# Virginia HB232: Collaborative agreements; removes registered nurses from list of practitioners, etc. Virginia HB232, Collaborative agreements; removes registered nurses from list of practitioners, etc., is a 2026 Regular Session House bill sponsored by H. Otto Wachsmann, Jr. (Republican); status signed, last action 2026-04-06 (Acts of Assembly Chapter text (CHAP0094)); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-HB232-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia HB232 - State: Virginia - Session: 2026 Regular Session - Title: Collaborative agreements; removes registered nurses from list of practitioners, etc. - Status: signed - Chamber: House - Introduced: 2026-01-08 - Last action: 2026-04-06, Acts of Assembly Chapter text (CHAP0094) - Sponsor: H. Otto Wachsmann, Jr. (Republican) - Cosponsors: 0 - Touches household money: yes - Roll calls: 7 (220 yes, 0 no in all) - Economic provisions PRIA read: 1 ## 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. ## Bill overview: provisions PRIA read - Stricter diagnosis rules for pharmacist treatment: cost, low. In Virginia, pharmacists can start drug therapy under a collaborative agreement only after a diagnosis from an approved clinician. Approved clinicians are licensed physicians, podiatrists, advanced practice registered nurses, and physician assistants. A registered nurse’s diagnosis no longer qualif… ## Sponsors and cosponsors - Sponsor: H. Otto Wachsmann, Jr. (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-02 | Senate | Passed Senate Block Vote | pass | 40 | 0 | | | 2026-02-27 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 37 | 0 | | | 2026-02-27 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-02-26 | Senate | Reported from Education and Health | pass | 15 | 0 | | | 2026-02-17 | House | Read third time and passed House Block Vote | pass | 97 | 0 | | | 2026-02-12 | House | Reported from Health and Human Services | pass | 21 | 0 | | | 2026-02-10 | House | Subcommittee recommends reporting | pass | 10 | 0 | | ## Actions (27) - 2026-04-06: Acts of Assembly Chapter text (CHAP0094) (Governor) - 2026-04-06: Approved by Governor-Chapter 94 (effective 7/1/2026) (Governor) - 2026-03-10: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor) - 2026-03-10: Enrolled Bill communicated to Governor on March 10, 2026 (House) - 2026-03-06: Fiscal Impact Statement from Department of Planning and Budget (HB232) (House) - 2026-03-06: Bill text as passed House and Senate (HB232ER) (House) - 2026-03-06: Enrolled (House) - 2026-03-06: Signed by President (Senate) - 2026-03-06: Signed by Speaker (House) - 2026-03-02: Passed Senate Block Vote (40-Y 0-N 0-A) (Senate) - 2026-03-02: Read third time (Senate) - 2026-02-27: Passed by for the day Block Vote (Voice Vote) (Senate) - 2026-02-27: Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A) (Senate) - 2026-02-27: Rules suspended (Senate) - 2026-02-26: Reported from Education and Health (15-Y 0-N) (Senate) - 2026-02-20: Assigned Education sub: Health Professions (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 Block Vote (97-Y 0-N 0-A) (House) - 2026-02-16: Read second time and engrossed (House) - 2026-02-15: Read first time (House) - 2026-02-12: Reported from Health and Human Services (21-Y 0-N) (House) - 2026-02-10: Subcommittee recommends reporting (10-Y 0-N) (House) - 2026-01-16: Fiscal Impact Statement from Department of Planning and Budget (HB232) (House) - 2026-01-16: Assigned sub: Health Professions (House) - 2026-01-08: Referred to Committee on Health and Human Services (House) - 2026-01-08: Prefiled and ordered printed; Offered 01-14-2026 26100511D (House) ## Bill text - Chaptered, 2026-04-06: [HTML](https://lis.blob.core.windows.net/files/1216416.HTML), [PDF](https://lis.blob.core.windows.net/files/1216415.PDF) - Enrolled, 2026-03-06: [HTML](https://lis.blob.core.windows.net/files/1194013.HTML), [PDF](https://lis.blob.core.windows.net/files/1194012.PDF) - Introduced, 2026-01-08: [HTML](https://lis.blob.core.windows.net/files/1083196.HTML), [PDF](https://lis.blob.core.windows.net/files/1083195.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/1216416.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1216415.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1194013.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1194012.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1083196.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1083195.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-HB232-2026 (as of 2026-10-12).