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Health insurance; coverage for prescription and nonprescription opioid antagonists. Requires each health insurer, corporation providing health care subscription plans, and health maintenance organization whose policy, contract, or plan includes coverage for prescription drugs to include coverage for (i) at least one other opioid antagonist used for overdose reversal dispensed pursuant to an oral, written, or standing order of a prescriber on the lowest cost tier of the insurer's, corporation's, or health maintenance organization's prescription drug formulary and (ii) at least one nonprescription opioid antagonist used for overdose reversal that is available over the counter. The bill provides that such coverage shall be exempt from any prior authorization or step therapy requirement on coverage of benefits. As introduced, this bill was a recommendation of the Joint Commission on Health Care.
Introduced
Jan 12, 2026
Last Action
Mar 12, 2026
Session
VA 2026
Sponsors
1 primary · 1 co
Engrossed by House - committee substitute
Passed House with substitute (96-Y 0-N 0-A)
House substitute agreed to by Senate (39-Y 1-N 0-A)
Read third time
committee substitute agreed to
committee substitute rejected
Read second time
Fiscal Impact Statement from Department of Planning and Budget (SB257)
Committee substitute printed 26109143D-H2
Reported from Appropriations with substitute (22-Y 0-N)
Fiscal Impact Statement from Department of Planning and Budget (SB257)
Committee substitute printed 26108572D-H1
Assigned HAPP sub: Health & Human Resources
Reported from Labor and Commerce with substitute and referred to Appropriations (21-Y 0-N)
House subcommittee offered
Assigned HCL sub: Subcommittee #1
Subcommittee recommends reporting with substitute and referring to Appropriations (6-Y 0-N)
Referred to Committee on Labor and Commerce
Placed on Calendar
Read first time
Read third time and passed Senate (37-Y 1-N 0-A)
Read second time
Engrossed by Senate - committee substitute (Voice Vote)
Committee substitute agreed to (Voice Vote)
Rules suspended
Passed by for the day Block Vote (Voice Vote)
Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
Reported from Finance and Appropriations (15-Y 0-N)
Fiscal Impact Statement from Department of Planning and Budget (SB257)
Committee substitute printed 26106753D-S1
Senate committee offered
Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (10-Y 2-N 1-A)
Fiscal Impact Statement from Department of Planning and Budget (SB257)
Referred to Committee on Commerce and Labor
Prefiled and ordered printed; Offered 01-14-2026 26104746D
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
House substitute agreed to by Senate (39-Y 1-N 0-A)
Barbara A. Favola