Virginia 2026 Session Status: Enacted

HB424 — Health insurance; definitions, prohibited restrictions on in-network referrals.

Last action — Fiscal Impact Statement from State Corporation Commission (HB424)

Track this bill free

No card. One bill, free forever — alerts when it moves.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House of Delegates
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 12, 2026. Enacted.

Signed by Governor Glenn Youngkin (Republican) on March 31, 2026.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 8 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Health insurance; definitions, prohibited restrictions on in-network referrals.

Bill Text

We don't have the full text on file for this bill yet.

Read HB424 on the official Virginia source →

How this bill changes current law

22 changes Share ↗

Compared against the Code of Virginia as published AI-generated reading aid — verify against the official bill.

This bill amends 1 section(s) of the Code of Virginia: 38.2-3407.23.

  • 38.2-3407.23

    A

    Inserts “A”.

  • 38.2-3407.23

    . As used in this section:

    Inserts “. As used in this section:”.

  • 38.2-3407.23

    "

    Inserts “"”.

  • 38.2-3407.23

    C

    Inserts “C”.

  • 38.2-3407.23

    arrier" means the same as

    Inserts “arrier" means the same as”.

  • 38.2-3407.23

    the term "health carrier"

    Inserts “the term "health carrier"”.

  • 38.2-3407.23

    is defined in § 38.2-3438.

    Inserts “is defined in § 38.2-3438.”.

  • 38.2-3407.23

    "Health benefit plan" means the same as that term is defined in

    Inserts “"Health benefit plan" means the same as that term is defined in”.

  • 38.2-3407.23

    § 38.2-3438.

    Inserts “§ 38.2-3438.”.

  • 38.2-3407.23

    "In-network" means a provider that has contracted with a carrier or a carrier's contractor or subcontractor to provide health care services to enrollees and be reimbursed by the carrier at a contracted rate as payment in full for the health care services, including applicable cost-sharing requirements.

    Inserts “"In-network" means a provider that has contracted with a carrier or a carrier's contractor or subcontractor to provide health care services to enrollees and be reimbursed by the carrier at a contracted rate as payment in full for the health care services, including applicable cost-sharing requirements.”.

  • 38.2-3407.23

    B.

    Inserts “B.”.

  • 38.2-3407.23

    No carrier, in the provision of

    Inserts “No carrier, in the provision of”.

  • 38.2-3407.23

    individual or group accident and sickness insurance, including any health benefit plan, shall

    Inserts “individual or group accident and sickness insurance, including any health benefit plan, shall”.

  • 38.2-3407.23

    prohibit an in-network provider from referring any patient

    Inserts “prohibit an in-network provider from referring any patient”.

  • 38.2-3407.23

    or specimen

    Inserts “or specimen”.

  • 38.2-3407.23

    to any in-network clinical laboratory or in-network pathology service provider

    Inserts “to any in-network clinical laboratory or in-network pathology service provider”.

  • 38.2-3407.23

    under

    Inserts “under”.

  • 38.2-3407.23

    the terms of

    Inserts “the terms of”.

  • 38.2-3407.23

    such

    Inserts “such”.

  • 38.2-3407.23

    insurance

    Inserts “insurance”.

  • 38.2-3407.23

    unless such referral would constitute a violation of

    Inserts “unless such referral would constitute a violation of”.

  • 38.2-3407.23

    the Practitioner Self-Referral Act (§ 54.1-2410 et seq.) or 42 U.S. Code § 1320a-7b.

    Inserts “the Practitioner Self-Referral Act (§ 54.1-2410 et seq.) or 42 U.S. Code § 1320a-7b.”.

