All Roll Calls
Yes: 398 • No: 15
Sponsored By: Rodney T. Willett (Democratic)
Became Law
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.
Personalized for You
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
7 provisions identified: 3 benefits, 0 costs, 4 mixed.
The law ties new facility approvals to access and charity care. Approved facilities must accept patients with Medicare, Medicaid, and TRICARE. Each facility must have a clear financial help policy, give it at admission or discharge, include it with bills to uninsured patients, and post it on-site and online. Except nursing homes, the value of charity care uses the Medicare billing method based on DRG/CPT codes and gross charges. For psychiatric projects, the Commissioner can require acceptance of people under involuntary temporary detention. If a facility cannot meet conditions directly, the Department can approve a plan that may include payments to approved groups or other steps.
Facilities with certificate conditions must report charity care totals, patient counts, services, and each service’s share, using DRG/CPT codes and gross charges to value care. Every hospital must report each year how much charity, discounted care, and other financial help it provided, and how much bad debt, including debt from payment plans. Other medical facilities that provide charity care must also report yearly amounts (nursing homes and those already reporting under conditions are excepted). Hospitals that receive disproportionate‑share (DSH) payments must report Medicaid inpatient days and total DSH amounts. By December 1 each year, the Commissioner publishes a report showing total charity charges, the cost using each hospital’s cost‑to‑charge ratio, charity care as a share of operating expenses, counts of applications (submitted, approved, denied), charity care by income level as a percent of the federal poverty level, and bad‑debt amounts and ratios.
The Board sets faster, clearer reviews for new medical service approvals, including batching related radiation therapy and imaging projects. An expedited track finishes reviews within 90 days and allows four filing cycles each year; psychiatric bed additions are capped at 10 beds or 10% of beds, whichever is greater, with a two‑year lookback on prior awards. The Commissioner can exempt projects that face real market competition or have no effect on cost or quality. During declared disasters or emergency orders, hospitals and nursing homes can add temporary beds if they can staff them safely, for the emergency period plus 30 days. To run the program, the Board may charge application and registration fees.
All health care providers must submit data the Board requires, including data from parent and subsidiary companies that operate in Virginia. Facilities that offer listed reviewable services (such as CT, MRI, PET, radiation therapy, transplants, psychiatric or substance‑abuse treatment, and more) must report how often those services are used. Continuing care retirement communities with nursing beds must report use of those beds. A facility that fails to report can be fined up to $100 per day per violation; fines go to the Literary Fund. Every two years, the Board reviews whether the data collection program is working.
HMOs must submit audited quality and performance data each year using HEDIS or other Board‑approved measures so shoppers can compare plans. The Commissioner may waive HEDIS reporting if an HMO meets Board exemption rules. The Commissioner contracts with an authorized nonprofit to compile and share the data and to help set and review the quality measures.
The Commissioner can require a completion schedule and a maximum capital cost when approving a project. The Department monitors progress and can revoke a certificate for lack of progress or overspending. Breaking certificate conditions can bring civil fines up to $100 per violation per day until the project is finished. The Commissioner may also approve cost increases above 20% of the authorized capital cost when the increase is reasonable, necessary, and does not materially expand the project.
When checking a plan to meet certificate conditions, the Department counts only actions taken after the conditioned certificate is issued. The Commissioner reviews each conditioned certificate at least every three years, tells the facility if conditions should change, and explains how to request amendments. The Commissioner must consider changes in how care is paid for and delivered, including Medicaid changes, and the facility’s specific situation.
Rodney T. Willett
Democratic • House
There are no cosponsors for this bill.
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
Acts of Assembly Chapter text (CHAP0408)
Approved by Governor-Chapter 408 (effective 7/1/2026)
Fiscal Impact Statement from Department of Planning and Budget (HB606)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 31, 2026
Signed by Speaker
Bill text as passed House and Senate (HB606ER)
Enrolled
Signed by President
Fiscal Impact Statement from Department of Planning and Budget (HB606)
Senate substitute agreed to by House (93-Y 5-N 0-A)
Passed Senate with substitute Block Vote (40-Y 0-N 0-A)
Reconsideration of Senate passage agreed to by Senate Block Vote (40-Y 0-N 0-A)
Passed Senate with substitute Block Vote (39-Y 0-N 0-A)
Finance and Appropriations Substitute agreed to
Engrossed by Senate - committee substitute
Read third time
Passed by for the day Block Vote (Voice Vote)
Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)
Committee substitute printed 26109441D-S1
Rules suspended
Reported from Finance and Appropriations with substitute (14-Y 0-N)
Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N)
Assigned Education sub: Health
Referred to Committee on Education and Health
Chaptered
4/8/2026
Enrolled
3/30/2026
Substitute
3/10/2026
Substitute
2/2/2026
Introduced
1/13/2026
SB767 — Motor vehicles; glass repair and replacement, emissions inspections, penalties, repeals.
