-
IntroducedJan 12, 2026
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Passed HouseFeb 04, 2026
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Passed SenateMar 05, 2026
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Became Law
Virginia House Bill
Prior authorization; requiring physician review for denial.
Summary
Comments on HB 481
Tweets
Whip Lists
Sponsors
Votes
YES: 22
- Jeion A. Ward
- Richard C. "Rip" Sullivan, Jr.
- Alfonso H. Lopez
- Kelly K. Convirs-Fowler
- Dan I. Helmer
- Michelle Lopes Maldonado
- Irene Shin
- Destiny LeVere Bolling
- Michael B. Feggans
- Nadarius E. Clark
- Rae Cousins
- Bonita G. Anthony
- Laura Jane Cohen
- JJ Singh
- May Nivar
- Terry G. Kilgore
- Israel D. O'Quinn
- Michael J. Webert
- Tony O. Wilt
- Chris S. Runion
- Jason S. Ballard
- Wren M. Williams
NO: 0
OTHER: 0
YES: 97
- Jessica L. Anderson
- Bonita G. Anthony
- Alex Q. Askew
- Terry L. Austin
- Jason S. Ballard
- Elizabeth B. Bennett-Parker
- Robert S. Bloxom, Jr.
- Gretchen M. Bulova
- Katrina Callsen
- Karen R. "Kacey" Carnegie
- Betsy B. Carr
- Stacey Annie Carroll
- Mike A. Cherry
- Nadarius E. Clark
- Laura Jane Cohen
- Joshua G. Cole
- Nicole Cole
- Mitchell Cornett
- Rae Cousins
- Will Davis
- Karrie K. Delaney
- Lindsey Dougherty
- Mark C. Downey
- Michael B. Feggans
- Hyland F. "Buddy" Fowler, Jr.
- Lily V. Franklin
- Margaret A. Franklin
- Debra D. Gardner
- Jackie H. Glass
- Timothy P. Griffin
- Elizabeth R. Guzman
- Karen Hamilton
- C.E. Cliff Hayes, Jr.
- Dan I. Helmer
- Rozia A. Henson, Jr.
- Phil M. Hernandez
- Charniele L. Herring
- M. Keith Hodges
- Patrick A. Hope
- Hillary Pugh Kent
- Karen Keys-Gamarra
- Terry G. Kilgore
- Paul E. Krizek
- Amy J. Laufer
- James A. "Jay" Leftwich
- Destiny LeVere Bolling
- Alfonso H. Lopez
- Michelle Lopes Maldonado
- Marty Martinez
- John Chilton McAuliff
- Adele Y. McClure
- Garrett McGuire
- Ellen H. McLaughlin
- Joseph P. McNamara
- Delores L. McQuinn
- Leslie Chambers Mehta
- James W. Morefield
- May Nivar
- Delores Oates
- Israel D. O'Quinn
- Justin Pence
- Eric Phillips
- Kimberly Pope Adams
- Marcia S. "Cia" Price
- Sam Rasoul
- Atoosa R. Reaser
- David A. Reid
- Chris S. Runion
- Charlie Schmidt
- Don Scott
- Phillip A. Scott
- Holly M. Seibold
- Briana D. Sewell
- Irene Shin
- Marcus B. Simon
- Shelly A. Simonds
- JJ Singh
- Richard C. "Rip" Sullivan, Jr.
- Anne Ferrell Tata
- Joshua E. Thomas
- Virgil Thornton
- Luke E. Torian
- Kathy K.L. Tran
- H. Otto Wachsmann, Jr.
- Wendell S. Walker
- Jeion A. Ward
- R. Lee Ware
- Vivian E. Watts
- Michael J. Webert
- Madison Whittle
- Bill Wiley
- Rodney T. Willett
- Wren M. Williams
- Tony O. Wilt
- Thomas C. Wright, Jr.