Action History

  1. H Fiscal Impact Statement from State Corporation Commission (HB424)

  2. Acts of Assembly Chapter text (CHAP0138)

  3. Approved by Governor-Chapter 138 (effective 7/1/2026)

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

  5. H Enrolled Bill communicated to Governor on March 31, 2026

  6. H Signed by Speaker

  7. S Signed by President

  8. H Bill text as passed House and Senate (HB424ER)

  9. H Enrolled

  10. S Passed Senate (40-Y 0-N 0-A)

  11. S Read third time

  12. S Passed by for the day Block Vote (Voice Vote)

  13. S Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)

  14. S Rules suspended

  15. S Reported from Finance and Appropriations (14-Y 0-N)

  16. H Fiscal Impact Statement from State Corporation Commission (HB424)

  17. S Rereferred to Finance and Appropriations

  18. S Reported from Commerce and Labor and rereferred to Finance and Appropriations (14-Y 0-N)

  19. S Referred to Committee on Commerce and Labor

  20. S Constitutional reading dispensed (on 1st reading)

  21. H Passed House (98-Y 0-N 0-A)

  22. H Reconsideration of passage agreed to by House

  23. H Read third time and passed House (97-Y 1-N 0-A)

  24. H Engrossed by House - committee substitute

  25. H committee substitute agreed to

  26. H Read second time

  27. H Read first time

  28. H Substitute bill reprinted 26106236D

  29. H Committee substitute printed 26106236D-H1

  30. H Reported from Labor and Commerce with substitute (22-Y 0-N)

  31. H Placed on Labor and Commerce Agenda

  32. H Subcommittee recommends reporting with substitute (9-Y 0-N)

  33. H House subcommittee offered

  34. H Placed on Labor and Commerce Agenda

  35. H Assigned HCL sub: Subcommittee #1

  36. H Referred to Committee on Labor and Commerce

  37. H Prefiled and ordered printed; Offered 01-14-2026 26102329D

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 147 not signed on · 1 voted No

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (147)

147 members have not signed on to this bill.

Show all 147 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed Senate

Passed 40 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 40000
Total 40000
% of votes cast 100%0%0%0%
How each member voted (40)
Member Party Vote
Aaron R. Rouse — Yea
Angelia Williams Graves — Yea
Barbara A. Favola — Yea
Bill DeSteph — Yea
Bryce E. Reeves — Yea
Christie New Craig — Yea
Christopher T. Head — Yea
Danica A. Roem — Yea
David R. Suetterlein — Yea
David W. Marsden — Yea
Elizabeth B. Bennett-Parker — Yea
Emily M. Jordan — Yea
Glen H. Sturtevant, Jr. — Yea
J.D. "Danny" Diggs — Yea
Jennifer B. Boysko — Yea
Jennifer D. Carroll Foy — Yea
Jeremy S. McPike — Yea
Kannan Srinivasan — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Luther Cifers, III — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
Mark J. Peake — Yea
Michael J. Jones — Yea
R. Creigh Deeds — Yea
Richard H. Stuart — Yea
Russet Perry — Yea
Ryan T. McDougle — Yea
Saddam Azlan Salim — Yea
Schuyler T. VanValkenburg — Yea
Scott A. Surovell — Yea
Stella G. Pekarsky — Yea
T. Travis Hackworth — Yea
Tammy Brankley Mulchi — Yea
Tara A. Durant — Yea
Timmy French — Yea
Todd E. Pillion — Yea
William M. Stanley, Jr. — Yea

Official roll call →

Constitutional reading dispensed Block Vote (on 2nd reading)

