Mamie E. Locke: yes
    • David W. Marsden: yes
    • Adam P. Ebbin: yes
    • Ryan T. McDougle: yes
    • Mark D. Obenshain: yes
    • Richard H. Stuart: yes
    • Bryce E. Reeves: yes
    • Barbara A. Favola: yes
    • Scott A. Surovell: yes
    • Jeremy S. McPike: yes
    • Jennifer B. Boysko: yes
    • Todd E. Pillion: yes
    • Aaron R. Rouse: yes

  • Constitutional reading dispensed R

    2026-02-12 · 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

    2026-02-16 · pass · 37-1

    Member-level votes (40)
    • Lashrecse D. Aird: yes
    • Lamont Bagby: yes
    • Jennifer B. Boysko: not voting
    • 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
    • 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: not voting
    • Scott A. Surovell: yes
    • Schuyler T. VanValkenburg: yes
    • Angelia Williams Graves: yes

  • Subcommittee recommends reporting with substitute

    2026-02-24 · pass · 6-0

    Member-level votes (10)
    • Michelle Lopes Maldonado: not voting
    • Richard C. "Rip" Sullivan, Jr.: yes
    • Irene Shin: yes
    • Laura Jane Cohen: not voting
    • Rae Cousins: not voting
    • JJ Singh: yes
    • Terry G. Kilgore: not voting
    • Israel D. O'Quinn: yes
    • Jason S. Ballard: yes
    • Jeion A. Ward: yes

  • Reported from Labor and Commerce with substitute

    2026-02-26 · pass · 21-0

    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: yes
    • Tony O. Wilt: yes
    • Chris S. Runion: yes
    • Jason S. Ballard: yes
    • Wren M. Williams: not voting

  • Reported from Appropriations with substitute

    2026-03-09 · 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

  • Concur House Substitute R

    2026-03-12 · pass · 39-1

    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: 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

  • H VOTE:

    2026-03-12 · pass · 96-0

    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: yes
    • 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
    • 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: yes
    • Adele Y. McClure: yes
    • Garrett McGuire: yes
    • Ellen H. McLaughlin: yes
    • Joseph P. McNamara: not voting
    • Kirk McPike: 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: yes
    • 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: not voting
    • Michael J. Webert: yes
    • 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: yes

Related bills

No related bills recorded for this bill.

Official source

https://lis.virginia.gov/bill-details/20261/SB257

Attribution

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

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