# Virginia HB1403: Severe Maternal Mortality Surveillance and Review Program; established.

Virginia HB1403, Severe Maternal Mortality Surveillance and Review Program; established., is a 2026 Regular Session House bill sponsored by Margaret A. Franklin (Democratic); status signed, last action 2026-04-13 (Acts of Assembly Chapter text (CHAP0842)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-HB1403-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB1403
- State: Virginia
- Session: 2026 Regular Session
- Title: Severe Maternal Mortality Surveillance and Review Program; established.
- Status: signed
- Chamber: House
- Introduced: 2026-01-22
- Last action: 2026-04-13, Acts of Assembly Chapter text (CHAP0842)
- Sponsor: Margaret A. Franklin (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 12 (337 yes, 4 no in all)
- Economic provisions PRIA read: 3

## 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.

## Bill overview: provisions PRIA read

- Hospitals must review serious childbirth complications: benefit, medium. 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 inc…
- State gains access to maternal records: mixed, low. 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 De…
- Maternal reviews stay private, limiting access: mixed, low. 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 nonid…

## Sponsors and cosponsors

- Sponsor: Margaret A. Franklin (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-11 | Senate | Reconsideration of Senate passage agreed to by Senate Block Vote | pass | 40 | 0 |   |
| 2026-03-11 | Senate | Passed Senate Block Vote | pass | 40 | 0 |   |
| 2026-03-11 | Senate | Passed Senate Block Vote | pass | 39 | 0 |   |
| 2026-03-10 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 37 | 0 |   |
| 2026-03-10 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-03-09 | Senate | Reported from Finance and Appropriations | pass | 14 | 0 |   |
| 2026-02-26 | Senate | Reported from Education and Health and rereferred to Finance and Appropriations | pass | 15 | 0 |   |
| 2026-02-17 | House | Read third time and passed House | pass | 95 | 2 |   |
| 2026-02-11 | House | Reported from Appropriations with substitute | pass | 22 | 0 |   |
| 2026-02-11 | House | Subcommittee recommends reporting with substitute | pass | 7 | 0 |   |
| 2026-02-10 | House | Reported from Health and Human Services with substitute and referred to Appropriations | pass | 21 | 1 |   |
| 2026-02-05 | House | Subcommittee recommends reporting with substitute and referring to Appropriations | pass | 7 | 1 |   |

## Actions (42)

- 2026-04-13: Acts of Assembly Chapter text (CHAP0842) (Governor)
- 2026-04-13: Approved by Governor-Chapter 842 (Effective 9/1/2026) (Governor)
- 2026-03-31: Fiscal Impact Statement from Department of Planning and Budget (HB1403) (House)
- 2026-03-31: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor)
- 2026-03-31: Enrolled Bill communicated to Governor on March 31, 2026 (House)
- 2026-03-31: Signed by Speaker (House)
- 2026-03-30: Bill text as passed House and Senate (HB1403ER) (House)
- 2026-03-30: Enrolled (House)
- 2026-03-30: Signed by President (Senate)
- 2026-03-11: Passed Senate Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-11: Reconsideration of Senate passage agreed to by Senate Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-11: Passed Senate Block Vote (39-Y 0-N 0-A) (Senate)
- 2026-03-11: Read third time (Senate)
- 2026-03-10: Passed by for the day Block Vote (Voice Vote) (Senate)
- 2026-03-10: Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A) (Senate)
- 2026-03-10: Rules suspended (Senate)
- 2026-03-09: Reported from Finance and Appropriations (14-Y 0-N) (Senate)
- 2026-02-26: Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) (Senate)
- 2026-02-24: Assigned Education sub: Health (Senate)
- 2026-02-18: Referred to Committee on Education and Health (Senate)
- 2026-02-18: Constitutional reading dispensed (on 1st reading) (Senate)
- 2026-02-17: Read third time and passed House (95-Y 2-N 0-A) (House)
- 2026-02-16: Engrossed by House - committee substitute (House)
- 2026-02-16: committee substitute agreed to (House)
- 2026-02-16: committee substitute rejected (House)
- 2026-02-16: Read second time (House)
- 2026-02-13: Fiscal Impact Statement from Department of Planning and Budget (HB1403) (House)
- 2026-02-13: Read first time (House)
- 2026-02-12: Committee substitute printed 26107849D-H2 (House)
- 2026-02-11: House subcommittee offered (House)
- 2026-02-11: Subcommittee recommends reporting with substitute (7-Y 0-N) (House)
- 2026-02-11: Reported from Appropriations with substitute (22-Y 0-N) (House)
- 2026-02-10: Fiscal Impact Statement from Department of Planning and Budget (HB1403) (House)
- 2026-02-10: Committee substitute printed 26107290D-H1 (House)
- 2026-02-10: Reported from Health and Human Services with substitute and referred to Appropriations (21-Y 1-N) (House)
- 2026-02-10: Assigned HAPP sub: Health & Human Resources (House)
- 2026-02-05: House subcommittee offered (House)
- 2026-02-05: Subcommittee recommends reporting with substitute and referring to Appropriations (7-Y 1-N) (House)
- 2026-02-02: Fiscal Impact Statement from Department of Planning and Budget (HB1403) (House)
- 2026-01-27: Assigned sub: Behavioral Health (House)
- 2026-01-22: Referred to Committee on Health and Human Services (House)
- 2026-01-22: Presented and ordered printed 26105745D (House)

## Bill text

- Chaptered, 2026-04-13: [HTML](https://lis.blob.core.windows.net/files/1222731.HTML), [PDF](https://lis.blob.core.windows.net/files/1222730.PDF)
- Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1212516.HTML), [PDF](https://lis.blob.core.windows.net/files/1212515.PDF)
- Substitute, 2026-02-12: [HTML](https://lis.blob.core.windows.net/files/1143051.HTML), [HTML](https://lis.blob.core.windows.net/files/1143055.HTML), [PDF](https://lis.blob.core.windows.net/files/1143054.PDF), [PDF](https://lis.blob.core.windows.net/files/1143050.PDF)
- Amendment, 2026-02-11: [HTML](https://lis.blob.core.windows.net/files/1142111.HTML)
- Substitute, 2026-02-10: [HTML](https://lis.blob.core.windows.net/files/1136611.HTML), [PDF](https://lis.blob.core.windows.net/files/1136610.PDF)
- Substitute, 2026-02-05: [HTML](https://lis.blob.core.windows.net/files/1128004.HTML), [HTML](https://lis.blob.core.windows.net/files/1128550.HTML), [PDF](https://lis.blob.core.windows.net/files/1128003.PDF), [PDF](https://lis.blob.core.windows.net/files/1128549.PDF)
- Introduced, 2026-01-22: [HTML](https://lis.blob.core.windows.net/files/1093737.HTML), [PDF](https://lis.blob.core.windows.net/files/1093736.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/1222731.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1222730.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1212516.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1212515.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1143051.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1143055.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1143054.PDF)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1143050.PDF)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1142111.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1136611.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1136610.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1128004.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1128550.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1128003.PDF)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1128549.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1093737.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1093736.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-HB1403-2026 (as of 2026-10-12).