Healthcare

signed · Virginia · House of Delegates Mar 31, 2026

HB 220: Health insurance; tobacco surcharge.

Health insurance; tobacco surcharge. Eliminates the authority of a health carrier to vary its premium rates based on tobacco use. Under current law, a health carrier may charge premium rates up to 1.5 times higher for a tobacco user than for a nonuser. The provisions of the bill apply to health benefit plans providing individual or small group health insurance coverage entered into, amended, extended, or renewed on or after January 1, 2027.

Topics ✓ HealthcareSupports HealthcareEliminates tobacco-based premium surcharges, making health insurance more accessible and affordable for tobacco users by removing a cost barrier.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Virginia · Senate Mar 31, 2026

SB 630: Health insurance; tobacco surcharge.

Health insurance; tobacco surcharge. Eliminates the authority of a health carrier to vary its premium rates based on tobacco use. Under current law, a health carrier may charge premium rates up to 1.5 times higher for a tobacco user than for a nonuser. The provisions of the bill apply to health benefit plans providing individual or small group health insurance coverage entered into, amended, extended, or renewed on or after January 1, 2027. This bill is identical to HB 220.

Topics ✓ HealthcareSupports HealthcareEliminates tobacco surcharge, preventing higher premiums for users and improving insurance affordability/access for all enrollees.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Virginia · House of Delegates Mar 31, 2026

HB 60: Life or health insurances; unfair discrimination, pre-exposure prophylaxis for prevention of HIV.

Life insurance; health insurance; unfair discrimination; pre-exposure prophylaxis for prevention of human immunodeficiency virus. Prohibits any person from refusing to insure, refusing to continue to insure, or limiting the amount or extent of life insurance or accident and sickness insurance coverage available to an individual or charge an individual a different rate for the same coverage based solely on the status of such individual as having received pre-exposure prophylaxis for the prevention of human immunodeficiency virus.

Topics ✓ HealthcareSupports HealthcareProhibits insurance discrimination against PrEP users, ensuring equal access to health coverage and protecting patient rights in healthcare access.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

passed both · Virginia · House of Delegates Mar 31, 2026

HJ 1: Constitutional amendment (second reference); fundamental right to reproductive freedom.

Constitutional amendment (second reference); fundamental right to reproductive freedom. Provides that every individual has the fundamental right to reproductive freedom and that such right shall not be, directly or indirectly, denied, burdened, or infringed upon unless justified by a compelling state interest, as defined in the amendment, and achieved by the least restrictive means. The amendment specifies that, notwithstanding the other provisions of the amendment, the Commonwealth may regulate the provision of abortion care in the third trimester, provided that in no circumstance shall the Commonwealth prohibit an abortion (i) that in the professional judgment of a physician is medically indicated to protect the life or physical or mental health of the pregnant individual or (ii) when in the professional judgment of a physician the fetus is not viable.

Topics ✓ HealthcareSupports HealthcareBill establishes constitutional protection for reproductive freedom, preventing restrictions on reproductive health services, directly aligning with patient rights protection in healthcare.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed both · Virginia · Senate Mar 31, 2026

SJ 1: Constitutional amendment (second reference); fundamental right to reproductive freedom.

Constitutional amendment (second reference); fundamental right to reproductive freedom. Provides that every individual has the fundamental right to reproductive freedom and that such right shall not be, directly or indirectly, denied, burdened, or infringed upon unless justified by a compelling state interest, as defined in the amendment, and achieved by the least restrictive means. The amendment specifies that, notwithstanding the other provisions of the amendment, the Commonwealth may regulate the provision of abortion care in the third trimester, provided that in no circumstance shall the Commonwealth prohibit an abortion (i) that in the professional judgment of a physician is medically indicated to protect the life or physical or mental health of the pregnant individual or (ii) when in the professional judgment of a physician the fetus is not viable.

Topics ✓ HealthcareSupports HealthcareBill protects reproductive freedom as a fundamental healthcare right, ensuring access to services without undue restrictions, aligning with patient rights and access indicators.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Virginia · House of Delegates Mar 5, 2026

HB 495: School boards; mental health awareness training for full-time school bus drivers.

