Why 2/5: The bill's provisions do not take effect until January 1, 2027.
Health insurance carriers in Virginia will be prohibited from denying coverage for early refills of prescription eye drops under specific medical necessity and usage conditions. This change, effective January 1, 2027, aims to ensure patients can maintain consistent treatment and avoid unexpected out-of-pocket costs for these essential medications.
Cleared committee
Reported from Commerce and Labor (13-Y 0-N)
Update
Rules suspended
Update
Constitutional reading dispensed (on 2nd reading) (39-Y 0-N 0-A)
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Passed by for the day (Voice Vote)
Third reading
Read third time
Passed a chamber
Passed Senate (39-Y 0-N 0-A)
Enrolled
Enrolled
Passed a chamber
Bill text as passed House and Senate (HB490ER)
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Fiscal Impact Statement from Department of Planning and Budget (HB490)
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; coverage for early refills of prescription eye drops.”) · Read the actual bill →
Passed a chamber
Signed by Speaker
Passed a chamber
Signed by President
Enrolled
Enrolled Bill communicated to Governor on March 14, 2026
Sent to the Governor
Governor's Action Deadline 11:59 p.m., April 13, 2026
Signed into law
Approved by Governor-Chapter 153 (effective 7/1/2026)
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Acts of Assembly Chapter text (CHAP0153)