HB2769 aimed to prohibit life and health-insurance companies from discriminating against individuals solely because they use pre-exposure prophylaxis (PrEP), a medication that significantly reduces the risk of HIV infection. The bill sought to ensure that insurers could not deny coverage, limit benefits, or charge higher premiums based on PrEP usage.

The Virginia State Senate passed HB2769 on February 19, 2025 by a vote of 24 to 15. We have assigned pluses to the nays because no insurer should be forced to cover services that conflict with its principles, particularly contraceptives that may violate deeply held moral or religious beliefs. Mandating such coverage is a clear overreach of government power and undermines both religious liberty and free-market principles. Decisions about insurance coverage should be left to the voluntary agreements between providers and consumers, not dictated by the state.