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State Government / Virginia / Legislation / SB 642

SB 642Session 2027SenatePassed a vote

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.

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Current stage

Passed a vote

Introduced

Jan 14, 2026

Latest action

Jul 21, 2026

Recorded roll calls

0

Topics and classification

Civixly topics

HealthBusiness & Economy

Document type

Bill

Sponsors

Primary sponsors are listed before cosponsors and other sponsoring entities.

Primary sponsor

Todd E. Pillion

cosponsor

Mamie E. Locke

Action timeline

Newest action first. Action language is supplied by the state source.

  1. Jul 21, 2026

    Continued from last session

    House
  2. Mar 2, 2026

    Continued to next session in Appropriations (Voice Vote)

    House
  3. Mar 2, 2026

    Assigned HAPP sub: Compensation and Retirement

    Referral CommitteeHouse
  4. Feb 26, 2026

    Reported from Labor and Commerce and referred to Appropriations (18-Y 3-N)

    Committee PassageReferral CommitteeHouse
  5. Feb 24, 2026

    Subcommittee recommends reporting and referring to Appropriations (8-Y 0-N)

    House
  6. Feb 20, 2026

    Assigned HCL sub: Subcommittee #1

    Referral CommitteeHouse
  7. Feb 19, 2026

    Referred from Health and Human Services and referred to Labor and Commerce (Voice Vote)

    Referral CommitteeHouse
  8. Feb 16, 2026

    Fiscal Impact Statement from Department of Planning and Budget (SB642)

    Senate
  9. Feb 13, 2026

    Referred to Committee on Health and Human Services

    Referral CommitteeHouse
  10. Feb 13, 2026

    Read first time

    Reading 1House
  11. Feb 13, 2026

    Placed on Calendar

    House
  12. Feb 10, 2026

    Read third time and passed Senate (40-Y 0-N 0-A)

    PassageReading 3Senate
  13. Feb 9, 2026

    Engrossed by Senate - committee substitute (Voice Vote)

    SubstitutionSenate
  14. Feb 9, 2026

    Finance and Appropriations Substitute agreed to

    SubstitutionSenate
  15. Feb 9, 2026

    Commerce and Labor Substitute rejected

    Senate
  16. Feb 9, 2026

    Committee substitute reconsidered

    Senate
  17. Feb 9, 2026

    Read second time

    Reading 2Senate
  18. Feb 9, 2026

    Committee substitute printed 26107336D-S2

    SubstitutionSenate
  19. Feb 5, 2026

    Reported from Finance and Appropriations with substitute (15-Y 0-N)

    Committee PassageSenate
  20. Feb 2, 2026

    Fiscal Impact Statement from Department of Planning and Budget (SB642)

    Senate
  21. Jan 29, 2026

    Rereferred to Finance and Appropriations

    Referral CommitteeSenate
  22. Jan 29, 2026

    Motion to rerefer to Finance and Appropriations agreed to

    Senate
  23. Jan 29, 2026

    Commerce and Labor Substitute agreed to

    SubstitutionSenate
  24. Jan 29, 2026

    Read second time

    Reading 2Senate
  25. Jan 28, 2026

    Passed by for the day

    Senate
  26. Jan 28, 2026

    Passed by for the day Block Vote (Voice Vote)

    Senate
  27. Jan 28, 2026

    Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)

    Senate
  28. Jan 28, 2026

    Rules suspended

    Senate
  29. Jan 27, 2026

    Committee substitute printed 26106270D-S1

    SubstitutionSenate
  30. Jan 27, 2026

    Senate committee offered

    Senate
  31. Jan 26, 2026

    Reported from Commerce and Labor with substitute (15-Y 0-N)

    Committee PassageSenate
  32. Jan 14, 2026

    Referred to Committee on Commerce and Labor

    Referral CommitteeSenate
  33. Jan 14, 2026

    Prefiled and ordered printed; Offered 01-14-2026 26105211D

    FilingIntroductionSenate

Roll-call votes

The newest recorded chamber votes appear first. Your own representatives are highlighted when available.

No roll-call votes are currently available for this bill. Vote availability varies by state and chamber.

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State legislative data provided by Open States and available official sources.

Source data last updated Jul 21, 2026.