SB 642 Virginia 2027 session
Health insurance; coverage of medications prescribed for treatment of cancer & diseases of blood.
Health insurance; treatment of cancer and certain diseases; coverage of certain medications. Requires an insurer, corporation providing preferred provider subscription contracts, or health maintenance organization that provides coverage for drugs approved by the Food and Drug Administration and prescribed for the treatment of cancer or diseases of the blood to allow, at the patient's direction, (i) provider-administered drugs for such treatment to be dispensed by an in-network treating provider consistent with a provider agreement; (ii) provider-administered drugs for such treatment to be dispensed by an in-network treating provider when there is a documented delay of at least three days in the delivery of a medication from the designated specialty pharmacy; and (iii) self-administered drugs for such treatment to be sent to the pharmacy of the patient's choosing.
Status
- Introduced
- Committee
- Floor vote
- Passed
- Enacted
Passed one chamber — last recorded action July 21, 2026
Continued from last session
Passage likelihood
95% Higher than most bills at this stage
This is an estimate, not a guarantee. It is computed from the signals listed below and nothing else. It does not account for leadership priorities, floor scheduling, or negotiations that are not in the public record.
What the estimate is based on
- Historical base rate About 20% of introduced state bills are enacted.
- Current stage Passed one chamber.
- Cosponsors 1 cosponsor.
State-level impact
State-level impact data is not available for this bill. The source text does not contain a per-state funding formula or scored breakdown, so no figures are shown.
Official actions
- Continued from last session
- Continued to next session in Appropriations (Voice Vote)
- Assigned HAPP sub: Compensation and Retirement
- Reported from Labor and Commerce and referred to Appropriations (18-Y 3-N)
- Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)
- Assigned HCL sub: Subcommittee #1
- Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote)
- Fiscal Impact Statement from Department of Planning and Budget (SB642)
- Referred to Committee on Health and Human Services
- Read first time
- Placed on Calendar
- Read third time and passed Senate (40-Y 0-N 0-A)
- Engrossed by Senate - committee substitute (Voice Vote)
- Finance and Appropriations Substitute agreed to
- Commerce and Labor Substitute rejected
- Committee substitute reconsidered
- Read second time
- Committee substitute printed 26107336D-S2
- Reported from Finance and Appropriations with substitute (15-Y 0-N)
- Fiscal Impact Statement from Department of Planning and Budget (SB642)
- Rereferred to Finance and Appropriations
- Motion to rerefer to Finance and Appropriations agreed to
- Commerce and Labor Substitute agreed to
- Read second time
- Passed by for the day
- Passed by for the day Block Vote (Voice Vote)
- Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
- Rules suspended
- Committee substitute printed 26106270D-S1
- Senate committee offered
- Reported from Commerce and Labor with substitute (15-Y 0-N)
- Referred to Committee on Commerce and Labor
- Prefiled and ordered printed; Offered 01-14-2026 26105211D