VirginiaHB6062026 Regular SessionHouseWALLET

Medical care facility data reporting; value of charity care, gross patient charges, report.

Sponsored By: Rodney T. Willett (Democratic)

Signed by Governor

Summary

Medical care facility data reporting; value of charity care. Removes certain limitations on the meaning of "reviewable service" as it relates to data reporting requirements for medical care facilities and specifies that the value of charity care for such reporting shall be based on gross patient charges. The bill directs the State Health Commissioner to submit an annual report to the Governor and General Assembly regarding charity care at medical facilities that are required to satisfy a condition of a certificate of public need.

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Bill Overview

Analyzed Economic Effects

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

New charity-care reporting rules for facilities

Virginia medical facilities subject to state project-approval rules must report charity care annually if they provide it. This annual rule excludes nursing homes and facilities with charity-care conditions on their approval certificates. Facilities with certificate conditions instead report charity care used to meet them: total value, patients served, services, and each service’s share. Failure to submit these required reports can bring penalties up to $100 per day per violation. Covered charity care is valued using full patient charges, not Medicare or Medicaid payment rates, with nursing-home exceptions. Nursing homes report use of their facilities and other data under state rules. These changes do not change household charity-care eligibility or what patients owe.

Sponsors & Cosponsors

Sponsor

  • Rodney T. Willett

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 398 • No: 15

House vote • 3/12/2026

Senate substitute agreed to by House

Yes: 93 • No: 5

Senate vote • 3/11/2026

Passed Senate with substitute Block Vote

Yes: 40 • No: 0

Senate vote • 3/11/2026

Finance and Appropriations Substitute agreed to

Yes: 0 • No: 0

Senate vote • 3/11/2026

Passed Senate with substitute Block Vote

Yes: 39 • No: 0

Senate vote • 3/11/2026

Reconsideration of Senate passage agreed to by Senate Block Vote

Yes: 40 • No: 0

Senate vote • 3/10/2026

Constitutional reading dispensed Block Vote (on 2nd reading)

Yes: 37 • No: 0

Senate vote • 3/10/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 3/9/2026

Reported from Finance and Appropriations with substitute

Yes: 14 • No: 0

Senate vote • 2/26/2026

Reported from Education and Health and rereferred to Finance and Appropriations

Yes: 15 • No: 0

House vote • 2/4/2026

Read third time and passed House

Yes: 88 • No: 10

House vote • 1/29/2026

Reported from Health and Human Services

Yes: 22 • No: 0

House vote • 1/27/2026

Subcommittee recommends reporting

Yes: 10 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0408)

    4/8/2026Governor
  2. Approved by Governor-Chapter 408 (effective 7/1/2026)

    4/8/2026Governor
  3. Fiscal Impact Statement from Department of Planning and Budget (HB606)

    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 (HB606ER)

    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 (HB606)

    3/12/2026House
  11. Senate substitute agreed to by House (93-Y 5-N 0-A)

    3/12/2026House
  12. Passed Senate with substitute Block Vote (40-Y 0-N 0-A)

    3/11/2026Senate
  13. Reconsideration of Senate passage agreed to by Senate Block Vote (40-Y 0-N 0-A)

    3/11/2026Senate
  14. Passed Senate with substitute Block Vote (39-Y 0-N 0-A)

    3/11/2026Senate
  15. Finance and Appropriations Substitute agreed to

    3/11/2026Senate
  16. Engrossed by Senate - committee substitute

    3/11/2026Senate
  17. Read third time

    3/11/2026Senate
  18. Passed by for the day Block Vote (Voice Vote)

    3/10/2026Senate
  19. Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)

    3/10/2026Senate
  20. Committee substitute printed 26109441D-S1

    3/10/2026Senate
  21. Rules suspended

    3/10/2026Senate
  22. Reported from Finance and Appropriations with substitute (14-Y 0-N)

    3/9/2026Senate
  23. Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N)

    2/26/2026Senate
  24. Assigned Education sub: Health

    2/24/2026Senate
  25. Referred to Committee on Education and Health

    2/5/2026Senate

Bill Text

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