Passed 40 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 40000
Total 40000
% of votes cast 100%0%0%0%
How each member voted (40)
Member Party Vote
Aaron R. Rouse — Yea
Angelia Williams Graves — Yea
Barbara A. Favola — Yea
Bill DeSteph — Yea
Bryce E. Reeves — Yea
Christie New Craig — Yea
Christopher T. Head — Yea
Danica A. Roem — Yea
David R. Suetterlein — Yea
David W. Marsden — Yea
Elizabeth B. Bennett-Parker — Yea
Emily M. Jordan — Yea
Glen H. Sturtevant, Jr. — Yea
J.D. "Danny" Diggs — Yea
Jennifer B. Boysko — Yea
Jennifer D. Carroll Foy — Yea
Jeremy S. McPike — Yea
Kannan Srinivasan — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Luther Cifers, III — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
Mark J. Peake — Yea
Michael J. Jones — Yea
R. Creigh Deeds — Yea
Richard H. Stuart — Yea
Russet Perry — Yea
Ryan T. McDougle — Yea
Saddam Azlan Salim — Yea
Schuyler T. VanValkenburg — Yea
Scott A. Surovell — Yea
Stella G. Pekarsky — Yea
T. Travis Hackworth — Yea
Tammy Brankley Mulchi — Yea
Tara A. Durant — Yea
Timmy French — Yea
Todd E. Pillion — Yea
William M. Stanley, Jr. — Yea

Official roll call →

Reported from Finance and Appropriations

Passed 14 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 14001
Total 14001
% of votes cast 93%0%0%7%
How each member voted (15)
Member Party Vote
Aaron R. Rouse — Yea
Barbara A. Favola — Yea
Bryce E. Reeves — Not Voting
Jennifer B. Boysko — Yea
Jeremy S. McPike — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Lashrecse D. Aird — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
R. Creigh Deeds — Yea
Richard H. Stuart — Yea
Ryan T. McDougle — Yea
Scott A. Surovell — Yea
Todd E. Pillion — Yea

Official roll call →

Reported from Commerce and Labor and rereferred to Finance and Appropriations

Passed 14 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 14001
Total 14001
% of votes cast 93%0%0%7%
How each member voted (15)
Member Party Vote
Aaron R. Rouse — Yea
Bill DeSteph — Yea
David W. Marsden — Not Voting
Jennifer B. Boysko — Yea
Jeremy S. McPike — Yea
L. Louise Lucas — Yea
Lamont Bagby — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
Mark J. Peake — Yea
R. Creigh Deeds — Yea
Richard H. Stuart — Yea
Ryan T. McDougle — Yea
Scott A. Surovell — Yea
William M. Stanley, Jr. — Yea

