# Virginia HB746: Physician assistants; authorization to practice without a practice agreement.

Virginia HB746, Physician assistants; authorization to practice without a practice agreement., is a 2026 Regular Session House bill sponsored by Rozia A. Henson, Jr. (Democratic); status signed, last action 2026-04-08 (Acts of Assembly Chapter text (CHAP0418)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-HB746-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB746
- State: Virginia
- Session: 2026 Regular Session
- Title: Physician assistants; authorization to practice without a practice agreement.
- Status: signed
- Chamber: House
- Introduced: 2026-01-13
- Last action: 2026-04-08, Acts of Assembly Chapter text (CHAP0418)
- Sponsor: Rozia A. Henson, Jr. (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 12 (329 yes, 3 no in all)
- Economic provisions PRIA read: 2

## Summary

Physician assistants; authorization to practice without a practice agreement. Authorizes a physician assistant with at least three years of full-time clinical experience to practice without a practice agreement upon receipt of an attestation from a patient care team physician or patient care team podiatrist who provided collaboration and consultation to such physician assistant verifying the length and nature of the physician assistant's practice. The bill establishes methods for a physician assistant who is unable to obtain the required attestation to submit other evidence that the physician assistant meets the requirements to practice without a practice agreement and establishes a method for physician assistants who obtain licensure by endorsement to practice without a practice agreement if they meet the applicable requirements. The bill also establishes a scope of practice for physician assistants who practice without a practice agreement. The bill specifies that the effective date of the foregoing provisions are contingent upon the Board of Medicine adopting regulations to implement the bill's provisions and to establish processes for granting authorization to physician assistants to practice without a practice agreement.

## Bill overview: provisions PRIA read

- Facility-employed physician assistants can skip separate agreements: benefit, low. Virginia physician assistants employed by qualifying facilities can practice without a separate practice agreement. Eligible employers are hospitals, state facilities run by the Department of Behavioral Health and Developmental Services, and federally designated health centers. The facility’s rules…
- Physician assistants gain flexibility with approval fees: mixed, low. Experienced Virginia physician assistants can practice in their established specialty without a separate written or electronic practice agreement. They need three years of full-time-equivalent clinical experience: 1,800 hours per year, or 5,400 hours total. They must submit a team physician’s or po…

## Sponsors and cosponsors

- Sponsor: Rozia A. Henson, Jr. (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-10 | House | Senate amendment agreed to by House | pass | 99 | 0 |   |
| 2026-03-09 | Senate | Education and Health Amendment agreed to | pass | 0 | 0 |   |
| 2026-03-09 | Senate | Passed Senate with amendment | pass | 38 | 2 |   |
| 2026-03-06 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-03-05 | Senate | Reported from Education and Health with amendment | pass | 14 | 0 | 1 |
| 2026-03-03 | Senate | Motion to recommit to Education and Health agreed to | pass | 0 | 0 |   |
| 2026-02-27 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-02-27 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 37 | 0 |   |
| 2026-02-26 | Senate | Reported from Education and Health | pass | 13 | 1 | 1 |
| 2026-02-17 | House | Read third time and passed House Block Vote | pass | 97 | 0 |   |
| 2026-02-12 | House | Reported from Health and Human Services with substitute | pass | 21 | 0 |   |
| 2026-02-10 | House | Subcommittee recommends reporting with substitute | pass | 10 | 0 |   |