- Scott A. Wyatt
- Eric R. Zehr
NO: 0
YES: 39
- Lashrecse D. Aird
- Lamont Bagby
- Elizabeth B. Bennett-Parker
- Jennifer B. Boysko
- Jennifer D. Carroll Foy
- Luther Cifers, III
- Christie New Craig
- R. Creigh Deeds
- Bill DeSteph
- J.D. "Danny" Diggs
- Tara A. Durant
- Barbara A. Favola
- Timmy French
- T. Travis Hackworth
- Christopher T. Head
- Michael J. Jones
- Emily M. Jordan
- Mamie E. Locke
- L. Louise Lucas
- David W. Marsden
- Ryan T. McDougle
- Jeremy S. McPike
- Tammy Brankley Mulchi
- Mark J. Peake
- Stella G. Pekarsky
- Russet Perry
- Todd E. Pillion
- Bryce E. Reeves
- Danica A. Roem
- Aaron R. Rouse
- Saddam Azlan Salim
- Kannan Srinivasan
- William M. Stanley, Jr.
- Richard H. Stuart
- Glen H. Sturtevant, Jr.
- David R. Suetterlein
- Scott A. Surovell
- Schuyler T. VanValkenburg
- Angelia Williams Graves
NO: 0
NOT VOTING: 1
YES: 39
- Lashrecse D. Aird
- Lamont Bagby
- Elizabeth B. Bennett-Parker
- Jennifer B. Boysko
- Jennifer D. Carroll Foy
- Luther Cifers, III
- Christie New Craig
- R. Creigh Deeds
- Bill DeSteph
- J.D. "Danny" Diggs
- Tara A. Durant
- Barbara A. Favola
- Timmy French
- T. Travis Hackworth
- Christopher T. Head
- Michael J. Jones
- Emily M. Jordan
- Mamie E. Locke
- L. Louise Lucas
- Ryan T. McDougle
- Jeremy S. McPike
- Tammy Brankley Mulchi
- Mark D. Obenshain
- Mark J. Peake
- Stella G. Pekarsky
- Russet Perry
- Todd E. Pillion
- Bryce E. Reeves
- Danica A. Roem
- Aaron R. Rouse
- Saddam Azlan Salim
- Kannan Srinivasan
- William M. Stanley, Jr.
- Richard H. Stuart
- Glen H. Sturtevant, Jr.
- David R. Suetterlein
- Scott A. Surovell
- Schuyler T. VanValkenburg
- Angelia Williams Graves
NO: 0
NOT VOTING: 1
YES: 98
- Jessica L. Anderson
- Bonita G. Anthony
- Alex Q. Askew
- Terry L. Austin
- Jason S. Ballard
- Robert S. Bloxom, Jr.
- Gretchen M. Bulova
- Katrina Callsen
- Karen R. "Kacey" Carnegie
- Betsy B. Carr
- Stacey Annie Carroll
- Mike A. Cherry
- Nadarius E. Clark
- Laura Jane Cohen
- Joshua G. Cole
- Nicole Cole
- Kelly K. Convirs-Fowler
- Mitchell Cornett
- Rae Cousins
- Will Davis
- Karrie K. Delaney
- Lindsey Dougherty
- Mark C. Downey
- Michael B. Feggans
- Hyland F. "Buddy" Fowler, Jr.
- Lily V. Franklin
- Margaret A. Franklin
- Debra D. Gardner
- Thomas A. Garrett, Jr.
- Jackie H. Glass
- Elizabeth R. Guzman
- Karen Hamilton
- C.E. Cliff Hayes, Jr.
- Dan I. Helmer
- Rozia A. Henson, Jr.