Official roll call →

Passed House

Passed 98 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 98002
Total 98002
% of votes cast 98%0%0%2%
How each member voted (100)
Member Party Vote
Adele Y. McClure — Yea
Alex Q. Askew — Yea
Alfonso H. Lopez — Yea
Amy J. Laufer — Yea
Anne Ferrell Tata — Yea
Atoosa R. Reaser — Yea
Barry D. Knight — Not Voting
Betsy B. Carr — Yea
Bill Wiley — Yea
Bonita G. Anthony — Yea
Briana D. Sewell — Yea
C.E. Cliff Hayes, Jr. — Yea
Charlie Schmidt — Yea
Charniele L. Herring — Yea
Chris S. Runion — Yea
Dan I. Helmer — Yea
David A. Reid — Yea
Debra D. Gardner — Yea
Delores L. McQuinn — Yea
Delores Oates — Yea
Destiny LeVere Bolling — Yea
Don Scott — Yea
Elizabeth B. Bennett-Parker — Yea
Elizabeth R. Guzman — Yea
Ellen H. McLaughlin — Yea
Eric Phillips — Yea
Eric R. Zehr — Yea
Garrett McGuire — Yea
Gretchen M. Bulova — Yea
H. Otto Wachsmann, Jr. — Yea
Hillary Pugh Kent — Yea
Holly M. Seibold — Yea
Hyland F. "Buddy" Fowler, Jr. — Yea
Irene Shin — Yea
Israel D. O'Quinn — Yea
JJ Singh — Yea
Jackie H. Glass — Yea
James A. "Jay" Leftwich — Yea
James W. Morefield — Yea
Jason S. Ballard — Yea
Jeion A. Ward — Yea
Jessica L. Anderson — Yea
John Chilton McAuliff — Yea
Joseph P. McNamara — Yea
Joshua E. Thomas — Yea
Joshua G. Cole — Yea
Justin Pence — Yea
Karen Hamilton — Yea
Karen Keys-Gamarra — Yea
Karen R. "Kacey" Carnegie — Yea
Karrie K. Delaney — Yea
Kathy K.L. Tran — Yea
Katrina Callsen — Yea
Kelly K. Convirs-Fowler — Not Voting
Kimberly Pope Adams — Yea
Laura Jane Cohen — Yea
Leslie Chambers Mehta — Yea
Lily V. Franklin — Yea
Lindsey Dougherty — Yea
Luke E. Torian — Yea
M. Keith Hodges — Yea
Madison Whittle — Yea
Marcia S. "Cia" Price — Yea
Marcus B. Simon — Yea
Margaret A. Franklin — Yea
Mark C. Downey — Yea
Marty Martinez — Yea
May Nivar — Yea
Michael B. Feggans — Yea
Michael J. Webert — Yea
Michelle Lopes Maldonado — Yea
Mike A. Cherry — Yea
Mitchell Cornett — Yea
Nadarius E. Clark — Yea
Nicole Cole — Yea
Patrick A. Hope — Yea
Paul E. Krizek — Yea
Phil M. Hernandez — Yea
Phillip A. Scott — Yea
R. Lee Ware — Yea
Rae Cousins — Yea
Richard C. "Rip" Sullivan, Jr. — Yea
Robert S. Bloxom, Jr. — Yea
Rodney T. Willett — Yea
Rozia A. Henson, Jr. — Yea
Sam Rasoul — Yea
Scott A. Wyatt — Yea
Shelly A. Simonds — Yea
Stacey Annie Carroll — Yea
Terry G. Kilgore — Yea
Terry L. Austin — Yea
Thomas A. Garrett, Jr. — Yea
Thomas C. Wright, Jr. — Yea
Timothy P. Griffin — Yea
Tony O. Wilt — Yea
Virgil Thornton — Yea
Vivian E. Watts — Yea
Wendell S. Walker — Yea
Will Davis — Yea
Wren M. Williams — Yea

