HB516 — Health insurance; coverage for non-opioid prescription drugs.

Summary

Health insurance; coverage for non-opioid prescription drugs.

Bill Text

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: 38.2-3407.9:0.

• 38.2-3407.9:0

  No

  Inserts “No”.

• 38.2-3407.9:0

  twithstanding the provisions of § 38.2-3419 or subdivision A 1 of § 38.2-6506

  Inserts “twithstanding the provisions of § 38.2-3419 or subdivision A 1 of § 38.2-6506”.

• 38.2-3407.9:0

  , no

  Inserts “, no”.

• 38.2-3407.9:0

  (i) insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical

  Inserts “(i) insurer proposing to issue individual or group accident and sickness insurance policies providing hospital, medical”.

• 38.2-3407.9:0

  ,

  Inserts “,”.

• 38.2-3407.9:0

  and surgical or major medical coverage on an expense-incurred basis

  Inserts “and surgical or major medical coverage on an expense-incurred basis”.

• 38.2-3407.9:0

  ;

  Inserts “;”.

• 38.2-3407.9:0

  (ii) corporation providing individual or group accident and sickness subscription contracts

  Inserts “(ii) corporation providing individual or group accident and sickness subscription contracts”.

• 38.2-3407.9:0

  ;

  Inserts “;”.

• 38.2-3407.9:0

  or (iii) health maintenance organization providing a health care plan for health care services whose policy, contract

  Inserts “or (iii) health maintenance organization providing a health care plan for health care services whose policy, contract”.

• 38.2-3407.9:0

  ,

  Inserts “,”.

• 38.2-3407.9:0

  or plan, including any certificate or evidence of coverage issued in connection with such policy, contract

  Inserts “or plan, including any certificate or evidence of coverage issued in connection with such policy, contract”.

• 38.2-3407.9:0

  ,

  Inserts “,”.

• 38.2-3407.9:0

  or plan, includes coverage for prescription drugs shall

  Inserts “or plan, includes coverage for prescription drugs shall”.

• 38.2-3407.9:0

  impose any

  Inserts “impose any”.

• 38.2-3407.9:0

  cost-sharing,

  Inserts “cost-sharing,”.

• 38.2-3407.9:0

  prior authorization, step therapy, or other limitation on coverage of a covered non-opioid drug approved

  Inserts “prior authorization, step therapy, or other limitation on coverage of a covered non-opioid drug approved”.

• 38.2-3407.9:0

  by the U.S. Food and Drug Administration

  Inserts “by the U.S. Food and Drug Administration”.

• 38.2-3407.9:0

  for the treatment

  Inserts “for the treatment”.

• 38.2-3407.9:0

  or management

  Inserts “or management”.

• 38.2-3407.9:0

  of pain that

  Inserts “of pain that”.

• 38.2-3407.9:0

  is

  Inserts “is”.

• 38.2-3407.9:0

  more restrictive or

  Inserts “more restrictive or”.

• 38.2-3407.9:0

  less favorable to the enrollee

  Inserts “less favorable to the enrollee”.

• 38.2-3407.9:0

  relative to a covered opioid drug

  Inserts “relative to a covered opioid drug”.

• 38.2-3407.9:0

  approved by the U.S. Food and Drug Administration

  Inserts “approved by the U.S. Food and Drug Administration”.

• 38.2-3407.9:0

  for the treatment or management of pain

  Inserts “for the treatment or management of pain”.

• 38.2-3407.9:0

  .

  Inserts “.”.

Action History

1. February 18, 2026

   H Left in Labor and Commerce

2. February 03, 2026

   H Subcommittee recommends laying on the table (5-Y 4-N)

3. January 30, 2026

   H Placed on Labor and Commerce Agenda

4. January 27, 2026

   H Fiscal Impact Statement from Department of Planning and Budget (HB516)

5. January 19, 2026

   H Assigned HCL sub: Subcommittee #1

6. January 13, 2026

   H Referred to Committee on Labor and Commerce

7. January 13, 2026

   H Prefiled and ordered printed; Offered 01-14-2026 26101109D

Sponsors

• Marty Martinez · Primary

Votes

Subjects