Why 1/5: The bill's provisions do not take effect until January 1, 2028.
Starting January 1, 2028, certain health insurance plans in Virginia will cap individual out-of-pocket costs for prescription drugs at $150-$300 per 30-day supply, depending on the plan's coverage level. This change requires health insurance carriers to offer at least one plan at each bronze, silver, gold, and platinum level with these cost-sharing limits in the individual and small group markets.
Update
Senate Conferees: Perry, Rouse, Stanley
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Conferees appointed by House
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House Conferees: Henson, Ward, McLaughlin
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Conference Report released
Cleared committee (favorable)
Conference report agreed to by House (63-Y 33-N 0-A)
Cleared committee (favorable)
Conference report agreed to by Senate (39-Y 0-N 0-A)
Enrolled
Enrolled
Passed a chamber
Bill text as passed House and Senate (HB625ER)
Passed a chamber
Signed by President
This bill has passed its votes and is headed to the Governor's desk. You still have a say — the Governor's office reads messages before deciding whether to sign.
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Summarized from the official bill text (“Health insurance; limit on cost-sharing payments for prescription drugs under certain plans.”) · Read the actual bill →
Passed a chamber
Signed by Speaker
Enrolled
Enrolled Bill communicated to Governor on March 31, 2026
Sent to the Governor
Governor's Action Deadline 11:59 p.m., April 13, 2026
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Fiscal Impact Statement from State Corporation Commission (HB625)
Signed into law
Approved by Governor-Chapter 641 (effective 7/1/2026)
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Acts of Assembly Chapter text (CHAP0641)