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VA HB490

VA HB490
Health insurance; coverage for early refills of prescription eye drops.


summary

Introduced
01/12/2026
In Committee
03/02/2026
Crossed Over
02/16/2026
Passed
04/06/2026
Dead
Signed/Enacted/Adopted
04/06/2026

Introduced Session

Potential new amendment
2026 Regular Regular Session

Bill Summary

Health insurance; coverage for early refills of prescription eye drops. Prohibits a health carrier from denying coverage to a covered person of an early refill of prescription eye drops if (i) the prescription eye drops are a covered benefit, (ii) the amount of time that has elapsed from the previous dispensing of such prescription would result in at least 85 percent of such prescription eye drops being used if taken consistently with the prescriber's directions, and (iii) the prescriber has indicated that additional quantities are medically necessary and the refill requested does not exceed such additional quantity. The provisions of the bill are applicable to contracts, policies, or plans delivered, issued for delivery, or renewed in the Commonwealth on and after January 1, 2027.

AI Summary

This bill requires health insurance plans to cover early refills of prescription eye drops under certain conditions, preventing health carriers from denying coverage if the eye drops are a covered benefit, if at least 85% of the previous prescription would have been used by the time of the early refill, and if the prescriber confirms the additional quantity is medically necessary. "Health carrier" refers to the insurance company or similar entity providing the health benefit plan, and a "covered person" is an individual enrolled in that plan. This provision aims to ensure patients can obtain necessary medication without undue delay, especially for chronic conditions requiring consistent treatment, and will apply to insurance policies issued or renewed in Virginia starting January 1, 2027.

Committee Categories

Budget and Finance, Business and Industry

Sponsors (1)

Last Action

Acts of Assembly Chapter text (CHAP0153) (on 04/06/2026)

bill text


bill summary

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bill summary

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bill summary

Document Type Source Location
State Bill Page https://lis.virginia.gov/bill-details/20261/HB490
BillText https://lis.virginia.gov/bill-details/20261/HB490/text/CHAP0153
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB490) https://lis.blob.core.windows.net/files/1208815.PDF
BillText https://lis.virginia.gov/bill-details/20261/HB490/text/HB490ER
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB490) https://lis.blob.core.windows.net/files/1156886.PDF
BillText https://lis.virginia.gov/bill-details/20261/HB490/text/HB490E
Labor and Commerce Amendment https://lis.virginia.gov/bill-details/20261/HB490/text/HB490AH1
Subcommittee #1 Subcommittee Amendment https://lis.virginia.gov/bill-details/20261/HB490/text/HB490AHC2
Labor and Commerce Amendment https://lis.virginia.gov/bill-details/20261/HB490/text/HB490AHC1
Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (HB490) https://lis.blob.core.windows.net/files/1096168.PDF
BillText https://lis.virginia.gov/bill-details/20261/HB490/text/HB490
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