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VA SB271
VA SB271Prescription Drug Affordability Board; established, drug cost affordability review, report.
summary
Introduced
01/12/2026
01/12/2026
In Committee
02/12/2026
02/12/2026
Crossed Over
02/05/2026
02/05/2026
Passed
Dead
Introduced Session
Potential new amendment
2026 Regular Regular Session
Bill Summary
Prescription Drug Affordability Board established; drug cost affordability review. Establishes the Prescription Drug Affordability Board (the Board) for the purpose of protecting the citizens of the Commonwealth and other stakeholders within the health care system from the high costs of prescription drug products. The bill requires the Board to meet in open session at least four times annually, with certain exceptions and requirements enumerated in the bill. Members of the Board are required to disclose any conflicts of interest, as described in the bill. The bill also creates a stakeholder council for the purpose of assisting the Board in making decisions related to drug cost affordability. The bill tasks the Board with conducting affordability reviews of certain prescription drugs that are offered for sale in the Commonwealth. The bill lists factors for the Board to consider that indicate an affordability challenge for the health care system in the Commonwealth or high out-of-pocket costs for patients. The bill also provides that any person aggrieved by a decision of the Board may request an appeal of the Board's decision and that the Attorney General has authority to enforce the provisions of the bill.The bill requires the Board to annually report its findings and recommendations to the General Assembly, beginning on December 31, 2026. Provisions of the bill apply to state-sponsored and state-regulated health plans and health programs and obligate such policies to limit drug payment amounts and reimbursements to an upper payment limit amount set by the Board, if applicable, following an affordability review. The bill specifies that Medicare Part D plans are not bound by such decisions of the Board. The bill provides that certain provisions will expire unless reenacted by the 2028 Session of the General Assembly.
AI Summary
This bill establishes the Prescription Drug Affordability Board to protect citizens and healthcare stakeholders from high prescription drug costs by conducting affordability reviews of certain drugs. The Board, composed of five appointed members with expertise in healthcare and economics, will meet regularly, with provisions for conflict of interest disclosures and a stakeholder council to provide input. The Board will analyze drug pricing, consider factors like wholesale acquisition cost, discounts, therapeutic alternatives, and patient out-of-pocket costs to determine if a drug presents an affordability challenge, and if so, may set an "upper payment limit" (UPL), which is the maximum amount that state-sponsored and state-regulated health plans can pay or reimburse for that drug. This UPL will not apply to Medicare Part D plans, though other plans like ERISA plans (employee benefit plans governed by the Employee Retirement Income Security Act) may opt-in. The Board is required to report its findings and recommendations annually to the General Assembly, starting in December 2026, and certain provisions related to identifying drugs for review will expire unless reauthorized by 2028.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (2)
Last Action
Referred to Committee on Appropriations (on 02/12/2026)
Official Document
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/SB271 |
| Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (SB271) | https://lis.blob.core.windows.net/files/1138752.PDF |
| BillText | https://lis.virginia.gov/bill-details/20261/SB271/text/SB271E |
| Commerce and Labor Amendment | https://lis.virginia.gov/bill-details/20261/SB271/text/SB271AS1 |
| Fiscal Note/Analysis - Fiscal Impact Statement from Department of Planning and Budget (SB271) | https://lis.blob.core.windows.net/files/1098431.PDF |
| Commerce and Labor Amendment | https://lis.virginia.gov/bill-details/20261/SB271/text/SB271ASC1 |
| BillText | https://lis.virginia.gov/bill-details/20261/SB271/text/SB271 |
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