2025 Regular SessionVirginia Legislature

SB1186: Health insurance; coverage for donor human milk, penalty.

Legislative Summary

Donor human milk banks; health insurance; coverage for donor human milk; penalty. Prohibits any person from establishing or operating a donor human milk bank, as defined in the bill, without first obtaining a license from the State Health Commissioner and makes it a Class 6 felony for any person to establish or operate a donor human milk bank in the Commonwealth without obtaining such license. The bill also establishes requirements, policies, and procedures, for the operation and administration of licensed human donor milk banks, including procedures relating to disciplinary actions, application fees, and inspections and interviews related to such donor human milk banks. The bill directs (i) the State Board of Health to establish a regulatory and statutory scheme for the licensure and regulation of donor human milk banks operating or doing business in the Commonwealth and (ii) the Commissioner to implement and enforce numerous regulations relating to the issuance, renewal, denial, suspension, and revocation of such licenses. The bill requires (a) health insurers, corporations providing health care coverage subscription contracts, and health maintenance organizations to provide coverage for expenses and (b) the state plan for medical assistance services to include a provision for payment of medical assistance services incurred in the provision of pasteurized donor human milk for any infant that is younger than the age of six months and who satisfies certain criteria enumerated in the bill. The bill has a delayed effective date of July 1, 2026.

Demographic Impact

Overall analysis of equity impact

90% Positive
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Bill History

1/8/2025
Prefiled and ordered printed; Offered 01-08-2025 25104489D
Senate
1/8/2025
Referred to Committee on Education and Health
Senate
1/10/2025
Impact statement from VCSC (SB1186)
Senate
1/21/2025
Assigned Education sub: Health
Senate
1/23/2025
Reported from Education and Health with substitute and rereferred to Finance and Appropriations (15-Y 0-N)
Senate
1/23/2025
Committee substitute printed 25105569D-S1
Senate
1/24/2025
Impact statement from VCSC (SB1186)
Senate
1/27/2025
Fiscal Impact Statement from Department of Planning and Budget (SB1186)
Senate
1/29/2025
Reported from Finance and Appropriations with substitute (15-Y 0-N)
Senate
1/29/2025
Committee substitute printed 25106402D-S2
Senate
1/30/2025
Rules suspended
Senate
1/30/2025
Constitutional reading dispensed (on 1st reading) (39-Y 0-N 1-A)
Senate
1/30/2025
Passed by for the day
Senate
1/30/2025
Impact statement from VCSC (SB1186)
Senate
1/31/2025
Read second time
Senate
1/31/2025
Education and Health Substitute rejected
Senate
1/31/2025
Reading of substitute waived
Senate
1/31/2025
Finance and Appropriations Substitute agreed to
Senate
1/31/2025
Engrossed by Senate - committee substitute
Senate
1/31/2025
Rules suspended
Senate
1/31/2025
Constitutional reading dispensed (on 3rd reading) (40-Y 0-N)
Senate
1/31/2025
Passed Senate (40-Y 0-N)
Senate
2/6/2025
Placed on Calendar
House of Delegates
2/6/2025
Read first time
House of Delegates
2/6/2025
Referred to Committee on Labor and Commerce
House of Delegates
2/6/2025
Assigned L & C sub: Subcommittee #1
House of Delegates
2/11/2025
Fiscal Impact Statement from Department of Planning and Budget (SB1186)
Senate
2/11/2025
Subcommittee recommends reporting with substitute (7-Y 0-N)
House of Delegates
2/12/2025
Impact statement from VCSC (SB1186)
Senate
2/13/2025
Reported from Labor and Commerce with substitute and referred to Appropriations (20-Y 1-N)
House of Delegates
2/13/2025
Committee substitute printed 25107090D-H1
House of Delegates
2/18/2025
Left in Appropriations
House of Delegates

Roll Call Votes

Reported from Labor and Commerce with substitute and referred to Appropriations (20-Y 1-N)
2/13/2025
20
Yea
1
Nay
0
Not Voting
1
Absent
Result: PASSED
Subcommittee recommends reporting with substitute (7-Y 0-N)
2/11/2025
7
Yea
0
Nay
0
Not Voting
1
Absent
Result: PASSED
Constitutional reading dispensed (on 3rd reading) (40-Y 0-N)
1/31/2025
40
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
Passed Senate (40-Y 0-N)
1/31/2025
40
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
Constitutional reading dispensed (on 1st reading) (39-Y 0-N 1-A)
1/30/2025
39
Yea
0
Nay
1
Not Voting
0
Absent
Result: PASSED
Reported from Finance and Appropriations with substitute (15-Y 0-N)
1/29/2025
15
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
Reported from Education and Health with substitute and rereferred to Finance and Appropriations (15-Y 0-N)
1/23/2025
15
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED

Status Information

Current Status
Engrossed(1/31/2025)
Chamber
House of Delegates
Committee
Appropriations(House of Delegates)

Sponsors

Democrat: 1

Documents

Comm Sub
Bill Text2/11/2025167.0 KB
Comm Sub
Bill Text2/11/2025167.2 KB
Comm Sub
Bill Text1/30/2025153.7 KB
Comm Sub
Bill Text1/24/2025172.3 KB
Comm Sub
Bill Text1/23/2025172.1 KB
Introduced
Bill Text1/8/2025177.5 KB
Fiscal Note/Analysis
Fiscal Note/Analysis2/12/202537.3 KB
Fiscal Note/Analysis
Fiscal Note/Analysis2/11/2025146.5 KB
Fiscal Note/Analysis
Fiscal Note/Analysis1/30/202537.2 KB
Fiscal Note/Analysis
Fiscal Note/Analysis1/27/2025143.9 KB
Fiscal Note/Analysis
Fiscal Note/Analysis1/24/202537.3 KB
Fiscal Note/Analysis
Fiscal Note/Analysis1/10/202537.2 KB