JCHC Legislation
2026
Policy Solutions to the Commonwealth's Fentanyl Crisis
HB795 (Delegate Reaser)/ SB257 (Senator Favola)
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.
HB794 (Delegate Reaser)/ SB308 (Senator Pekarsky)
Directs the Department of
Health to develop a strategic plan for opioid overdose response to reduce rates of drug overdose and
drug overdose deaths in the Commonwealth and to provide a report on the status of such strategic
plan and its implementation.
HB1063 (Delegate Hodges)/ SB706 (Senator Srinivasan)
Directs the Department of
Health to maintain a list of agencies and organizations that submit requests for and receive opioid
antagonists through its distribution program and requires the Department to submit a quarterly
report to the Chairs of the House Committee on Appropriations, the House Committee
on Health and Human Services, the Senate Committee on Finance and Appropriations, the
Senate Committee on Education and Health, and the chair of the Virginia Opioid Abatement Authority
on its distribution of opioid antagonists. The bill requires the Department to submit an annual
report to the Joint Commission on Health Care and the Chairs of the House Committee on
Appropriations and the Senate Committee on Finance and Appropriations by December 1 of
each year estimating the costs of the opioid antagonist distribution program for the following
fiscal year using a methodology developed by the Department pursuant to parameters set out in the
bill.
HB454 (Delegate Willett)/ SB690 (Senator Srinivasan)
Removes the requirement
that the Department of Criminal Justice Services, in consultation with the Department of Behavioral
Health and Developmental Services, develop a model addiction recovery program that may be
administered by sheriffs, deputy sheriffs, jail officers, administrators, or superintendents in any
local or regional jail.
HB455 (Delegate Willett)/ SB599 (Senator Srinivasan)
Requires the grant
procedure to govern funds awarded to local and regional jails for the planning or operation of
substance use disorder treatment services and transition services for persons with substance use
disorder who are incarcerated in local and regional jails to include requirements that (i) any grant
awarded shall be made for up to three years and (ii) an applicant for a grant submit a plan
demonstrating how such applicant will become independently financially viable within the time period
for which the grant is awarded.
HB209 (Delegate Price)/ SB608 (Senator Pillion)
Directs the Virginia
Department of Health and the Virginia Department of Corrections to develop agency guidelines for
hiring peer recovery specialists with previous criminal convictions for compensated employment.
HB712 (Delegate Wachsmann)/ SB641 (Senator Pillion)
Directs the Board of Medicine
to amend its regulations regarding office-based buprenorphine treatment to require providers to
offer counseling or referral to counseling to each patient as clinically necessary and mutually
agreed-upon. The bill specifies that a patient's refusal of counseling does not preclude the
patient from receiving office-based buprenorphine treatment for opioid use disorder.
Policy Solutions to the Commonwealth's Fentanyl Crisis study report.
