VirginiaHB4332026 Regular SessionHouseWALLET

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

Sponsored By: Destiny LeVere Bolling (Democratic)

Became Law

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

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

Newborn screening for all Virginia babies

The law requires every infant born in Virginia to get newborn screening based on the federal list. A doctor, licensed midwife, or certified nurse midwife must arrange the tests after delivery. Tests are run by the state lab or a lab hired by the Department of Health. For time‑critical disorders named by federal health agencies, labs run tests seven days a week. The state also screens infants for sickle cell diseases. Parents may refuse the tests for their infant on religious grounds.

Faster updates to newborn screening list

The Department of Health evaluates each condition on the federal list and reviews costs and the newborn screening fee before deciding to add it. For any condition added to the federal list after January 1, 2025, the Department finishes its review and starts rulemaking within 12 months. After a rule is final, if a compliant lab test exists, screening starts within six months; if not, the program secures a suitable test as soon as one is available. Each year, the Department decides whether to reevaluate conditions it did not add, reviews new medical studies, and takes public input. If a reevaluation is needed, it completes the review and starts rulemaking within 12 months.

State process for adding other newborn tests

The Department sets a clear process to consider disorders not on the federal list, with criteria like an available newborn test and an FDA‑approved treatment, timelines, and input from the Newborn Screening Advisory Committee and stakeholders. The Department cannot add a non‑federal disorder unless it completes the same evaluation and rulemaking used for federal disorders. Before considering a non‑federal disorder, it first completes evaluation and a recommendation for any disorder the federal list added before January 1, 2026, if funding is available. The Department submits a yearly public report listing current screening disorders, new disorders under review or recommended, those not recommended in the past 12 months with reasons, disorders not reevaluated with reasons, and any delays in meeting timelines.

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

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • 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 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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