Motor vehicle glass repair and replacement; emissions inspection; penalties. Establishes various notice requirements for motor vehicle glass repair shops, defined in the bill, and provides that a violation of such requirements is a prohibited practice under the Virginia Consumer Protection Act. The bill permits a motor vehicle to qualify for an emissions inspection waiver if such vehicle has failed an inspection and the vehicle's onboard diagnostic system is in a not-ready condition to be tested when presented for reinspection. This bill is identical to HB 312.
SB803 — Virginia Fair Housing Law; regulations defining terms related to unlawful conduct.
Virginia Fair Housing Law; unlawful conduct. Directs the Fair Housing Board to promulgate regulations defining "quid pro quo harassment," "hostile environment harassment," and other terms related to unlawful conduct under the Virginia Fair Housing Law. The bill directs the Fair Housing Board to adopt emergency regulations to implement the provisions of the bill.
SB731 — Private companies providing public transportation services; employee protections.
Private companies providing public transportation services; employee protections; report. Requires the governing body of any county or city that contracts with a private company to provide transportation services to (i) require such company to provide any employee of such company providing such services compensation and benefits that are, at a minimum, equivalent to the compensation and benefits provided to a public employee, as defined in the bill, with a position requiring equivalent qualifications and years of service; (ii) provide transportation services through such company's own employees; and (iii) if such county or city subsequently elects to provide its own system of public transportation, adopt an ordinance or resolution providing for collective bargaining and ensure all employees of such private company are offered employment with such subsequent public transportation system without loss of compensation or benefits. The bill clarifies that the bill only applies to actions occurring on or after the effective date and excludes any action taken, contract signed, liability incurred, or right accrued prior to July 1, 2026, from the requirements. Finally, the bill directs the Director of the Department of Rail and Public Transportation to convene a work group to develop recommendations on how to implement the provisions of the bill and requires the work group to report its findings and recommendations to the Chairs of the House Committee on Labor and Commerce and Senate Committee on Local Government by November 1, 2026. This bill is identical to HB 547.
SB620 — Va. ABC Authority; permitting of retail tobacco product retailers, etc.
Virginia Alcoholic Beverage Control Authority; permitting of retail tobacco product retailers; purchase, possession, and sale of retail tobacco products; penalties; report. Transitions and provides a more comprehensive structure for the current licensing and enforcement responsibilities related to liquid nicotine and retail tobacco products from the Department of Taxation to a permitting system administered by the Virginia Alcoholic Beverage Control Authority. The bill requires the Board of Directors of the Virginia Alcoholic Beverage and Control Authority to conduct an unannounced buyer operation at least once every 24 months to verify that a permittee, defined in the bill, is not selling retail tobacco products to persons under 21 years of age. Portions of the bill have a delayed effective date of October 1, 2026. This bill is identical to HB 308.
SB666 — Residential land development and construction; fee transparency, local housing development.
Department of Housing and Community Development; housing development database. Requires the Department of Housing and Community Development to collect from each locality and make available to the public, localities, state agencies, and other state and regional public entities in a centralized, machine-readable, screen reader compatible database various data for each new and existing housing development in each locality in the Commonwealth, including data related to the number of housing development plans submitted and approved by the locality and the average approval timeline for housing development plans.
SB599 — Va. Opioid Use Red. & Jail-Based Substance Use Disorder Trtmt. and Transition Fund; grant procedure.
Virginia Opioid Use Reduction and Jail-Based Substance Use Disorder Treatment and Transition Fund; grant procedures. Requires the grant procedure to govern funds awarded to local and regional jails for the planning or operation of substance use disorder treatment services and transition services for persons with substance use disorder who are incarcerated in local and regional jails to include requirements that (i) any grant awarded shall be made for up to three years and (ii) an applicant for a grant submit a plan demonstrating how such applicant will become independently financially viable within the time period for which the grant is awarded. This bill is a recommendation of the Joint Commission on Health Care and is identical to HB 455.