VA HB220

Eliminates the tobacco surcharge that previously allowed health insurers to charge tobacco users up to 1.5 times higher premium rates for individual and small group health insurance plans

Reduces the permissible rating factors for health insurance premiums to three: individual or family coverage, rating area, and age (with age variation capped at 3 to 1 for adults)

Prohibits health carriers from varying premium rates based on any factor other than the three specified criteria

Applies to individual and small group health benefit plans entered into, amended, extended, or renewed on or after January 1, 2027