School boards; mental health awareness training; full-time school bus drivers. Permits any school board to require each school bus driver employed on a full-time basis in the local school division to complete mental health awareness training at least once. The bill requires the Department of Behavioral Health and Developmental Services to consider condensing and abbreviating the existing mental health first aid training program into a two-hour module that any school board may utilize in order to train full-time school bus drivers.

Topics ✓ EducationSupports EducationMandates mental health awareness training for school bus drivers (similar to teachers), promoting student well-being and support services within schools.92% confidence ✓ HealthcareSupports HealthcareMandates mental health awareness training for school bus drivers, expanding mental health service provision in schools.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Virginia · House of Delegates Mar 4, 2026

HB 470: Medicaid waivers; consumer-directed services, employer of record.

Department of Medical Assistance Services; Medicaid waivers; consumer-directed services; employer of record. Directs the Department of Medical Assistance Services (DMAS) to modify the program rules for consumer-directed services available through certain Medicaid waivers to allow an individual receiving services to serve as the employer of record (EOR) for his own service delivery and designate another individual to perform all or a portion of the duties of the EOR on the individual's behalf when the individual receiving services is unable to perform such duties or direct his own care. The bill specifies that when an individual (i) has not yet reached the age of majority, (ii) is ineligible to use his existing employer identification number (EIN) to facilitate the taxation of benefits, or (iii) is otherwise determined to be ineligible by DMAS by administrative rule, the EIN shall be assigned to the individual receiving services and shall not be transferred to another individual. Under the bill, DMAS has the authority to limit such amendments to specify that an individual receiving services may make such designation no more than twice per calendar year.

Topics ✓ HealthcareSupports HealthcareBill modifies Medicaid waiver rules to allow recipients to serve as employer of record for services, enhancing patient control and flexibility in care delivery within Medicaid program.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Virginia · House of Delegates Mar 3, 2026

HB 560: Administrative Process Act; appeals of case decisions regarding benefits sought, limitations.

Administrative Process Act; exemptions; limitations; appeals of case decisions regarding benefits sought. Specifies that the Administrative Process Act applies to case decisions regarding the grant or denial, including determinations of eligibility and approved levels of service, of Temporary Assistance for Needy Families, Medicaid, Supplemental Nutrition Assistance Program benefits, general relief, auxiliary grants, or state-local hospitalization. The bill also removes provisions limiting review of case decisions to ascertaining whether there was evidence in the agency record to support the case decision of the agency.

Topics ✓ HealthcareSupports HealthcareBill establishes administrative appeals process for Medicaid benefit decisions, ensuring access to healthcare coverage through proper review of denials.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Virginia · House of Delegates Feb 25, 2026

HB 57: Vehicles designed and used for transportation of passengers; fees, funds returned to a locality.

Fees for vehicles designed and used for transportation of passengers; funds returned to a locality; permitted uses. Expands the permitted use of funds returned to a locality from certain vehicle fees to include the purchase or maintenance of necessary equipment, supplies, facilities, and vehicles permitted by the Office of Emergency Medical Services and other operating expenses deemed necessary by the locality to ensure the provision of emergency medical services in such locality by nonprofit emergency medical services agencies. Under current law, such funds may be used for the purchase of necessary equipment and supplies for use in the locality for emergency medical services provided by nonprofit emergency medical services agencies.

Topics ✓ HealthcareSupports HealthcareBill allocates funds for EMS equipment/facilities, directly supporting emergency medical services funding under healthcare topic.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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signed · Virginia · Senate Feb 17, 2026

SB 449: Constitutional amendment; fundamental right to reproductive freedom(submitting to qualified voters).

Constitutional amendment (voter referendum); fundamental right to reproductive freedom. Provides for a referendum at the November 3, 2026, election to approve or reject an amendment to the Constitution of Virginia relating to the right to make one's own decisions related to reproductive health care, including access to abortion. The amendment protects patients and their doctors and nurses from being punished for making such decisions. The amendment allows the state to place restrictions on access to abortion during the third trimester of pregnancy except when the patient's life or physical or mental health is at risk or the pregnancy cannot survive. This bill is identical to HB 781.

Topics ✓ HealthcareSupports HealthcareProtects patient rights and access to reproductive health care, directly advancing healthcare access and rights under the topic description.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare