# Virginia HB1635: Certified nurse midwives; licensed certified midwives; independent practice; organized medical staff. Virginia HB1635, Certified nurse midwives; licensed certified midwives; independent practice; organized medical staff., is a 2025 Regular Session House bill sponsored by Joshua G. Cole (Democratic); status to governor, last action 2025-03-24 (Acts of Assembly Chapter text (CHAP0544)) (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/VA-HB1635-2025 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia HB1635 - State: Virginia - Session: 2025 Regular Session - Title: Certified nurse midwives; licensed certified midwives; independent practice; organized medical staff. - Status: to governor - Chamber: House - Introduced: 2025-01-03 - Last action: 2025-03-24, Acts of Assembly Chapter text (CHAP0544) - Sponsor: Joshua G. Cole (Democratic) - Cosponsors: 0 - Touches household money: no - Roll calls: 7 (317 yes, 0 no in all) - Economic provisions PRIA read: 0 ## Summary Certified nurse midwives; licensed certified midwives; independent practice; organized medical staff. Permits licensed certified midwives who have completed 1,000 hours of practice under a practice agreement to practice without a practice agreement upon receipt of an attestation from the licensed physician or midwife with whom they entered into a practice agreement. The bill also permits certified nurse midwives and licensed certified midwives to enter into practice agreements with certified nurse midwives or licensed certified midwives who are authorized to practice independently. The bill directs the Department of Health to amend its regulations to clarify that an organized medical staff may include other practitioners, including independent practice midwives, in addition to physicians and dentists. This bill is identical to SB 1352. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Joshua G. Cole (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-02-18 | Senate | Passed Senate Block Vote | pass | 40 | 0 | | | 2025-02-17 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 39 | 0 | | | 2025-02-13 | Senate | Reported from Education and Health | pass | 13 | 0 | | | 2025-02-04 | House | Passed House Block Vote | pass | 99 | 0 | | | 2025-02-04 | House | Read third time and passed House Block Vote | pass | 97 | 0 | | | 2025-01-30 | House | Subcommittee recommends reporting | pass | 8 | 0 | | | 2025-01-30 | House | Reported from Health and Human Services | pass | 21 | 0 | | ## Actions (28) - 2025-03-24: Acts of Assembly Chapter text (CHAP0544) (Governor) - 2025-03-24: Approved by Governor-Chapter 544 (Effective 07/01/25) (Governor) - 2025-03-11: Governor's Action Deadline 11:59 p.m., March 24, 2025 (Governor) - 2025-03-11: Enrolled Bill communicated to Governor on March 11, 2025 (House) - 2025-03-10: Signed by President (Senate) - 2025-03-07: Fiscal Impact Statement from Department of Planning and Budget (HB1635) (House) - 2025-03-07: Bill text as passed House and Senate (HB1635ER) (House) - 2025-03-07: Enrolled (House) - 2025-03-07: Signed by Speaker (House) - 2025-02-18: Passed Senate Block Vote (40-Y 0-N) (Senate) - 2025-02-18: Read third time (Senate) - 2025-02-17: Constitutional reading dispensed Block Vote (on 2nd reading) (Senate) - 2025-02-17: Passed by for the day (Senate) - 2025-02-17: Rules suspended (Senate) - 2025-02-13: Reported from Education and Health (13-Y 0-N) (Senate) - 2025-02-05: Referred to Committee on Education and Health (Senate) - 2025-02-05: Constitutional reading dispensed (on 1st reading) (Senate) - 2025-02-04: Passed House Block Vote (99-Y 0-N) (House) - 2025-02-04: Reconsideration of passage agreed to by House (House) - 2025-02-04: Read third time and passed House Block Vote (97-Y 0-N) (House) - 2025-02-03: Read second time and engrossed (House) - 2025-02-02: Read first time (House) - 2025-01-30: Reported from Health and Human Services (21-Y 0-N) (House) - 2025-01-30: Subcommittee recommends reporting (8-Y 0-N) (House) - 2025-01-13: Assigned sub: Health Professions (House) - 2025-01-03: Referred to Committee on Health and Human Services (House) - 2025-01-03: Prefiled and ordered printed; Offered 01-13-2025 25101235D (House) - 2025-01-03: Prefiled and ordered printed; Offered 01-08-2025 25101235D (House) ## Bill text - Chaptered, 2025-03-24: [HTML](https://lis.blob.core.windows.net/files/1077681.HTML), [PDF](https://lis.blob.core.windows.net/files/1077680.PDF) - Enrolled, 2025-03-07: [HTML](https://lis.blob.core.windows.net/files/1060925.HTML), [PDF](https://lis.blob.core.windows.net/files/1060924.PDF) - Introduced, 2025-01-03: [HTML](https://lis.blob.core.windows.net/files/1012422.HTML), [PDF](https://lis.blob.core.windows.net/files/1012421.PDF) ## Related bills - HR671: Commending JR's Auto Care. (adopted) - SB941: Robbery; use of air or gas operated weapon, etc., penalty. (failed) - HB1746: Public safety officer; definition. (failed) - HB1600: Budget Bill. (failed) - SB1449: Data centers; site assessment for high energy use facility. (failed) - HB1609: Essential health benefits benchmark plan; Commission to consider coverage for infertility treatment. (to governor) ## Sources - [Chaptered (HTML)](https://lis.blob.core.windows.net/files/1077681.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1077680.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1060925.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1060924.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1012422.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1012421.PDF) ## Related - [HR671: Commending JR's Auto Care.](https://policyrisk.com/state-bill/VA-HR671-2025) - [SB941: Robbery; use of air or gas operated weapon, etc., penalty.](https://policyrisk.com/state-bill/VA-SB941-2025) - [HB1746: Public safety officer; definition.](https://policyrisk.com/state-bill/VA-HB1746-2025) - [HB1600: Budget Bill.](https://policyrisk.com/state-bill/VA-HB1600-2025) - [SB1449: Data centers; site assessment for high energy use facility.](https://policyrisk.com/state-bill/VA-SB1449-2025) - [HB1609: Essential health benefits benchmark plan; Commission to consider coverage for i…](https://policyrisk.com/state-bill/VA-HB1609-2025) - [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-HB1635-2025 (as of 2026-10-17).