VirginiaHB14032026 Regular SessionHouseWALLET

Severe Maternal Mortality Surveillance and Review Program; established.

Sponsored By: Margaret A. Franklin (Democratic)

Signed by Governor

Summary

Severe Maternal Morbidity Surveillance and Review Program established; duties; report. Creates the Severe Maternal Morbidity Surveillance and Review Program (SMM Program) to identify, analyze, and review instances of severe maternal morbidity. The bill directs the Department of Health to develop a reporting system for hospitals and freestanding birthing centers to report findings and recommendations, as well as a model protocol for conducting reviews of severe maternal morbidity. The bill requires all hospitals and freestanding birthing centers to participate in the SMM Program and report their findings and recommendations to the Department of Health on an annual basis. The bill has a delayed effective date of September 1, 2026.

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 0 costs, 2 mixed.

Hospitals must review serious childbirth complications

Beginning September 1, 2026, Virginia creates a statewide program to track and help prevent serious health problems from childbirth. Every hospital and freestanding birthing center must form a review board, review qualifying cases, assess causes and preventability, and improve care. Boards must include a community-group representative serving minority populations with high maternal harm rates and a community doula or midwife with birth-support experience. Facilities report findings and recommendations yearly; the Health Department publishes yearly statewide trends without identifying people and works with the maternal death review team. The state must develop reporting systems, case standards, review protocols, and implementing rules.

State gains access to maternal records

Beginning September 1, 2026, the Health Department or its designee can inspect and copy records for maternal complication reviews. Access must wait until any related law-enforcement investigation or prosecution ends. Covered records include specified presentence reports and attorney records. The Department can obtain the woman's health and mental-health records, and prenatal records relating to a child, without consent, subject to federal and state disclosure limits. It needs another adult's consent to obtain that adult's records.

Maternal reviews stay private, limiting access

Program review records are confidential, excluded from public-records access, and generally cannot be subpoenaed, obtained in lawsuits, or used as evidence. Identifying details about people and providers must be removed for review, case records destroyed afterward, and published findings kept nonidentifying. Records available elsewhere remain available through those sources; giving them to the program does not make them legally protected. The closed-meeting framework takes effect July 1, 2026; beginning September 1, 2026, portions discussing individual program cases must be closed. Attendees must sign sworn promises to keep information private and use it only for program work; violations are Class 3 misdemeanors.

Sponsors & Cosponsors

Sponsor

  • Margaret A. Franklin

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 337 • No: 4

Senate vote • 3/11/2026

Reconsideration of Senate passage agreed to by Senate Block Vote

Yes: 40 • No: 0

Senate vote • 3/11/2026

Passed Senate Block Vote

Yes: 40 • No: 0

Senate vote • 3/11/2026

Passed Senate Block Vote

Yes: 39 • No: 0

Senate vote • 3/10/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 37 • No: 0

Senate vote • 3/10/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 3/9/2026

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

Yes: 95 • No: 2

House vote • 2/11/2026

Reported from Appropriations with substitute

Yes: 22 • No: 0

House vote • 2/11/2026

Subcommittee recommends reporting with substitute

Yes: 7 • No: 0

House vote • 2/10/2026

Reported from Health and Human Services with substitute and referred to Appropriations

Yes: 21 • No: 1

House vote • 2/5/2026

Subcommittee recommends reporting with substitute and referring to Appropriations

Yes: 7 • No: 1

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0842)

    4/13/2026Governor
  2. Approved by Governor-Chapter 842 (Effective 9/1/2026)

    4/13/2026Governor
  3. Fiscal Impact Statement from Department of Planning and Budget (HB1403)

    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 (HB1403ER)

    3/30/2026House
  8. Enrolled

    3/30/2026House
  9. Signed by President

    3/30/2026Senate
  10. Passed Senate Block Vote (40-Y 0-N 0-A)

    3/11/2026Senate
  11. Reconsideration of Senate passage agreed to by Senate Block Vote (40-Y 0-N 0-A)

    3/11/2026Senate
  12. Passed Senate Block Vote (39-Y 0-N 0-A)

    3/11/2026Senate
  13. Read third time

    3/11/2026Senate
  14. Passed by for the day Block Vote (Voice Vote)

    3/10/2026Senate
  15. Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)

    3/10/2026Senate
  16. Rules suspended

    3/10/2026Senate
  17. Reported from Finance and Appropriations (14-Y 0-N)

    3/9/2026Senate
  18. Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N)

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

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

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

    2/18/2026Senate
  22. Read third time and passed House (95-Y 2-N 0-A)

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

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

    2/16/2026House
  25. committee substitute rejected

    2/16/2026House

Bill Text

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