Virginia 2026 Regular Session

Virginia Senate Bill SB413

Introduced
1/13/26  

Caption

<p class=ldtitle>A BILL to amend and reenact ยงยง 38.2-3407.22, 38.2-3465, 38.2-3466, and 38.2-3467 of the Code of Virginia and to amend the Code of Virginia by adding sections numbered 38.2-3467.1 and 38.2-3467.2, relating to health insurance; ensuring fairness in cost-sharing; pharmacy benefits managers; compensation and duties; civil penalty.</p>

Impact

If enacted, the bill will significantly impact the operations of PBMs and their interactions with pharmacies and state employees. By mandating specific reimbursement rates and standards, SB413 aims to reduce the financial burdens on pharmacies and ensure that state employees have reasonable access to medications. The bill also includes provisions for civil penalties against PBMs that fail to comply with its regulations, reinforcing accountability within the pharmacy benefits management sector.

Summary

Senate Bill 413 focuses on amending certain provisions related to health insurance and pharmacy benefits management in the state of Virginia. The bill introduces regulations for pharmacy benefits managers (PBMs), outlining their duties and responsibilities within the management of prescription drug benefits. Notably, it establishes a requirement for PBMs to reimburse in-network pharmacies at the national average drug acquisition cost plus a professional dispensing fee, promoting a more equitable compensation structure for pharmacies servicing state employees.

Sentiment

The sentiment surrounding SB413 appears to be cautiously optimistic among proponents who argue that it promotes fairness among pharmacies and enhances prescription drug access for state employees. However, there is concern among some stakeholders about the potential increased administrative costs for PBMs and the operational challenges they might face. This has led to a mix of support and apprehension within the healthcare industry, highlighting the balance that must be struck between regulatory oversight and operational flexibility.

Contention

One of the notable points of contention regarding SB413 revolves around the balance of power in decision-making between PBMs and pharmacies. While supporters argue that the bill will protect pharmacies from unfair practices and ensure adequate reimbursement, opponents raise concerns about the operational constraints that the legislation could impose on PBMs. Additional debates have surfaced regarding the potential for increased costs to consumers if PBMs pass along their compliance costs, making it a crucial aspect of the ongoing discussion on this legislation.

Companion Bills

No companion bills found.

Previously Filed As

VA SB1078

Health insurance; cost-sharing, pharmacy benefits managers, compensation and duties, civil penalty.

VA HB2773

Health insurance; cost-sharing, pharmacy benefits managers, compensation and duties, civil penalty.

VA HB1041

Health insurance; cost-sharing, pharmacy benefits managers' compensation and duties, civil penalty.

VA SB1359

Health carriers and pharmacy benefits managers; prohibited conduct, civil penalty.

VA HB2392

Health insurance; pharmacy benefits managers, definition of "covered entity."

VA SB1311

Health insurance; pharmacy benefits managers, definition of "covered entity."

VA HB1347

Health insurance; coverage for autism spectrum disorder, cost-sharing requirements prohibited.

VA SB1186

Health insurance; coverage for donor human milk, penalty.

VA SB875

State pharmacy benefits manager; DMAS to select & contract with a third-party administrator to serve

VA HB2610

State pharmacy benefits manager; DMAS to select & contract with a third-party administrator to serve

Similar Bills

NJ S855

"Michelle's Law"; requires health benefit plans to cover mammogram for an individual if recommended by health care provider.

NJ A1462

"Michelle's Law"; requires health benefit plans to cover mammogram for an individual if recommended by health care provider.

NJ S1244

Requires health care professional to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.

NJ A1945

Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.

NJ S1972

Lowers age at which certain insurers are required to provide coverage for mammograms.

NJ S2716

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

NJ A2775

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

NJ S3810

Requires health insurers to provide coverage for certain imaging related to breast cancer detection.