Virginia 2026 Session Status: Enacted

HB481 — Prior authorization; requiring physician review for denial.

Last action — Fiscal Impact Statement from State Corporation Commission (HB481)

  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.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 70% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 7 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Prior authorization; requiring physician review for denial.

Bill Text

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

Read HB481 on the official Virginia source →

Action History

  1. Acts of Assembly Chapter text (CHAP0925)

  2. Approved by Governor-Chapter 925 (effective 7/1/2026)

  3. H Fiscal Impact Statement from State Corporation Commission (HB481)

  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 (HB481ER)

  9. H Enrolled

  10. H Senate substitute agreed to by House (98-Y 1-N 0-A)

  11. H Passed by for the day

  12. H Fiscal Impact Statement from State Corporation Commission (HB481)

  13. S Passed Senate with substitute Block Vote (39-Y 0-N 0-A)

  14. S Engrossed by Senate - committee substitute

  15. S Commerce and Labor Substitute agreed to

  16. S Read third time

  17. S Passed by for the day (Voice Vote)

  18. S Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)

  19. S Rules suspended

  20. S Committee substitute printed 26108765D-S1

  21. S Reported from Commerce and Labor with substitute (13-Y 0-N)

  22. S Senate committee offered

  23. S Referred to Committee on Commerce and Labor

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

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

  26. H Engrossed by House - committee substitute

  27. H committee substitute agreed to

  28. H Read second time

  29. H Moved from Uncontested Calendar to Regular Calendar

  30. H Read first time

  31. H Committee substitute printed 26106401D-H1

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

  33. H Placed on Labor and Commerce Agenda

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

  35. H House subcommittee offered

  36. H Placed on Labor and Commerce Agenda

  37. H Assigned HCL sub: Subcommittee #1

  38. H Referred to Committee on Labor and Commerce

  39. H Prefiled and ordered printed; Offered 01-14-2026 26105194D

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

Senate substitute agreed to by House

Passed 98 Yea · 1 Nay
Party YeaNayPresentNot Voting
Unaffiliated 98100
Total 98100
% of votes cast 99%1%0%0%
How each member voted (99)
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
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 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 — Yea
Kimberly Pope Adams — Yea
Kirk McPike — 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 — Nay
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 →

Passed Senate with substitute Block Vote

Passed 39 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 39001
Total 39001
% of votes cast 98%0%0%3%
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 — Not Voting
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 (on 2nd reading)

Passed 39 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 39001
Total 39001
% of votes cast 98%0%0%3%
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 — Not Voting
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 Commerce and Labor with substitute

Passed 13 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 13002
Total 13002
% of votes cast 87%0%0%13%
How each member voted (15)
Member Party Vote
Aaron R. Rouse — Yea
Bill DeSteph — Yea
David W. Marsden — Yea
Jennifer B. Boysko — Yea
Jeremy S. McPike — Yea
L. Louise Lucas — Not Voting
Lamont Bagby — Yea
Mamie E. Locke — Yea
Mark D. Obenshain — Yea
Mark J. Peake — Yea
R. Creigh Deeds — Yea
Richard H. Stuart — Not Voting
Ryan T. McDougle — Yea
Scott A. Surovell — Yea
William M. Stanley, Jr. — Yea

Official roll call →

Read third time and passed House

Passed 97 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 97003
Total 97003
% of votes cast 97%0%0%3%
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. — Not Voting
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

healthcare 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 HB481 do?
Prior authorization; requiring physician review for denial.
Who sponsors HB481?
HB481 is sponsored by Patrick A. Hope.
What is the current status of HB481?
This bill has been enacted into law. Introduced January 12, 2026. Enacted.
Where can I track HB481?
Track HB481 free on One Click Politics — get push/email alerts when it moves.

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