HB 328 Virginia House of Delegates · 2026 Regular Session

Health insurance; essential health benefits benchmark plan selection.

Summary

Health insurance; essential health benefits benchmark plan. Requires the Bureau of Insurance to select a new essential health benefits benchmark plan for the 2028 plan year, or the soonest plan year thereafter as permitted by the Centers for Medicare and Medicaid Services, that includes, in addition to the essential health benefits package included in the existing benchmark plan, coverage for (i) doula care services; (ii) the treatment of iatrogenic infertility; (iii) fertility treatment and diagnosis, including a maximum of three cycles per lifetime of assisted reproductive technology; (iv) hearing aids for individuals of all ages; (v) pasteurized donor human breast milk; (vi) the prophylaxis, diagnosis, and treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome; and (vii) the treatment of polycystic ovary syndrome. Such mandate for coverage does not apply to the individual or small group markets. The bill has a delayed effective date pursuant to approval by the Centers for Medicare and Medicaid Services of certain coverage as outlined in the bill. As introduced, this bill was a recommendation of the Health Insurance Reform Commission.

Issues: ✓ Healthcare

Bill status vetoed 4 of 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

House of Delegates Passage

Mar 2026

Senate Passage

Mar 2026

Vetoed

Apr 2026

Introduced Jan 11, 2026 Vetoed Apr 11, 2026

Maddy AI version diff · 4 comparisons

What changed between versions

Labor and Commerce Substitute → Commerce and Labor Substitute · 3 edits

MINOR

The bill text was reformatted from a House version to a Senate version, changing the committee name from 'Labor and Commerce' to 'Commerce and Labor' and adding page numbers and draft headers. The substantive policy language regarding hearing aid coverage and PANS/PANDAS treatment remains identical in the visible text, though the document ends abruptly.

TECHNICAL

The committee proposing the substitute was changed from the House Committee on Labor and Commerce to the Senate Committee on Commerce and Labor.

Page numbers and draft headers were inserted into the document layout.

Multiple blank lines and the original date format were removed and replaced with the new layout.

Floor votes · Senate Mar 10, 2026 · House of Delegates Feb 17, 2026

How they voted

36–0

Passed · 3 other

Total votes 39

Mar 10, 2026

D Democratic20

19 Yea 1

95% Yea

R Republican19

17 Yea 2

89% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 11, 2026

Vetoed

Governor's recommendation received by House

executive

Mar 31, 2026

Lower · Passed

Signed by Speaker

lower

Mar 30, 2026

Upper · Passed

Signed by President

upper

Mar 30, 2026

Lower · Passed

Bill text as passed House and Senate (HB328ER)

lower

Mar 11, 2026

Upper · Passed

Passed Senate with substitute (24-Y 16-N 0-A)

upper

Mar 10, 2026

Upper · Passed

Passed by for the day (Voice Vote)

upper

Mar 9, 2026

Upper · Passed

Reported from Finance and Appropriations (10-Y 4-N)

upper

Mar 2, 2026

Upper · Passed

Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (8-Y 5-N)

upper

Mar 2, 2026

Upper · Passed

Senate committee offered

upper

Feb 18, 2026

Committee

Referred to Committee on Commerce and Labor

upper

Feb 17, 2026

Lower · Passed

Read third time and passed House (72-Y 25-N 0-A)

lower

Feb 16, 2026

Introduced

Engrossed by House as amended

lower

Feb 16, 2026

Lower · Passed

committee amendments agreed to

lower

Feb 11, 2026

Lower · Passed

Reported from Appropriations (22-Y 0-N)

lower

Feb 11, 2026

Lower · Passed

Subcommittee recommends reporting (7-Y 0-N)

lower

Feb 6, 2026

Committee

Assigned HAPP sub: Health & Human Resources

lower

Jan 29, 2026

Lower · Passed

Reported from Labor and Commerce with amendment(s) and referred to Appropriations (15-Y 7-N)

lower

Jan 27, 2026

Lower · Passed

Subcommittee recommends reporting with amendment(s) and referring to Appropriations (6-Y 3-N)

lower

Jan 27, 2026

Lower · Passed

House subcommittee offered

lower

Jan 19, 2026

Committee

Assigned HCL sub: Subcommittee #1

lower

Jan 11, 2026

Committee

Referred to Committee on Labor and Commerce

lower

1 primary · 16 co-sponsors