VirginiaPharmacy benefits managers; requirements, application of law, report, delayed effective date.
What it does
Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances.
More detail
The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill is identical to SB 669.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Apr 13Acts of Assembly Chapter text (CHAP0678)Latest
- Apr 13Approved by Governor Abigail Spanberger-Chapter 678 (Effective 7/1/2027)Became Law
- Mar 31Governor's Action Deadline 11:59 p.m., April 13, 2026To Governor
- Mar 31Enrolled Bill communicated to Governor on March 31, 2026Minor
- Mar 31Signed by SpeakerMajor
- Mar 30Signed by PresidentMajor
- Mar 30Bill text as passed House and Senate (HB830ER)Major
- Mar 30EnrolledMinor
- Mar 12Fiscal Impact Statement from State Corporation Commission (HB830)
- Mar 11Senate substitute agreed to by House (98-Y 0-N 0-A)Major
- Vote recorded H VOTE:. Result: pass.Lower
- Mar 10Passed Senate with substitute Block Vote (40-Y 0-N 0-A)Passed Senate
- Vote recorded Passage R. Result: pass.Upper
- Mar 10Engrossed by Senate - committee substituteMajor
- Mar 10Commerce and Labor Substitute agreed to
- Mar 10Read third timeMinor
- Mar 9Passed by for the day
- Vote recorded Constitutional reading dispensed (on 2nd reading). Result: pass.Upper
- Mar 9Rules suspended
- Mar 9Passed by for the day (Voice Vote)
- Mar 9Constitutional reading dispensed (on 2nd reading) (40-Y 0-N 0-A)
- Mar 6Reported from Finance and Appropriations (14-Y 0-N)Minor
- Vote recorded Reported from Finance and Appropriations. Result: pass.Upper
- Mar 3Committee substitute printed 26108906D-S1Major
- Mar 2Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (14-Y 0-N)Minor
- Vote recorded Reported from Commerce and Labor with substitute. Result: pass.Upper
- Feb 18Referred to Committee on Commerce and LaborMinor
- Feb 18Constitutional reading dispensed (on 1st reading)
- Feb 17Read third time and passed House (97-Y 0-N 0-A)Passed House
- Vote recorded H VOTE:. Result: pass.Lower
- Feb 16Engrossed by House - committee substituteMajor
- Feb 16committee substitute agreed toMajor
- Feb 16committee substitute rejected
- Feb 16Read second timeMinor
- Feb 15Read first timeMinor
- Feb 13Committee substitute printed 26107837D-H2Major
- Vote recorded Reported from Appropriations with substitute. Result: pass.Lower
- Vote recorded Subcommittee recommends reporting with substitute. Result: pass.Lower
- Feb 13Reported from Appropriations with substitute (22-Y 0-N)Minor
- Feb 13Subcommittee recommends reporting with substitute (7-Y 0-N)Major
- Feb 13House subcommittee offered
- Feb 12Assigned HAPP sub: Compensation and RetirementMinor
- Feb 10Fiscal Impact Statement from State Corporation Commission (HB830)
- Feb 5Committee substitute printed 26106561D-H1Major
- Vote recorded Reported from Labor and Commerce with substitute. Result: pass.Lower
- Feb 5Reported from Labor and Commerce with substitute and referred to Appropriations (22-Y 0-N)Minor
- Feb 3Fiscal Impact Statement from State Corporation Commission (HB830)
- Vote recorded Subcommittee recommends reporting with substitute. Result: pass.Lower
- Feb 3Subcommittee recommends reporting with substitute and referring to Appropriations (9-Y 0-N)Major
- Feb 3House subcommittee offered
- Jan 22Assigned HCL sub: Subcommittee #1Minor
- Jan 13Referred to Committee on Labor and CommerceMinor
- Jan 13Prefiled and ordered printed; Offered 01-14-2026 26105289DIntroduced