# Virginia HB1646: Practice of chiropractic; amends definition.

Virginia HB1646, Practice of chiropractic; amends definition., is a 2025 Regular Session House bill sponsored by C.E. Cliff Hayes, Jr. (Democratic); status to governor, last action 2025-03-21 (Acts of Assembly Chapter text (CHAP0184)) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/VA-HB1646-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB1646
- State: Virginia
- Session: 2025 Regular Session
- Title: Practice of chiropractic; amends definition.
- Status: to governor
- Chamber: House
- Introduced: 2025-01-03
- Last action: 2025-03-21, Acts of Assembly Chapter text (CHAP0184)
- Sponsor: C.E. Cliff Hayes, Jr. (Democratic)
- Cosponsors: 0
- Touches household money: no
- Roll calls: 7 (318 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

Vitamins, minerals, and food supplements; practice of chiropractic; definition. Amends the definition of "practice of chiropractic" to include recommending or directing patients on the use of vitamins, minerals, or food supplements. The bill also allows a chiropractor to recommend or direct patients on the use of vitamins, minerals, or food supplements, provided that the rationale for such recommendation is (i) documented in a patient's record and (ii) based on a reasonable expectation that the use of such vitamins, minerals, or food supplements will result in a favorable patient outcome, including preventive practices, and that a greater benefit will be achieved than that which can be expected without such use. Under the bill, such chiropractor is not permitted to sell, dispense, or recommend vitamins, minerals, or food supplements for use if such use will negatively impact any of the patient's existing medical conditions. This bill is identical to SB 1015.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: C.E. Cliff Hayes, Jr. (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 |   |
| 2025-02-03 | House | Read third time and passed House Block Vote | pass | 98 | 0 |   |
| 2025-02-03 | House | Read third time and passed House Block Vote | pass | 99 | 0 |   |
| 2025-01-28 | House | Reported from Health and Human Services | pass | 21 | 0 |   |
| 2025-01-23 | House | Subcommittee recommends reporting | pass | 8 | 0 | 1 |

## Actions (28)

- 2025-03-21: Acts of Assembly Chapter text (CHAP0184) (Governor)
- 2025-03-21: Approved by Governor-Chapter 184 (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 (HB1646) (House)
- 2025-03-07: Bill text as passed House and Senate (HB1646ER) (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)
- 2025-02-04: Referred to Committee on Education and Health (Senate)
- 2025-02-04: Constitutional reading dispensed (on 1st reading) (Senate)
- 2025-02-03: Read third time and passed House Block Vote (99-Y 0-N) (House)
- 2025-02-03: Reconsideration of passage agreed to by House (House)
- 2025-02-03: Read third time and passed House Block Vote (98-Y 0-N) (House)
- 2025-01-31: Read second time and engrossed (House)
- 2025-01-30: Read first time (House)
- 2025-01-28: Reported from Health and Human Services (21-Y 0-N) (House)
- 2025-01-23: Subcommittee recommends reporting (8-Y 0-N) (House)
- 2025-01-13: Fiscal Impact Statement from Department of Planning and Budget (HB1646) (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 01-08-2025 25102257D (House)

## Bill text

- Chaptered, 2025-03-21: [HTML](https://lis.blob.core.windows.net/files/1071977.HTML), [PDF](https://lis.blob.core.windows.net/files/1071976.PDF)
- Enrolled, 2025-03-07: [HTML](https://lis.blob.core.windows.net/files/1060957.HTML), [PDF](https://lis.blob.core.windows.net/files/1060956.PDF)
- Introduced, 2025-01-03: [HTML](https://lis.blob.core.windows.net/files/1012486.HTML), [PDF](https://lis.blob.core.windows.net/files/1012485.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/1071977.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1071976.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1060957.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1060956.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1012486.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1012485.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)
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Source: PRIA, https://policyrisk.com/state-bill/VA-HB1646-2025 (as of 2026-10-17).