Virginia 2026 Session Status: In Committee

HB631 — State pharmacy benefits manager; contractual provisions, report.

Last action — Left in Committee Appropriations

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

This bill is in committee in the House of Delegates. Introduced January 13, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House of Delegates.

Prognosis

Advancing 34% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 3 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

State pharmacy benefits manager; contractual provisions, report.

Bill Text

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

Read HB631 on the official Virginia source →

How this bill changes current law

40 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: 32.1-325.5.

  • 32.1-325.5

    ,

    Inserts “,”.

  • 32.1-325.5

    and

    Inserts “and”.

  • 32.1-325.5

    require that ingredient-cost reimbursement is based on the nati

    Inserts “require that ingredient-cost reimbursement is based on the nati”.

  • 32.1-325.5

    onal average drug acquisition cost

    Inserts “onal average drug acquisition cost”.

  • 32.1-325.5

    , or if unavai

    Inserts “, or if unavai”.

  • 32.1-325.5

    lable,

    Inserts “lable,”.

  • 32.1-325.5

    the wholesale acquisition cost minus a discount set by the Department

    Inserts “the wholesale acquisition cost minus a discount set by the Department”.

  • 32.1-325.5

    ,

    Inserts “,”.

  • 32.1-325.5

    plus a professional dispensing fee, determined by the Department

    Inserts “plus a professional dispensing fee, determined by the Department”.

  • 32.1-325.5

    real-time or near real-time

    Inserts “real-time or near real-time”.

  • 32.1-325.5

    and

    Strikes “and”.

  • 32.1-325.5

    , claim denials appeals

    Inserts “, claim denials appeals”.

  • 32.1-325.5

    , and network participation

    Inserts “, and network participation”.

  • 32.1-325.5

    and

    Strikes “and”.

  • 32.1-325.5

    ;

    Inserts “;”.

  • 32.1-325.5

    6

    Inserts “6”.

  • 32.1-325.5

    .

    Inserts “.”.

  • 32.1-325.5

    Prohibit the state pharmac

    Inserts “Prohibit the state pharmac”.

  • 32.1-325.5

    y benefits manager from

    Inserts “y benefits manager from”.

  • 32.1-325.5

    steering

    Inserts “steering”.

  • 32.1-325.5

    Medicaid recipients to affiliated pharmacies through differential cost-sharing, restrictive network design, or the mandatory use of a

    Inserts “Medicaid recipients to affiliated pharmacies through differential cost-sharing, restrictive network design, or the mandatory use of a”.

  • 32.1-325.5

    mail order pharmacy provider;

    Inserts “mail order pharmacy provider;”.

  • 32.1-325.5

    7.

    Inserts “7.”.

  • 32.1-325.5

    Require the state pharmacy benefits manager

    Inserts “Require the state pharmacy benefits manager”.

  • 32.1-325.5

    to:

    Inserts “to:”.

  • 32.1-325.5

    a. Meet

    Inserts “a. Meet”.

  • 32.1-325.5

    network adequacy standards established by the

    Inserts “network adequacy standards established by the”.

  • 32.1-325.5

    Department based on

    Inserts “Department based on”.

  • 32.1-325.5

    geographic

    Inserts “geographic”.

  • 32.1-325.5

    access, travel time, and availability of

    Inserts “access, travel time, and availability of”.

  • 32.1-325.5

    retail community

    Inserts “retail community”.

  • 32.1-325.5

    pharmacies;

    Inserts “pharmacies;”.

  • 32.1-325.5

    b. Allow any appropriately licensed pharmacy that agrees to the terms of a provider contract t

    Inserts “b. Allow any appropriately licensed pharmacy that agrees to the terms of a provider contract t”.

  • 32.1-325.5

    o participate in the pharmacy network

    Inserts “o participate in the pharmacy network”.

  • 32.1-325.5

    under the same terms, conditions, and reimbursement

    Inserts “under the same terms, conditions, and reimbursement”.

  • 32.1-325.5

    methodologies

    Inserts “methodologies”.

  • 32.1-325.5

    ,

    Inserts “,”.

  • 32.1-325.5

    as any other pharmacy participating

    Inserts “as any other pharmacy participating”.

  • 32.1-325.5

    in

    Inserts “in”.

  • 32.1-325.5

    the network

    Inserts “the network”.

Action History

  1. H Left in Committee Appropriations

  2. H Subcommittee recommends laying on the table (6-Y 1-N)

  3. H Placed on Appropriations Agenda

  4. H Assigned HAPP sub: Health & Human Resources

  5. H Referred to Committee on Appropriations

  6. H Reported from Labor and Commerce with amendment(s) and referred to Appropriations (21-Y 1-N)

  7. H Fiscal Impact Statement from Department of Planning and Budget (HB631)

  8. H Placed on Labor and Commerce Agenda

  9. H Subcommittee recommends reporting with amendment(s) and referring to Appropriations (9-Y 0-N)

  10. H House subcommittee offered

  11. H Placed on Labor and Commerce Agenda

  12. H Assigned HCL sub: Subcommittee #1

  13. H Referred to Committee on Labor and Commerce

  14. H Prefiled and ordered printed; Offered 01-14-2026 26103637D

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 147 not signed on · 2 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

Reported from Labor and Commerce with amendment(s) and referred to Appropriations

Passed 21 Yea · 1 Nay
Party YeaNayPresentNot Voting
Unaffiliated 21100
Total 21100
% of votes cast 95%5%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 — Nay

Official roll call →

Subcommittee recommends reporting with amendment(s) and referring to Appropriations

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 HB631 do?
State pharmacy benefits manager; contractual provisions, report.
Who sponsors HB631?
HB631 is sponsored by Katrina Callsen.
What is the current status of HB631?
This bill is in committee in the House of Delegates. Introduced January 13, 2026. It must pass committee before a floor vote.
Where can I track HB631?
Track HB631 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 4 months ago · updated continuously

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