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VA HB625
Bill
Status
Engrossed
2/10/2026
Primary Sponsor
Rozia Henson
Click for details
AI Summary
- Caps prescription drug cost-sharing at $150-$300 per 30-day supply depending on plan metal level: $150 for platinum, $200 for gold, $250 for silver, and $300 for bronze plans
- Requires carriers in individual and small group markets to offer at least one plan at each metal level in each rating area that complies with these cost-sharing limits
- Cost-sharing limits apply at any point in the benefit design, including before and after deductibles are met
- Exempts Health Savings Account-qualified High Deductible Health Plans from the requirements until after the enrollee satisfies the minimum deductible under federal tax law
- Takes effect for policies delivered, issued, or renewed on or after January 1, 2028
Legislative Description
Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.
Last Action
Conference report agreed to by Senate (39-Y 0-N 0-A)
3/11/2026
Committee Referrals
Commerce and Labor2/12/2026
Labor and Commerce: Subcommittee #11/20/2026
Labor and Commerce1/13/2026
Full Bill Text
No bill text available