VirginiaHB2322026 Regular SessionHouseWALLET

Collaborative agreements; removes registered nurses from list of practitioners, etc.

Sponsored By: Jen Kiggans - to resign 12/31 (Republican)

Became Law

Summary

Collaborative agreements; practitioners; diagnosis. Removes registered nurses from the list of practitioners whose diagnoses may form the basis of drug therapy conducted pursuant to a collaborative agreement between a practitioner and a pharmacist.

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Bill Overview

Analyzed Economic Effects

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

Collaborative pharmacy care is always optional

You can refuse collaborative pharmacy care and must tell your prescriber. Your prescriber can exclude you by contacting the pharmacist or noting it on your prescription. No doctor, podiatrist, nurse practitioner, or physician assistant is required to join a pharmacist agreement, even if their business signs one.

More pharmacist care through agreements

Pharmacists who treat patients can sign care agreements with doctors, nurse practitioners, physician assistants, or a physician’s office. These agreements let pharmacists prescribe, change, continue, or stop medicines, order lab tests, and manage devices using written or electronic protocols. Drug therapy follows a diagnosis by a licensed clinician. Agreements cannot go beyond anyone’s legal scope, and pharmacists must follow the agreement or face discipline.

Pharmacists can manage controlled drugs with approval

Pharmacists can prescribe, change, continue, or stop Schedule II–VI controlled drugs under a collaborative agreement and Board rules. Before handling Schedule II–V drugs this way, the pharmacist must submit the signed agreement to the Board and get Board authorization. This expands access to controlled prescriptions through pharmacists while adding a safety check.

Sponsors & Cosponsors

Sponsor

  • Jen Kiggans - to resign 12/31

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 220 • No: 0

Senate vote 3/2/2026

Passed Senate Block Vote

Yes: 40 • No: 0

Senate vote 2/27/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 37 • No: 0

Senate vote 2/27/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote 2/26/2026

Reported from Education and Health

Yes: 15 • No: 0

House vote 2/17/2026

Read third time and passed House Block Vote

Yes: 97 • No: 0

House vote 2/12/2026

Reported from Health and Human Services

Yes: 21 • No: 0

House vote 2/10/2026

Subcommittee recommends reporting

Yes: 10 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0094)

    4/6/2026Governor
  2. Approved by Governor-Chapter 94 (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 (HB232)

    3/6/2026House
  6. Bill text as passed House and Senate (HB232ER)

    3/6/2026House
  7. Enrolled

    3/6/2026House
  8. Signed by President

    3/6/2026Senate
  9. Signed by Speaker

    3/6/2026House
  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 (15-Y 0-N)

    2/26/2026Senate
  16. Assigned Education sub: Health Professions

    2/20/2026Senate
  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 Block Vote (97-Y 0-N 0-A)

    2/17/2026House
  20. Read second time and engrossed

    2/16/2026House
  21. Read first time

    2/15/2026House
  22. Reported from Health and Human Services (21-Y 0-N)

    2/12/2026House
  23. Subcommittee recommends reporting (10-Y 0-N)

    2/10/2026House
  24. Fiscal Impact Statement from Department of Planning and Budget (HB232)

    1/16/2026House
  25. Assigned sub: Health Professions

    1/16/2026House

Bill Text

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