# Virginia HB1040: VCU Health System Authority; changes relating to board of directors and chief executive officer. Virginia HB1040, VCU Health System Authority; changes relating to board of directors and chief executive officer., is a 2026 Regular Session House bill sponsored by Betsy B. Carr (Democratic); status signed, last action 2026-04-08 (Acts of Assembly Chapter text (CHAP0444)); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-HB1040-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia HB1040 - State: Virginia - Session: 2026 Regular Session - Title: VCU Health System Authority; changes relating to board of directors and chief executive officer. - Status: signed - Chamber: House - Introduced: 2026-01-14 - Last action: 2026-04-08, Acts of Assembly Chapter text (CHAP0444) - Sponsor: Betsy B. Carr (Democratic) - Cosponsors: 0 - Touches household money: yes - Roll calls: 9 (246 yes, 6 no in all) - Economic provisions PRIA read: 2 ## Summary Virginia Commonwealth University Health System Authority; board of directors; chief executive officer. Makes several changes relating to the board of directors and the chief executive officer of the Virginia Commonwealth University Health System Authority (the Authority), including (i) reducing from 19 to 13 the number of appointed members on the boards of directors and adding the chief executive officer of the Authority as an ex officio member with voting privileges, thereby reducing from 21 to 16 the total number of board members; (ii) changing from voting to nonvoting the nature of the membership of the President of Virginia Commonwealth University (the University) on the board of directors and prohibiting rather than requiring, as under current law, the President of the University from serving as chairman of the board of directors; (iii) lengthening the terms of all members of the board of directors from three years to four years; (iv) requiring the biennial election of a chairman and vice-chairman of the board of directors, requiring such chairman and vice-chairman to have served for at least two years on the board of directors, and prohibiting any employee of the University, employee of the Authority, member of the board of visitors of the University, or legislative member from serving as chairman; (v) providing that no further action shall be taken if a majority of each of the three-member committees appointed by the board of directors of the Authority and the board of visitors of the University do not agree on the removal of the chief executive officer of the Authority within 30 days of the appointment of the committees by each board; and (vi) providing that in the event that a majority of the members of each committee do not agree on the selection or conditions of appointment of the chief executive officer within 30 days of the appointment of the committees by each board, then the process set forth in statute shall be repeated until such selection has been made or such conditions of appointment have been determined. Current law requires the President of the University to make a binding decision in the event of any such disagreement. This bill is identical to SB 431. ## Bill overview: provisions PRIA read - Smaller governing board for university hospitals: mixed, low. The law reduces the Virginia Commonwealth University Health System Authority board from 21 to 16 members. The board changes apply to people appointed on or after July 1, 2026. The Governor appoints five members, the House Speaker four, the Senate Committee on Rules three, and the university rector… - University shares control of hospital chief: mixed, low. The Health System Authority board and the university's board of visitors jointly choose or remove the chief executive officer. They also set appointment terms, including salary. Decisions require a joint meeting and approval from a majority present and voting on each board. The university's senior… ## Sponsors and cosponsors - Sponsor: Betsy B. Carr (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-03 | Senate | Passed Senate Block Vote | pass | 40 | 0 | | | 2026-03-02 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 39 | 0 | | | 2026-03-02 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-02-27 | Senate | Reported from Rules | pass | 14 | 0 | | | 2026-02-19 | Senate | Rereferred from Education and Health to Rules | pass | 13 | 0 | | | 2026-02-12 | House | Read third time and passed House | pass | 91 | 5 | 2 | | 2026-02-06 | House | Reported from Appropriations | pass | 22 | 0 | | | 2026-02-04 | House | Subcommittee recommends reporting | pass | 7 | 0 | | | 2026-01-28 | House | Reported from Education and referred to Appropriations | pass | 20 | 1 | | ## Actions (28) - 2026-04-08: Acts of Assembly Chapter text (CHAP0444) (Governor) - 2026-04-08: Approved by Governor-Chapter 444 (effective 7/1/2026) (Governor) - 2026-03-14: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor) - 2026-03-14: Enrolled Bill communicated to Governor on March 14, 2026 (House) - 2026-03-10: Fiscal Impact Statement from Department of Planning and Budget (HB1040) (House) - 2026-03-10: Bill text as passed House and Senate (HB1040ER) (House) - 2026-03-10: Enrolled (House) - 2026-03-10: Signed by President (Senate) - 2026-03-10: Signed by Speaker (House) - 2026-03-03: Passed Senate Block Vote (40-Y 0-N 0-A) (Senate) - 2026-03-03: Read third time (Senate) - 2026-03-02: Passed by for the day Block Vote (Voice Vote) (Senate) - 2026-03-02: Constitutional reading dispensed Block Vote (on 2nd reading) (39-Y 0-N 0-A) (Senate) - 2026-03-02: Rules suspended (Senate) - 2026-02-27: Reported from Rules (14-Y 0-N) (Senate) - 2026-02-19: Rereferred from Education and Health to Rules (13-Y 0-N) (Senate) - 2026-02-13: Referred to Committee on Education and Health (Senate) - 2026-02-13: Constitutional reading dispensed (on 1st reading) (Senate) - 2026-02-12: Read third time and passed House (91-Y 5-N 2-A) (House) - 2026-02-11: Read second time and engrossed (House) - 2026-02-10: Read first time (House) - 2026-02-06: Reported from Appropriations (22-Y 0-N) (House) - 2026-02-04: Subcommittee recommends reporting (7-Y 0-N) (House) - 2026-01-28: Reported from Education and referred to Appropriations (20-Y 1-N) (House) - 2026-01-28: Fiscal Impact Statement from Department of Planning and Budget (HB1040) (House) - 2026-01-28: Assigned HAPP sub: Higher Education (House) - 2026-01-14: Referred to Committee on Education (House) - 2026-01-14: Prefiled and ordered printed; Offered 01-14-2026 26103333D (House) ## Bill text - Chaptered, 2026-04-08: [HTML](https://lis.blob.core.windows.net/files/1217962.HTML), [PDF](https://lis.blob.core.windows.net/files/1217961.PDF) - Enrolled, 2026-03-10: [HTML](https://lis.blob.core.windows.net/files/1198148.HTML), [PDF](https://lis.blob.core.windows.net/files/1198147.PDF) - Introduced, 2026-01-14: [HTML](https://lis.blob.core.windows.net/files/1087210.HTML), [PDF](https://lis.blob.core.windows.net/files/1087209.PDF) ## Related bills - HB5: Employment; paid sick leave, civil penalties. (signed) - SB199: Employment; paid sick leave, civil penalties. (signed) - HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with rental agreement. (signed) - HB1393: Electric utilities; pilot program for energy assistance and weatherization for certain individuals. (signed) - HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, termination by landlord. (signed) - HB675: Protection of employees; coercion or threat based on immigration status, civil penalty. (signed) ## Sources - [Chaptered (HTML)](https://lis.blob.core.windows.net/files/1217962.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1217961.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1198148.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1198147.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1087210.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1087209.PDF) ## Related - [HB5: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-HB5-2026) - [SB199: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-SB199-2026) - [HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with…](https://policyrisk.com/state-bill/VA-HB95-2026) - [HB1393: Electric utilities; pilot program for energy assistance and weatherization for…](https://policyrisk.com/state-bill/VA-HB1393-2026) - [HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, terminat…](https://policyrisk.com/state-bill/VA-HB834-2026) - [HB675: Protection of employees; coercion or threat based on immigration status, civil…](https://policyrisk.com/state-bill/VA-HB675-2026) - [Virginia bills](https://policyrisk.com/states/virginia/bills) - [Virginia state hub](https://policyrisk.com/states/virginia) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/VA-HB1040-2026 (as of 2026-10-12).