State Government / Virginia / Legislation / SB 642
Source-provided summary
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.
Latest development · Jul 21, 2026
Continued from last session
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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
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