What it means for you
Starting Jan. 1, 2027, Virginia-regulated plans issued or renewed from that date and covering pregnancy care must cover a mental health screening during pregnancy and another within six weeks after birth. Covered FDA-approved drugs generally can't require prior approval.
Who benefits: Pregnant and postpartum people with Virginia-regulated plans that include obstetrical benefits and are delivered, issued, or renewed on or after Jan. 1, 2027.
If you’re pregnant or recently gave birth and your Virginia-regulated policy is delivered, issued, or renewed on or after January 1, 2027, it must cover at least one maternal mental health screening during pregnancy and another within six weeks after birth. It must also cover additional postpartum screenings when your treating provider finds them medically necessary and clinically appropriate.
If your plan covers an FDA-approved prescription drug for a maternal mental health condition, it generally can’t require prior approval. It can do so only when there are clinically significant safety or efficacy concerns. You don’t need to apply for these protections. They cover state-regulated individual and group policies, subscription contracts, and HMO plans that include obstetrical services. The law excludes short-term travel, accident-only, and limited or specified-disease coverage, along with policies designed for people eligible for Medicare or similar government coverage. Large employer plans that pay claims themselves often fall under federal rules instead.
Del. Margaret Franklin carried the bill. The Senate passed the amended bill 40–0, and the House accepted the Senate’s change 70–25. Gov. Abigail Spanberger approved it on April 13, 2026. It was later featured in an April 22 signing event for a maternal health package known as the Momnibus. Another bill in the package, HB 425 from Del. Destiny LeVere Bolling, lets Medicaid pay for remote monitoring of high-risk pregnant patients through 12 months after birth.
Health careRights
Where it stands, and how we know
Source for this status, checked November 12, 2026.
Sources
- Governor Spanberger Signs Momnibus Bills to Improve Maternal Healthcare, Support Virginia MothersOffice of the Governor of Virginia, April 22, 2026
- Acts of Assembly, 2026 Session, Chapter 840 (HB 1400)Virginia General Assembly, April 13, 2026
- § 38.2-3414.1. Obstetrical benefits; coverage for maternal mental health postpartum servicesCode of Virginia, Virginia Legislative Information System
- § 32.1-325. Board to submit plan for medical assistance servicesCode of Virginia, Virginia Legislative Information System
- Spanberger signs bills to improve maternal health care in VirginiaWSET, April 22, 2026
How we checked this
Drafted by Claude Opus 5.5 (Anthropic) on November 11, 2026. Checked against its sources by GPT-5.6-sol (OpenAI) on November 12, 2026, which corrected it. Confirmed the enacted coverage, sponsor, approval date, final roll calls, and current status. Corrected the rollout date: the mandate applies to policies delivered, issued, or renewed beginning Jan. 1, 2027, so it is still phasing in.
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