VirginiaHB4562026 Regular SessionHouseWALLET

Health, State Board of, regulations; standards for levels of neonatal care.

Sponsored By: Rodney T. Willett (Democratic)

Signed by Governor

Summary

State Board of Health regulations; standards for levels of neonatal care. Directs the State Board of Health to establish standards for designation of care in neonatal services consistent with, but not necessarily identical to, standards published by the American Academy of Pediatrics. The bill directs the Board of Health to promulgate regulations to implement the provisions of the bill by July 1, 2027, and prohibits enforcement of such regulations until July 1, 2029. This bill is identical to SB 291.

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Bill Overview

Analyzed Economic Effects

10 provisions identified: 9 benefits, 0 costs, 1 mixed.

Contaminated clotting factors trigger patient alerts

Beginning July 1, 2029, Board-licensed facilities treating hemophilia and stocking clotting factors must track product lots to identify recipients. When a facility finds a known contaminated lot, it must alert each recipient’s attending doctor and request patient notification. If the doctor is unavailable, the facility must mail the recipient a notice at the last known address. The mailing must request a return receipt.

Fentanyl testing and uninsured overdose medicine

Beginning July 1, 2029, hospitals with emergency departments must include fentanyl testing in urine drug screenings used for diagnosis. This does not require testing every emergency patient or every urine sample. Hospitals may also make agreements with the Virginia Department of Health to provide uninsured patients with overdose-reversal medicine. This includes naloxone and other opioid antagonists. Hospital participation is optional, so the law does not guarantee medication access at every hospital.

Hospitals must remove planned surgical smoke

Beginning July 1, 2029, hospitals must adopt a policy requiring smoke removal systems for planned surgeries likely to produce smoke. The rule protects patients and others in the operating area from surgical smoke exposure.

Newborn care levels follow national standards

The Virginia Board of Health must set standards and maintain a process for designating levels of newborn care. Standards must be consistent with the latest American Academy of Pediatrics guidance for levels II, III, and IV. They do not have to match that guidance exactly. The law requires implementing regulations by July 1, 2027.

Parents gain access to hospital portals

Beginning July 1, 2029, hospitals giving minors secure online access to health records must also give parents or guardians access. Access is not required when the hospital cannot prevent disclosure of legally withheld information or information lacking required consent. The law does not require hospitals to create a portal when they do not offer one to minors.

Patient visits protected during disease emergencies

Beginning July 1, 2029, nursing homes and certified nursing facilities must allow visits during a COVID-19 public health emergency. Each patient must be offered at least one visit every 10 calendar days, in person or virtually. Plans must address patient waivers, technology failures, and how the facility shares its visitation plan. Hospitals and both types of nursing facilities must also allow clergy visits during declared emergencies involving a communicable disease threat. Visits must follow health guidance; clergy visits may be virtual, limited in length or frequency, and subject to safety rules.

Privacy rules for patients’ digital assistants

Beginning July 1, 2029, hospitals, nursing homes, and certified nursing facilities must set and follow rules for patient-provided digital assistants. These rules cover access and use during inpatient care. They must protect health information under federal health privacy law and other applicable rules. The law does not guarantee unrestricted use of these devices.

Hospital workers gain violence reporting protections

Beginning July 1, 2029, hospitals must track and analyze workplace violence that employees voluntarily report. Covered incidents involve employees performing their duties on hospital premises. Hospitals must use reports to improve prevention and protect reporting workers from discrimination or retaliation. Records must be kept for at least two years, with internal reports at least quarterly. Hospitals must send annual incident totals to the Virginia Department of Health without identifying people; workers are not required to report.

Care facilities can offer adult daycare

Beginning July 1, 2029, Board-licensed hospitals, nursing homes, and certified nursing facilities may operate adult day centers. They must obtain an adult day center license when one is required. The law allows these services but does not require any facility to open a center.

Hospital license fees can rise or fall

Beginning July 1, 2029, the Board must set hospital and nursing-home license fees to cover licensing and inspection costs fairly. This covers issuing, changing, and renewing licenses, with hospital and nursing-home costs assessed separately. Fees can change no more than once a year. Changes require allocated program expenses plus other appropriated funding to differ from annual operating costs by more than 10 percent. Fees may rise or fall; changes must cover unfunded expenses without making fees excessive.

Sponsors & Cosponsors

Sponsor

  • Rodney T. Willett

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 218 • 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 with amendment(s)

Yes: 21 • No: 0

House vote • 2/10/2026

Subcommittee recommends reporting with amendment(s)

Yes: 8 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0145)

    4/6/2026Governor
  2. Approved by Governor-Chapter 145 (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 (HB456)

    3/5/2026House
  6. Bill text as passed House and Senate (HB456ER)

    3/5/2026House
  7. Enrolled

    3/5/2026House
  8. Signed by President

    3/5/2026Senate
  9. Signed by Speaker

    3/5/2026House
  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. Fiscal Impact Statement from Department of Planning and Budget (HB456)

    2/19/2026House
  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. Engrossed by House as amended

    2/16/2026House
  21. committee amendments agreed to

    2/16/2026House
  22. Read second time

    2/16/2026House
  23. Read first time

    2/15/2026House
  24. Reported from Health and Human Services with amendment(s) (21-Y 0-N)

    2/12/2026House
  25. House subcommittee offered

    2/10/2026House

Bill Text

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