SB 745 Virginia Senate · 2026 Regular Session

Health insurance; definitions, prohibited restrictions on in-network referrals.

Summary
Health insurance; prohibited restrictions on in-network referrals. Prohibits a health insurance carrier from prohibiting an in-network provider, as defined in the bill, from referring any enrollee or specimen to any in-network clinical laboratory or in-network pathology service provider under the terms of such insurance unless such referral would constitute a violation of certain laws. This bill is identical to HB 424.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
Senate Passage
Feb 2026
House of Delegates Passage
Feb 2026
Signed into Law
Apr 2026
Introduced Jan 19, 2026 Signed Apr 6, 2026
Maddy AI version diff · 3 comparisons

What changed between versions

Enrolled Chaptered · 3 edits
MINOR
This bill updates the formatting of the chapter title and amends the definitions of 'Carrier' and 'Health plan' to include state employees covered under specific state statutes. The substantive policy regarding prohibited restrictions on in-network referrals remains unchanged.
Scope change
The bill's scope is expanded to explicitly include state employees administered under § 2.2-2818 within the definitions of 'Carrier' and 'Health plan', whereas the previous version did not explicitly list this coverage in those specific definitions.
DEFINITION

The definitions for 'Carrier' and 'Health plan' were updated to explicitly include entities administering health insurance for state employees pursuant to § 2.2-2818, ensuring these employees are covered by the referral restrictions.

TECHNICAL

The chapter title was updated to include the specific chapter number (Chapter 139) and the approval date (April 6, 2026).

Minor formatting adjustments were made to the section headers and citation styles within the text.

Floor votes · Senate Feb 9, 2026 · House of Delegates Feb 24, 2026

How they voted

390
Passed
Total votes 39
Feb 9, 2026
D Democratic20
20 Yea
100% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
32
Key actions
12
Committee
6
Apr 6, 2026
Signed into law
Approved by Governor-Chapter 139 (effective 7/1/2026)
executive
Feb 26, 2026
Upper · Passed
Signed by President
upper
Feb 26, 2026
Lower · Passed
Signed by Speaker
lower
Feb 26, 2026
Upper · Passed
Bill text as passed Senate and House (SB745ER)
upper
Feb 24, 2026
Lower · Passed
Passed House (98-Y 0-N 0-A)
lower
Feb 19, 2026
Lower · Passed
Reported from Labor and Commerce (20-Y 0-N)
lower
Feb 13, 2026
Committee
Referred to Committee on Labor and Commerce
lower
Feb 10, 2026
Upper · Passed
Read third time and passed Senate Block Vote (40-Y 0-N 0-A)
upper
Feb 9, 2026
Upper · Passed
Passed by for the day
upper
Feb 9, 2026
Upper · Passed
Passed by for the day (Voice Vote)
upper
Feb 5, 2026
Upper · Passed
Reported from Finance and Appropriations (15-Y 0-N)
upper
Jan 26, 2026
Upper · Passed
Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (15-Y 0-N)
upper
Jan 26, 2026
Upper · Passed
Senate committee offered
upper
Jan 19, 2026
Committee
Referred to Committee on Commerce and Labor
upper
Jan 19, 2026
Introduced
Presented and ordered printed 26105075D
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Kannan Srinivasan
Kannan Srinivasan
DDemocratic
VA
32