VirginiaHB10192026 Regular SessionHouseWALLET

Health Coordination Network Program; patient data collection.

Sponsored By: Atoosa R. Reaser (Democratic)

Became Law

Summary

Health Coordination Network Program; patient data collection. Renames the Smartchart Network Program as the Health Coordination Network Program and relocates it within the Code. The bill expands patient level data elements and requires the Commissioner of Health to enter into contract with an authorized nonprofit organization to create, operate, maintain, and administer the Health Coordination Network Program.

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 3 benefits, 0 costs, 2 mixed.

Health records not public under records law

Your health and social service records named in the law are not public under the state records law. You can still review your own record as allowed by law. In jails or prisons, a health official may review but not copy it for limited health reasons. Parents usually can see a minor’s record unless a court has ended or limited their rights. Emancipated minors and some students may review their own records.

Stronger privacy and penalties for prescription data

Data in the state prescription monitoring program is confidential and not public. It cannot be used in most civil lawsuits. Anyone who wrongly shares this data commits a Class 1 misdemeanor and can face license discipline. Prescribers may add program info to a patient’s chart or share it with another treating prescriber. The law also repeals the old prescription monitoring chapter and replaces it with these rules.

Statewide health coordination network launches

The law creates a single statewide Health Coordination Network. Hospitals, insurers, and public health connect their electronic records. The network sends real-time alerts, shares care plans, and flags patients at risk. Participants sign data-sharing contracts and follow HIPAA and state privacy rules. Data in the network is confidential.

Nonfatal opioid overdoses sent to prescription monitor

When a patient survives an opioid overdose, the state sends that patient’s admission, transfer, and discharge data to the prescription monitoring program. Health agencies work together to make the transfer. Clinicians get this data only as the law allows, under strict privacy rules.

Hospitals and clinics must report data

The law continues Virginia’s patient-level data system. Hospitals, certain clinics, and doctors must send inpatient and outpatient surgical data. Required fields include patient details, dates, diagnoses, procedures, charges, and payer and employer IDs. State agencies that pay for outpatient care must also send patient-level claims. This adds reporting work for providers but gives the state better data to track quality and access.

Sponsors & Cosponsors

Sponsor

  • Atoosa R. Reaser

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 235 • No: 1

Senate vote 3/10/2026

Passed Senate

Yes: 39 • No: 1

Senate vote 3/9/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 40 • No: 0

Senate vote 3/9/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote 3/6/2026

Reported from Finance and Appropriations

Yes: 14 • No: 0

Senate vote 2/26/2026

Reported from Education and Health and rereferred to Finance and Appropriations

Yes: 15 • No: 0

House vote 2/17/2026

Read third time and passed House Block Vote

Yes: 97 • No: 0

House vote 2/12/2026

Reported from Health and Human Services

Yes: 21 • No: 0

House vote 2/10/2026

Subcommittee recommends reporting

Yes: 9 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0930)

    4/13/2026Governor
  2. Approved by Governor-Chapter 930 (effective 7/1/2026)

    4/13/2026Governor
  3. Fiscal Impact Statement from Department of Planning and Budget (HB1019)

    3/31/2026House
  4. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/31/2026Governor
  5. Enrolled Bill communicated to Governor on March 31, 2026

    3/31/2026House
  6. Signed by Speaker

    3/31/2026House
  7. Bill text as passed House and Senate (HB1019ER)

    3/30/2026House
  8. Enrolled

    3/30/2026House
  9. Signed by President

    3/30/2026Senate
  10. Passed Senate (39-Y 1-N 0-A)

    3/10/2026Senate
  11. Read third time

    3/10/2026Senate
  12. Passed by for the day Block Vote (Voice Vote)

    3/9/2026Senate
  13. Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)

    3/9/2026Senate
  14. Rules suspended

    3/9/2026Senate
  15. Reported from Finance and Appropriations (14-Y 0-N)

    3/6/2026Senate
  16. Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N)

    2/26/2026Senate
  17. Assigned Education sub: Health

    2/24/2026Senate
  18. Referred to Committee on Education and Health

    2/18/2026Senate
  19. Constitutional reading dispensed (on 1st reading)

    2/18/2026Senate
  20. Read third time and passed House Block Vote (97-Y 0-N 0-A)

    2/17/2026House
  21. Read second time and engrossed

    2/16/2026House
  22. Read first time

    2/15/2026House
  23. Reported from Health and Human Services (21-Y 0-N)

    2/12/2026House
  24. Subcommittee recommends reporting (9-Y 0-N)

    2/10/2026House
  25. Assigned sub: Health

    1/23/2026House

Bill Text

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