- Phil M. Hernandez
- Charniele L. Herring
- M. Keith Hodges
- Patrick A. Hope
- Hillary Pugh Kent
- Karen Keys-Gamarra
- Terry G. Kilgore
- Paul E. Krizek
- Amy J. Laufer
- James A. "Jay" Leftwich
- Destiny LeVere Bolling
- Alfonso H. Lopez
- Michelle Lopes Maldonado
- Marty Martinez
- John Chilton McAuliff
- Adele Y. McClure
- Garrett McGuire
- Ellen H. McLaughlin
- Joseph P. McNamara
- Kirk McPike
- Delores L. McQuinn
- Leslie Chambers Mehta
- James W. Morefield
- May Nivar
- Delores Oates
- Israel D. O'Quinn
- Justin Pence
- Eric Phillips
- Kimberly Pope Adams
- Marcia S. "Cia" Price
- Sam Rasoul
- Atoosa R. Reaser
- David A. Reid
- Chris S. Runion
- Charlie Schmidt
- Don Scott
- Phillip A. Scott
- Holly M. Seibold
- Briana D. Sewell
- Irene Shin
- Marcus B. Simon
- Shelly A. Simonds
- JJ Singh
- Richard C. "Rip" Sullivan, Jr.
- Anne Ferrell Tata
- Joshua E. Thomas
- Virgil Thornton
- Luke E. Torian
- Kathy K.L. Tran
- H. Otto Wachsmann, Jr.
- Wendell S. Walker
- Jeion A. Ward
- R. Lee Ware
- Vivian E. Watts
- Michael J. Webert
- Madison Whittle
- Bill Wiley
- Rodney T. Willett
- Wren M. Williams
- Tony O. Wilt
- Thomas C. Wright, Jr.
- Scott A. Wyatt
- Eric R. Zehr
NO: 1
OTHER: 0
Actions
- Mar 30, 2026 | House
- Enrolled
- Mar 10, 2026 | House
- Senate substitute agreed to by House (98-Y 1-N 0-A)
- Mar 09, 2026 | House
- Passed by for the day
- Mar 05, 2026 | House
- Fiscal Impact Statement from State Corporation Commission (HB481)
- Mar 05, 2026 | Senate
- Read third time
- Commerce and Labor Substitute agreed to (Voice Vote)
- Engrossed by Senate - committee substitute
- Passed Senate with substitute Block Vote (39-Y 0-N 0-A)
- Mar 04, 2026 | Senate
- Rules suspended
- Constitutional reading dispensed Block Vote (on 2nd reading) (39-Y 0-N 0-A)
- Passed by for the day Block Vote (Voice Vote)
- Mar 02, 2026 | Senate
- Senate committee offered
- Reported from Commerce and Labor with substitute (13-Y 0-N)
- Feb 05, 2026 | Senate
- Constitutional reading dispensed (on 1st reading)
- Referred to Committee on Commerce and Labor
- Feb 04, 2026 | House
- Read third time and passed House (97-Y 0-N 0-A)
- Feb 03, 2026 | House
- Moved from Uncontested Calendar to Regular Calendar
- Read second time
- committee substitute agreed to
- Engrossed by House - committee substitute
- Feb 02, 2026 | House
- Read first time
- Jan 29, 2026 | House
- Reported from Labor and Commerce with substitute (22-Y 0-N)
- Jan 27, 2026 | House
- House subcommittee offered
- Subcommittee recommends reporting with substitute (9-Y 0-N)
- Jan 19, 2026 | House
- Assigned HCL sub: Subcommittee #1
- Jan 12, 2026 | House
- Prefiled and ordered printed; Offered 01-14-2026 26105194D
- Referred to Committee on Labor and Commerce
Bill Texts
- IntroducedHTML
- IntroducedPDF
- Labor and Commerce SubstituteHTML
- Labor and Commerce SubstitutePDF
- Labor and Commerce SubstituteHTML
- Labor and Commerce SubstitutePDF
- Subcommittee #1 Subcommittee SubstituteHTML
- Subcommittee #1 Subcommittee SubstitutePDF
- Commerce and Labor SubstituteHTML
- Commerce and Labor SubstitutePDF
- Commerce and Labor SubstituteHTML
- Commerce and Labor SubstitutePDF
- EnrolledHTML
- EnrolledPDF
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