Virginia 2026 Session Status: Introduced

SB642 — Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood.

Last action — Continued from last session

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

This bill has been introduced in the Senate. Introduced January 14, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Stalled 26% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • Introduced

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 6 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.

In plain language

This bill requires health insurance to cover certain cancer and blood disease medications.

The legislation mandates that health insurance plans provide coverage for medications prescribed to treat cancer and diseases affecting the blood. This aims to improve access to necessary treatments for these serious health conditions.

What this means for you
  • Families: Families affected by cancer or blood diseases may benefit from improved access to prescribed medications without the burden of high out-of-pocket costs.
  • Consumers: Consumers will gain better access to essential medications prescribed for serious health conditions covered by their health insurance.
  • Healthcare: This means healthcare providers will ensure that patients have access to necessary cancer and blood disease medications through their insurance.

Summary

Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood.

Bill Text

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

Read SB642 on the official Virginia source →

Action History

  1. H Continued to next session in Appropriations (Voice Vote)

  2. H Placed on Appropriations Agenda

  3. H Assigned HAPP sub: Compensation and Retirement

  4. H Referred to Committee on Appropriations

  5. H Reported from Labor and Commerce and referred to Appropriations (18-Y 3-N)

  6. H Placed on Labor and Commerce Agenda

  7. H Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)

  8. H Placed on Labor and Commerce Agenda

  9. H Assigned HCL sub: Subcommittee #1

  10. H Referred to Committee on Labor and Commerce

  11. H Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote)

  12. H Placed on Health and Human Services Agenda

  13. S Fiscal Impact Statement from Department of Planning and Budget (SB642)

  14. H Referred to Committee on Health and Human Services

  15. H Read first time

  16. H Placed on Calendar

  17. S Read third time and passed Senate (40-Y 0-N 0-A)

  18. S Engrossed by Senate - committee substitute (Voice Vote)

  19. S Finance and Appropriations Substitute agreed to

  20. S Commerce and Labor Substitute rejected

  21. S Committee substitute reconsidered

  22. S Read second time

  23. S Committee substitute printed 26107336D-S2

  24. S Reported from Finance and Appropriations with substitute (15-Y 0-N)

  25. S Fiscal Impact Statement from Department of Planning and Budget (SB642)

  26. S Rereferred to Finance and Appropriations

  27. S Motion to rerefer to Finance and Appropriations agreed to

  28. S Commerce and Labor Substitute agreed to

  29. S Read second time

  30. S Passed by for the day

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

  32. S Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)

  33. S Rules suspended

  34. S Committee substitute printed 26106270D-S1

  35. S Senate committee offered

  36. S Reported from Commerce and Labor with substitute (15-Y 0-N)

  37. S Referred to Committee on Commerce and Labor

  38. S Prefiled and ordered printed; Offered 01-14-2026 26105211D

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 147 not signed on · 3 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 Commerce and Labor with substitute

Passed 15 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 15000
Total 15000
% of votes cast 100%0%0%0%
How each member voted (15)
Member Party Vote
Aaron R. Rouse — Yea
Adam P. Ebbin — Yea
Bill DeSteph — Yea
Bryce E. Reeves — Yea
David W. Marsden — 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
Ryan T. McDougle — Yea
Scott A. Surovell — Yea
William M. Stanley, Jr. — Yea

Official roll call →

Constitutional reading dispensed Block Vote (on 1st 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
Adam P. Ebbin — 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
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 →

Subcommittee recommends reporting and referring to Appropriations

Passed 8 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 8002
Total 8002
% of votes cast 80%0%0%20%
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 — Not Voting

Official roll call →

Reported from Labor and Commerce and referred to Appropriations

Passed 18 Yea · 3 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 18301
Total 18301
% of votes cast 82%14%0%5%
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 — Nay
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 — Nay
Michelle Lopes Maldonado — Yea
Nadarius E. Clark — Yea
Rae Cousins — Yea
Richard C. "Rip" Sullivan, Jr. — Yea
Terry G. Kilgore — Nay
Tony O. Wilt — Yea
Wren M. Williams — Not Voting

Official roll call →

Read third time and 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
Adam P. Ebbin — 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
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 with substitute

Passed 15 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 15000
Total 15000
% of votes cast 100%0%0%0%
How each member voted (15)
Member Party Vote
Aaron R. Rouse — Yea
Adam P. Ebbin — Yea
Barbara A. Favola — Yea
Bryce E. Reeves — Yea
David W. Marsden — Yea
Jennifer B. Boysko — Yea
Jeremy S. McPike — Yea
L. Louise Lucas — 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 →

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 SB642 do?
Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood.
Who sponsors SB642?
SB642 is sponsored by Todd E. Pillion.
What is the current status of SB642?
This bill has been introduced in the Senate. Introduced January 14, 2026. It must pass committee before a floor vote.
Where can I track SB642?
Track SB642 free on One Click Politics — get push/email alerts when it moves.

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