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Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027.
Introduced
Jan 14, 2026
Last Action
Mar 12, 2026
Session
VA 2026
Sponsors
1 primary · 1 co
Fiscal Impact Statement from State Corporation Commission (SB669)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 10, 2026
Bill text as passed Senate and House (SB669ER)
Enrolled
Signed by President
Signed by Speaker
House substitute agreed to by Senate (38-Y 0-N 0-A)
Floor offered Delegate Callsen Substitute
Passed House with substitute (98-Y 0-N 0-A)
Engrossed by House - floor substitute
Delegate Callsen Floor substitute agreed to
committee substitute rejected
Read third time
Floor substitute printed 26108552D-H2 (Callsen)
Moved from Uncontested Calendar to Regular Calendar
Passed by for the day
Read second time
Reported from Labor and Commerce with substitute (20-Y 0-N)
Committee substitute printed 26108250D-H1
Referred to Committee on Labor and Commerce
Read first time
Placed on Calendar
Fiscal Impact Statement from State Corporation Commission (SB669)
Read third time and passed Senate (40-Y 0-N 0-A)
Commerce and Labor Substitute agreed to
Engrossed by Senate - committee substitute Block Vote (Voice Vote)
Read second time
Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
Passed by for the day Block Vote (Voice Vote)
Rules suspended
Reported from Finance and Appropriations (15-Y 0-N)
Committee substitute printed 26106220D-S1
Incorporates SB410 (Peake)
Incorporates SB413 (Peake)
Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (15-Y 0-N)
Senate committee offered
Prefiled and ordered printed; Offered 01-14-2026 26105407D
Referred to Committee on Commerce and Labor
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
Fiscal Impact Statement from State Corporation Commission (SB669)
Aaron R. Rouse
Mark J. Peake