VirginiaHB13182026 Regular SessionHouseWALLET

Hospitals; emergency department physicians.

Sponsored By: Rodney T. Willett (Democratic)

Signed by Governor

Summary

Hospitals; psychiatric emergency departments. Allows hospitals with psychiatric emergency departments located in the City of Hampton to operate without a physician on duty when certain conditions are met, including having written agreements in place with emergency medical service providers and being immediately adjacent to a non-psychiatric emergency department. The bill requires such psychiatric emergency departments to submit treatment data to the General Assembly on an annual basis by November 1. This bill is identical to SB 738.

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Bill Overview

Analyzed Economic Effects

7 provisions identified: 6 benefits, 1 costs, 0 mixed.

On-site doctors for emergency care

Covered Virginia emergency departments must always have a Virginia-licensed doctor physically present and primarily responsible for the department. Adjacent psychiatric emergency departments are exempt if their protocols ensure an immediate doctor response to medical emergencies. A psychiatric-only department in Hampton is also exempt with required staffing, transfer agreements, video consultations, and medical director oversight. The Hampton department must advertise only psychiatric services, not emergency medical treatment. Hospitals using either exception must report patient and transfer counts each year by November 1.

Fentanyl testing and overdose medicine access

Diagnostic urine drug screens at hospitals with emergency departments must include fentanyl testing. Patients discharged after a substance use-related emergency receive a prescription for naloxone or another overdose-reversal medicine. They also receive information about getting the medicine from community pharmacies or organizations, including through a statewide standing order. Discharge plans may include referrals for peer recovery support and treatment. Hospitals may contract with the Department of Health to obtain naloxone for uninsured patients.

Inpatients can use personal smart assistants

Hospitals, nursing homes, and certified nursing facilities must set and follow policies allowing patients to use personal smart assistants. This applies during inpatient care when patients provide the assistants themselves. Use must follow health privacy rules, including HIPAA, and other applicable requirements.

Parents get online hospital record access

Hospitals that let minors view their health records through a secure website must also give parents or guardians access. Hospitals need not provide access that reveals information whose disclosure was legally denied or lacks legally required consent.

Patient visits during disease emergencies

During a COVID-19 public health emergency, nursing homes and certified nursing facilities must allow visits every 10 calendar days. Plans must follow federal and state guidance and explain when visits are in person or virtual. Facilities must share their plans and address visitor safety, technology support and failures, and documented patient waivers. During declared communicable-disease emergencies, hospitals and nursing facilities must also have plans allowing clergy visits. Clergy visits remain subject to health orders and guidance; plans may set safety rules, limit visits, or require virtual visits.

Hospitals must remove smoke during surgery

Hospitals must adopt policies requiring smoke evacuation systems for every planned surgery likely to produce surgical smoke. Systems must capture, filter, and remove smoke where it starts. They must keep the smoke away from people's eyes and breathing passages.

Cost-based license fees for care facilities

The Board must set hospital and nursing home license fees to fairly cover licensing and inspection costs. Fees may change no more than once a year, and only when expenses are allocated to the program fund. Adjustments require a cost variance greater than 10%, considering program fund expenses and state funding against annual operating costs. Separate hospital and nursing home cost analyses guide changes. The law sets no fee amounts or direct patient charges.

Sponsors & Cosponsors

Sponsor

  • Rodney T. Willett

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 199 • No: 14

Senate vote • 3/2/2026

Passed Senate Block Vote

Yes: 40 • No: 0

Senate vote • 2/27/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 2/27/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 37 • No: 0

Senate vote • 2/26/2026

Reported from Education and Health

Yes: 14 • No: 0

House vote • 2/17/2026

Read third time and passed House

Yes: 90 • No: 7

House vote • 2/12/2026

Subcommittee recommends reporting with substitute

Yes: 4 • No: 1 • Other: 1

House vote • 2/12/2026

Reported from Health and Human Services with substitute

Yes: 14 • No: 6 • Other: 1

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0296)

    4/6/2026Governor
  2. Approved by Governor-Chapter 296 (effective 7/1/2026)

    4/6/2026Governor
  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 (HB1318)

    3/9/2026House
  6. Bill text as passed House and Senate (HB1318ER)

    3/9/2026House
  7. Enrolled

    3/9/2026House
  8. Signed by President

    3/9/2026Senate
  9. Signed by Speaker

    3/9/2026House
  10. Passed Senate Block Vote (40-Y 0-N 0-A)

    3/2/2026Senate
  11. Read third time

    3/2/2026Senate
  12. Passed by for the day Block Vote (Voice Vote)

    2/27/2026Senate
  13. Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)

    2/27/2026Senate
  14. Rules suspended

    2/27/2026Senate
  15. Reported from Education and Health (14-Y 0-N)

    2/26/2026Senate
  16. Fiscal Impact Statement from Department of Planning and Budget (HB1318)

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

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

    2/18/2026Senate
  19. Read third time and passed House (90-Y 7-N 0-A)

    2/17/2026House
  20. Engrossed by House - committee substitute

    2/16/2026House
  21. committee substitute agreed to

    2/16/2026House
  22. Read second time

    2/16/2026House
  23. Read first time

    2/15/2026House
  24. Committee substitute printed 26106234D-H1

    2/12/2026House
  25. Reported from Health and Human Services with substitute (14-Y 6-N 1-A)

    2/12/2026House

Bill Text

Related Bills

Back to State Legislation