Official roll call →

Read third time and passed House

Passed 97 Yea · 1 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 97102
Total 97102
% of votes cast 97%1%0%2%
How each member voted (100)
Member Party Vote
Adele Y. McClure — Yea
Alex Q. Askew — Yea
Alfonso H. Lopez — Yea
Amy J. Laufer — Yea
Anne Ferrell Tata — Yea
Atoosa R. Reaser — Yea
Barry D. Knight — Not Voting
Betsy B. Carr — Yea
Bill Wiley — Yea
Bonita G. Anthony — Yea
Briana D. Sewell — Yea
C.E. Cliff Hayes, Jr. — Yea
Charlie Schmidt — Yea
Charniele L. Herring — Yea
Chris S. Runion — Yea
Dan I. Helmer — Yea
David A. Reid — Yea
Debra D. Gardner — Yea
Delores L. McQuinn — Yea
Delores Oates — Yea
Destiny LeVere Bolling — Yea
Don Scott — Yea
Elizabeth B. Bennett-Parker — Yea
Elizabeth R. Guzman — Yea
Ellen H. McLaughlin — Yea
Eric Phillips — Yea
Eric R. Zehr — Nay
Garrett McGuire — Yea
Gretchen M. Bulova — Yea
H. Otto Wachsmann, Jr. — Yea
Hillary Pugh Kent — Yea
Holly M. Seibold — Yea
Hyland F. "Buddy" Fowler, Jr. — Yea
Irene Shin — Yea
Israel D. O'Quinn — Yea
JJ Singh — Yea
Jackie H. Glass — Yea
James A. "Jay" Leftwich — Yea
James W. Morefield — Yea
Jason S. Ballard — Yea
Jeion A. Ward — Yea
Jessica L. Anderson — Yea
John Chilton McAuliff — Yea
Joseph P. McNamara — Yea
Joshua E. Thomas — Yea
Joshua G. Cole — Yea
Justin Pence — Yea
Karen Hamilton — Yea
Karen Keys-Gamarra — Yea
Karen R. "Kacey" Carnegie — Yea
Karrie K. Delaney — Yea
Kathy K.L. Tran — Yea
Katrina Callsen — Yea
Kelly K. Convirs-Fowler — Not Voting
Kimberly Pope Adams — Yea
Laura Jane Cohen — Yea
Leslie Chambers Mehta — Yea
Lily V. Franklin — Yea
Lindsey Dougherty — Yea
Luke E. Torian — Yea
M. Keith Hodges — Yea
Madison Whittle — Yea
Marcia S. "Cia" Price — Yea
Marcus B. Simon — Yea
Margaret A. Franklin — Yea
Mark C. Downey — Yea
Marty Martinez — Yea
May Nivar — Yea
Michael B. Feggans — Yea
Michael J. Webert — Yea
Michelle Lopes Maldonado — Yea
Mike A. Cherry — Yea
Mitchell Cornett — Yea
Nadarius E. Clark — Yea
Nicole Cole — Yea
Patrick A. Hope — Yea
Paul E. Krizek — Yea
Phil M. Hernandez — Yea
Phillip A. Scott — Yea
R. Lee Ware — Yea
Rae Cousins — Yea
Richard C. "Rip" Sullivan, Jr. — Yea
Robert S. Bloxom, Jr. — Yea
Rodney T. Willett — Yea
Rozia A. Henson, Jr. — Yea
Sam Rasoul — Yea
Scott A. Wyatt — Yea
Shelly A. Simonds — Yea
Stacey Annie Carroll — Yea
Terry G. Kilgore — Yea
Terry L. Austin — Yea
Thomas A. Garrett, Jr. — Yea
Thomas C. Wright, Jr. — Yea
Timothy P. Griffin — Yea
Tony O. Wilt — Yea
Virgil Thornton — Yea
Vivian E. Watts — Yea
Wendell S. Walker — Yea
Will Davis — Yea
Wren M. Williams — Yea

Official roll call →

Reported from Labor and Commerce with substitute

Passed 22 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 22000
Total 22000
% of votes cast 100%0%0%0%
How each member voted (22)
Member Party Vote
Alfonso H. Lopez — Yea
Bonita G. Anthony — Yea
Chris S. Runion — Yea
Dan I. Helmer — Yea
Destiny LeVere Bolling — Yea
Irene Shin — Yea
Israel D. O'Quinn — Yea
JJ Singh — Yea
Jason S. Ballard — Yea
Jeion A. Ward — Yea
Kelly K. Convirs-Fowler — Yea
Laura Jane Cohen — Yea
May Nivar — Yea
Michael B. Feggans — Yea
Michael J. Webert — Yea
Michelle Lopes Maldonado — Yea
Nadarius E. Clark — Yea
Rae Cousins — Yea
Richard C. "Rip" Sullivan, Jr. — Yea
Terry G. Kilgore — Yea
Tony O. Wilt — Yea
Wren M. Williams — Yea

Official roll call →

Subcommittee recommends reporting with substitute

Passed 9 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 9001
Total 9001
% of votes cast 90%0%0%10%
How each member voted (10)
Member Party Vote
Irene Shin — Yea
Israel D. O'Quinn — Yea
JJ Singh — Yea
Jason S. Ballard — Yea
Jeion A. Ward — Not Voting
Laura Jane Cohen — Yea
Michelle Lopes Maldonado — Yea
Rae Cousins — Yea
Richard C. "Rip" Sullivan, Jr. — Yea
Terry G. Kilgore — Yea

Official roll call →

Subjects

health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB424 do?
Health insurance; definitions, prohibited restrictions on in-network referrals.
Who sponsors HB424?
HB424 is sponsored by Destiny LeVere Bolling.
What is the current status of HB424?
This bill has been enacted into law. Introduced January 12, 2026. Enacted.
Where can I track HB424?
Track HB424 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB424

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB424

Last checked for changes 4 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →