VirginiaHB4332026 Regular SessionHouseWALLET

Newborn screening; evaluation of disorders for inclusion, process for considering other disorders.

Sponsored By: Destiny LeVere Bolling (Democratic)

Signed by Governor

Summary

Newborn screening; process for evaluation of disorders for inclusion. Directs the Department of Health to establish a process for considering the addition of disorders to the Commonwealth's newborn screening program that are not included on the federal Recommended Uniform Screening Panel, which process shall include criteria and a timeline for consideration of disorders and a timeline for initiation of rulemaking.

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Bill Overview

Analyzed Economic Effects

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

New paths to screening for newborns

Virginia’s Department of Health must evaluate disorders on the federal recommended newborn screening panel as of January 1, 2025. It must also evaluate later additions, including estimated costs and effects on testing fees; the law sets no fee amount. For federal additions after January 1, 2025, it must finish evaluation and begin any warranted rulemaking within 12 months. Approved screening must start within six months after rulemaking ends if a test meets state and federal laboratory rules. Otherwise, the Department must secure a suitable test as soon as one becomes available. Annual reviews cover federal-panel disorders and previously rejected disorders, using new medical research and public input. When reevaluation is needed, the Department must evaluate and begin any warranted rulemaking to add or remove disorders within 12 months. A new process for disorders outside the federal panel must address test availability, FDA-approved treatments, deadlines, and input from advisers and stakeholders. Adding these disorders requires evaluation and rulemaking; subject to funding, federal additions before January 1, 2026 must receive evaluations and recommendations first. Annual reports to lawmakers must list current screenings, proposed additions, rejected disorders and reasons, decisions against reevaluation and reasons, and missed deadlines with explanations.

Required newborn screening and faster testing

Every infant born in Virginia must receive screening consistent with the federal recommended panel, though Virginia’s panel need not match exactly. The law removes parents’ option to refuse newborn screening on religious grounds. Tests for federally identified time-critical disorders must be processed seven days a week. The state’s Division of Consolidated Laboratory Services or a Department-contracted lab must perform screening tests. Sickle cell screening continues alongside the Department’s other screening programs.

Sponsors & Cosponsors

Sponsor

  • Destiny LeVere Bolling

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 407 • No: 94

House vote • 3/14/2026

Conference report agreed to by House

Yes: 94 • No: 0

Senate vote • 3/13/2026

Conference report agreed to by Senate

Yes: 39 • No: 0

Senate vote • 3/10/2026

Senate insisted on substitute Block Vote

Yes: 40 • No: 0

House vote • 3/6/2026

Senate substitute rejected by House

Yes: 3 • No: 94

Senate vote • 3/4/2026

Finance and Appropriations Substitute agreed to

Yes: 0 • No: 0

Senate vote • 3/4/2026

Passed Senate with substitute Block Vote

Yes: 40 • No: 0

Senate vote • 3/3/2026

Reported from Finance and Appropriations with substitute

Yes: 14 • No: 0

Senate vote • 3/3/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 40 • No: 0

Senate vote • 3/3/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 2/19/2026

Reported from Education and Health and rereferred to Finance and Appropriations

Yes: 15 • No: 0

House vote • 2/2/2026

Read third time and passed House Block Vote

Yes: 99 • No: 0

House vote • 1/27/2026

Reported from Rules with substitute

Yes: 18 • No: 0

House vote • 1/23/2026

Subcommittee recommends reporting with substitute

Yes: 5 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0392)

    4/8/2026Governor
  2. Approved by Governor-Chapter 392 (effective 7/1/2026)

    4/8/2026Governor
  3. Fiscal Impact Statement from Department of Planning and Budget (HB433)

    3/31/2026House
  4. Governor's Action Deadline 11:59 p.m., April 13, 2026

    3/31/2026Governor
  5. Enrolled Bill communicated to Governor on March 31, 2026

    3/31/2026House
  6. Signed by Speaker

    3/31/2026House
  7. Bill text as passed House and Senate (HB433ER)

    3/30/2026House
  8. Enrolled

    3/30/2026House
  9. Signed by President

    3/30/2026Senate
  10. Fiscal Impact Statement from Department of Planning and Budget (HB433)

    3/19/2026House
  11. Conference report agreed to by House (94-Y 0-N 0-A)

    3/14/2026House
  12. Conference report agreed to by Senate (39-Y 0-N 0-A)

    3/13/2026Senate
  13. Conference Report released

    3/13/2026
  14. House Conferees: LeVere Bolling, Downey, McLaughlin

    3/12/2026House
  15. Conferees appointed by House

    3/12/2026House
  16. Conferees appointed by Senate

    3/12/2026Senate
  17. Senate Conferees: Aird, Boysko, Peake

    3/12/2026Senate
  18. House acceded to request

    3/11/2026House
  19. Senate insisted on substitute Block Vote (40-Y 0-N 0-A)

    3/10/2026Senate
  20. Senate requested conference committee

    3/10/2026Senate
  21. Senate substitute rejected by House (3-Y 94-N 0-A)

    3/6/2026House
  22. Fiscal Impact Statement from Department of Planning and Budget (HB433)

    3/4/2026House
  23. Passed Senate with substitute Block Vote (40-Y 0-N 0-A)

    3/4/2026Senate
  24. Finance and Appropriations Substitute agreed to

    3/4/2026Senate
  25. Committee substitute printed 26109168D-S1

    3/4/2026Senate

Bill Text

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