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Health insurance tobacco surcharge (HB 220)

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Virginia

2026

The bill lets health insurers charge people who use tobacco up to 50% more than non-users for individual and small-group plans. Other limits stay the same: rates can vary by family vs. individual, where you live, and age (with a 3:1 cap). No other pricing factors are allowed. Public oversight of big area rate differences continues, with quarterly reports. Starts Jan 1, 2027. Likely effects: smokers pay more and may quit; non-smokers may see lower costs.

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