## Actions (41)

- 2026-04-08: Acts of Assembly Chapter text (CHAP0418) (Governor)
- 2026-04-08: Approved by Governor - Chapter 418 (effective - see bill) (Governor)
- 2026-03-31: Fiscal Impact Statement from Department of Planning and Budget (HB746) (House)
- 2026-03-31: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor)
- 2026-03-31: Enrolled Bill communicated to Governor on March 31, 2026 (House)
- 2026-03-31: Signed by Speaker (House)
- 2026-03-30: Bill text as passed House and Senate (HB746ER) (House)
- 2026-03-30: Enrolled (House)
- 2026-03-30: Signed by President (Senate)
- 2026-03-10: Senate amendment agreed to by House (99-Y 0-N 0-A) (House)
- 2026-03-09: Passed Senate with amendment (38-Y 2-N 0-A) (Senate)
- 2026-03-09: Education and Health Amendment agreed to (Senate)
- 2026-03-09: Engrossed by Senate as amended (Senate)
- 2026-03-09: Read third time (Senate)
- 2026-03-06: Passed by for the day Block Vote (Voice Vote) (Senate)
- 2026-03-05: Senate committee offered (Senate)
- 2026-03-05: Reported from Education and Health with amendment (14-Y 0-N 1-A) (Senate)
- 2026-03-03: Recommitted to Education and Health (Senate)
- 2026-03-03: Motion to recommit to Education and Health agreed to (Senate)
- 2026-03-02: Passed by for the day (Senate)
- 2026-03-02: Read third time (Senate)
- 2026-02-27: Passed by for the day Block Vote (Voice Vote) (Senate)
- 2026-02-27: Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A) (Senate)
- 2026-02-27: Rules suspended (Senate)
- 2026-02-26: Reported from Education and Health (13-Y 1-N 1-A) (Senate)
- 2026-02-18: Referred to Committee on Education and Health (Senate)
- 2026-02-18: Constitutional reading dispensed (on 1st reading) (Senate)
- 2026-02-17: Fiscal Impact Statement from Department of Planning and Budget (HB746) (House)
- 2026-02-17: Read third time and passed House Block Vote (97-Y 0-N 0-A) (House)
- 2026-02-16: Engrossed by House - committee substitute (House)
- 2026-02-16: committee substitute agreed to (House)
- 2026-02-16: Read second time (House)
- 2026-02-15: Read first time (House)
- 2026-02-12: Committee substitute printed 26107501D-H1 (House)
- 2026-02-12: Reported from Health and Human Services with substitute (21-Y 0-N) (House)
- 2026-02-10: House subcommittee offered (House)
- 2026-02-10: Subcommittee recommends reporting with substitute (10-Y 0-N) (House)
- 2026-02-09: Fiscal Impact Statement from Department of Planning and Budget (HB746) (House)
- 2026-01-21: Assigned sub: Health Professions (House)
- 2026-01-13: Referred to Committee on Health and Human Services (House)
- 2026-01-13: Prefiled and ordered printed; Offered 01-14-2026 26105086D (House)

## Bill text

- Chaptered, 2026-04-08: [HTML](https://lis.blob.core.windows.net/files/1217970.HTML), [PDF](https://lis.blob.core.windows.net/files/1217969.PDF)
- Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1210841.HTML), [PDF](https://lis.blob.core.windows.net/files/1210840.PDF)
- Amendment, 2026-03-09: [HTML](https://lis.blob.core.windows.net/files/1201102.HTML)
- Amendment, 2026-03-05: [HTML](https://lis.blob.core.windows.net/files/1195977.HTML), [HTML](https://lis.blob.core.windows.net/files/1196843.HTML)
- Substitute, 2026-02-12: [HTML](https://lis.blob.core.windows.net/files/1143315.HTML), [PDF](https://lis.blob.core.windows.net/files/1143314.PDF)
- Substitute, 2026-02-10: [HTML](https://lis.blob.core.windows.net/files/1135932.HTML), [HTML](https://lis.blob.core.windows.net/files/1136518.HTML), [PDF](https://lis.blob.core.windows.net/files/1135931.PDF), [PDF](https://lis.blob.core.windows.net/files/1136517.PDF)
- Introduced, 2026-01-13: [HTML](https://lis.blob.core.windows.net/files/1085734.HTML), [PDF](https://lis.blob.core.windows.net/files/1085733.PDF)

## Related bills

- HB5: Employment; paid sick leave, civil penalties. (signed)
- SB199: Employment; paid sick leave, civil penalties. (signed)
- HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with rental agreement. (signed)
- HB1393: Electric utilities; pilot program for energy assistance and weatherization for certain individuals. (signed)
- HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, termination by landlord. (signed)
- HB675: Protection of employees; coercion or threat based on immigration status, civil penalty. (signed)

## Sources
- [Chaptered (HTML)](https://lis.blob.core.windows.net/files/1217970.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1217969.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1210841.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1210840.PDF)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1201102.HTML)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1195977.HTML)
- [Amendment (HTML)](https://lis.blob.core.windows.net/files/1196843.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1143315.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1143314.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1135932.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1136518.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1135931.PDF)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1136517.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1085734.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1085733.PDF)

## Related
- [HB5: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-HB5-2026)
- [SB199: Employment; paid sick leave, civil penalties.](https://policyrisk.com/state-bill/VA-SB199-2026)
- [HB95: Va. Residential Landlord and Tenant Act; landlord remedies, noncompliance with…](https://policyrisk.com/state-bill/VA-HB95-2026)
- [HB1393: Electric utilities; pilot program for energy assistance and weatherization for…](https://policyrisk.com/state-bill/VA-HB1393-2026)
- [HB834: Virginia Residential Landlord and Tenant Act; fire or casualty damage, terminat…](https://policyrisk.com/state-bill/VA-HB834-2026)
- [HB675: Protection of employees; coercion or threat based on immigration status, civil…](https://policyrisk.com/state-bill/VA-HB675-2026)
- [Virginia bills](https://policyrisk.com/states/virginia/bills)
- [Virginia state hub](https://policyrisk.com/states/virginia)
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Source: PRIA, https://policyrisk.com/state-bill/VA-HB746-2026 (as of 2026-10-12).