VirginiaHB11472026 Regular SessionHouseWALLET

Medicine and Nursing, Boards of; continuing education, bias reduction training.

Sponsored By: C.E. Cliff Hayes, Jr. (Democratic)

Signed by Governor

Summary

Board of Medicine and Board of Nursing; continuing education; bias reduction training. Directs the Board of Medicine and Board of Nursing to require certain licensees to complete continuing learning activities on bias reduction in health care as part of their continuing education and continuing competency requirements for licensure and authorizes the Board of Nursing to require certain continuing learning activities or courses in a specific subject area. Under current law, the Board of Medicine has such authority. This bill is identical to SB 22.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

New renewal rules for Virginia clinicians

Virginia’s medicine and nursing boards must require bias-reduction training for active-license renewals through their renewal rules. Training is required each renewal period, but no more often than every two years. The first training must fully address conscious and unconscious racial bias in pregnancy, labor, delivery, and care after childbirth. Later training must cover relevant practice topics, including conditions often linked to racial assumptions, such as sickle cell disease. It must explain how racial assumptions replacing individual assessments, combined with unconscious bias, cause delayed diagnoses, poor treatment, and unequal outcomes. The boards must designate organizations that identify and help provide evidence-based courses, and update training options as needs emerge. They must report completion counts and licensee types to the Department of Health and the Virginia Neonatal Perinatal Collaborative. The Collaborative must assess results and recommend improvements for fertility, prenatal, birth, and postpartum care providers. Nursing licenses renew every two years; missing a mailed or electronic notice does not excuse renewal. The nursing board may require up to two hours of learning in a designated subject. It must publish that requirement by January 1 of the license term’s first year. The law removes the nursing renewal section’s express lapse-reinstatement penalties and ban on practicing during a lapse. During Board of Health emergency orders, the nursing board may waive renewal fees or proof of readiness to resume practice. This applies to lapsed licensees who held a valid, unrestricted, active license within the four years before renewal.

Sponsors & Cosponsors

Sponsor

  • C.E. Cliff Hayes, Jr.

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 233 • No: 87

House vote • 2/25/2026

Senate substitute agreed to by House

Yes: 64 • No: 33

Senate vote • 2/23/2026

Education and Health Substitute agreed to

Yes: 0 • No: 0

Senate vote • 2/23/2026

Passed Senate with substitute

Yes: 29 • No: 9

Senate vote • 2/20/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 40 • No: 0

Senate vote • 2/20/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 2/19/2026

Reported from Education and Health with substitute

Yes: 13 • No: 2

House vote • 2/9/2026

Read third time and passed House

Yes: 63 • No: 35

House vote • 2/3/2026

Reported from Health and Human Services with substitute

Yes: 15 • No: 7

House vote • 1/29/2026

Subcommittee recommends reporting with substitute

Yes: 9 • No: 1

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0450)

    4/8/2026Governor
  2. Approved by Governor-Chapter 450 (effective 7/1/2026)

    4/8/2026Governor
  3. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/10/2026Governor
  4. Enrolled Bill communicated to Governor on March 10, 2026

    3/10/2026House
  5. Fiscal Impact Statement from Department of Planning and Budget (HB1147)

    3/2/2026House
  6. Bill text as passed House and Senate (HB1147ER)

    3/2/2026House
  7. Enrolled

    3/2/2026House
  8. Signed by President

    3/2/2026Senate
  9. Signed by Speaker

    3/2/2026House
  10. Senate substitute agreed to by House (64-Y 33-N 0-A)

    2/25/2026House
  11. Passed Senate with substitute (29-Y 9-N 0-A)

    2/23/2026Senate
  12. Education and Health Substitute agreed to

    2/23/2026Senate
  13. Engrossed by Senate - committee substitute

    2/23/2026Senate
  14. Read third time

    2/23/2026Senate
  15. Fiscal Impact Statement from Department of Planning and Budget (HB1147)

    2/20/2026House
  16. Passed by for the day Block Vote (Voice Vote)

    2/20/2026Senate
  17. Constitutional reading dispensed Block Vote (on 2nd reading) (40-Y 0-N 0-A)

    2/20/2026Senate
  18. Rules suspended

    2/20/2026Senate
  19. Committee substitute printed 26108181D-S1

    2/19/2026Senate
  20. Senate committee offered

    2/19/2026Senate
  21. Reported from Education and Health with substitute (13-Y 2-N)

    2/19/2026Senate
  22. Fiscal Impact Statement from Department of Planning and Budget (HB1147)

    2/16/2026House
  23. Referred to Committee on Education and Health

    2/10/2026Senate
  24. Constitutional reading dispensed (on 1st reading)

    2/10/2026Senate
  25. Read third time and passed House (63-Y 35-N 0-A)

    2/9/2026House

Bill Text

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