# Virginia HB75: Medical marijuana; administration to terminally ill patients.

Virginia HB75, Medical marijuana; administration to terminally ill patients., is a 2026 Regular Session House bill sponsored by Karen Keys-Gamarra (Democratic); status signed, last action 2026-04-13 (Acts of Assembly Chapter text (CHAP0555)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-HB75-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia HB75
- State: Virginia
- Session: 2026 Regular Session
- Title: Medical marijuana; administration to terminally ill patients.
- Status: signed
- Chamber: House
- Introduced: 2025-12-31
- Last action: 2026-04-13, Acts of Assembly Chapter text (CHAP0555)
- Sponsor: Karen Keys-Gamarra (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 12 (388 yes, 98 no in all)
- Economic provisions PRIA read: 11

## Summary

Medical cannabis; administration to terminally ill patients; report. Directs the Department of Health to promulgate regulations specifying that hospital staff may store, dispense, and administer cannabis oil when a patient has valid certification and exempts such staff from criminal penalties for possession of cannabis oil. The bill directs the Department of Health to convene a work group to discuss the implementation process for providing cannabis products to patients in medical care facilities and report on its discussion to the Chairs of the House Committee on Health and Human Services and the Senate Committee on Education and Health by November 1, 2026. This bill incorporates HB 486. This bill is identical to SB 332.

## Bill overview: provisions PRIA read

- Emergency room security and 24/7 doctor: benefit, medium. Hospitals with emergency rooms must have a licensed physician on duty and present at all times. They must create a security plan based on a risk assessment, which may include an off-duty police officer or trained security; the health commissioner can grant a waiver if a different level is appropria…
- Naloxone access and substance-use care plans: benefit, medium. Emergency departments must use protocols to screen, plan follow-up care, and may give or prescribe naloxone at discharge. Hospitals may work with the state health department to provide naloxone to uninsured patients. For postpartum women identified with substance use, hospitals must create a writte…
- Nursing home family contact and refunds: benefit, medium. If a family council asks, the facility must send family notices up to six times a year. Nursing homes must disclose their admissions policies to applicants. After discharge or death, the facility must refund unspent patient funds within 30 days of a written request, not including entrance fees. Dur…
- Nursing home health and safety rules: benefit, medium. Residents must be offered a yearly flu shot and a pneumococcal shot, unless it is unsafe or they refuse. Facilities must train mandated reporters on how to report adult abuse and the penalties for not reporting. Before longer stays, facilities must check if a potential resident is on the sex offend…
- Stronger state standards and emergency capacity: benefit, medium. The Board must align hospital and nursing home rules with federal Medicare and Medicaid standards. It sets minimum rules for construction, staffing, infection control, disaster plans, and facility security. The Board can license by bed count and by service type. During declared disasters or emergen…
- Clear notices on therapy and air transport: benefit, low. Before elective surgery, hospitals must tell you if you will likely need outpatient physical therapy and ensure you pick a therapy provider before you leave. If you do not have an emergency medical condition, the hospital must warn you in writing before arranging air transport that you may choose g…
- Cannabis oil allowed in care facilities: benefit, low. Authorized hospital, nursing home, hospice, and assisted living staff may store, dispense, and give cannabis oil to patients who have a valid state certification. The law gives these staff criminal immunity for this work. This lets certified patients keep using their medicine while in a facility.
- Hospital patient rights and visitor access: benefit, low. Hospitals must give you a copy of your patient rights when you are admitted. As an adult patient, you can choose who visits you, unless safety or medical limits apply. Facilities must also allow patients to use their own smart assistant devices under HIPAA-safe policies.
- Rules for labor and psychiatric admissions: benefit, low. Hospitals that offer obstetric care must have a protocol to admit or transfer any woman who arrives in labor. Hospitals with inpatient psychiatric units must use a clear refusal protocol, including direct doctor-to-doctor communication. If toxicology results raise questions about stability, the on-…
- Hospital workplace violence reporting and safety: benefit, low. Hospitals must run a workplace-violence reporting system, tell all employees how to use it, and ban retaliation against reporters. Hospitals must keep incident records for at least two years, report data each quarter to clinical leaders, and send a de-identified annual summary to the health departm…
- Standards for neonatal care and donation: benefit, low. The state sets levels for neonatal care based on staff, ratios, equipment, and protocols. Hospitals must also follow organ donation rules, have agreements with an organ procurement group, a tissue bank, and an eye bank, notify them quickly, and train staff.

## Sponsors and cosponsors

- Sponsor: Karen Keys-Gamarra (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-11 | Senate | Conference report agreed to by Senate | pass | 40 | 0 |   |
| 2026-03-11 | House | Conference report agreed to by House | pass | 95 | 1 |   |
| 2026-03-06 | Senate | Senate insisted on amendments Block Vote | pass | 40 | 0 |   |
| 2026-03-04 | House | Senate substitute rejected by House | fail | 2 | 94 |   |
| 2026-03-02 | Senate | Education and Health Substitute agreed to | pass | 0 | 0 |   |
| 2026-03-02 | Senate | Passed Senate with substitute Block Vote | pass | 40 | 0 |   |
| 2026-02-27 | Senate | Constitutional reading dispensed Block Vote (on 2nd reading) | pass | 37 | 0 |   |
| 2026-02-27 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-02-26 | Senate | Reported from Education and Health with substitute | pass | 14 | 0 |   |
| 2026-02-17 | House | Read third time and passed House | pass | 95 | 1 |   |
| 2026-02-12 | House | Reported from Health and Human Services with substitute | pass | 18 | 2 | 1 |
| 2026-02-10 | House | Subcommittee recommends reporting with substitute | pass | 7 | 0 | 1 |

## Actions (49)

- 2026-04-13: Acts of Assembly Chapter text (CHAP0555) (Governor)
- 2026-04-13: Approved by Governor-Chapter 555 (effective 7/1/2026) (Governor)
- 2026-04-01: Fiscal Impact Statement from Department of Planning and Budget (HB75) (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 (HB75ER) (House)
- 2026-03-30: Enrolled (House)
- 2026-03-30: Signed by President (Senate)
- 2026-03-19: Fiscal Impact Statement from Department of Planning and Budget (HB75) (House)
- 2026-03-11: Conference report agreed to by House (95-Y 1-N 0-A) (House)
- 2026-03-11: Conference report agreed to by Senate (40-Y 0-N 0-A) (Senate)
- 2026-03-11: Conference Report released
- 2026-03-10: House Conferees: Keys-Gamarra, Laufer, Kent (House)
- 2026-03-10: Conferees appointed by House (House)
- 2026-03-10: Conferees appointed by Senate (Senate)
- 2026-03-10: Senate Conferees: Favola, Bagby, Head (Senate)
- 2026-03-09: House acceded to request (House)
- 2026-03-06: Senate insisted on amendments Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-06: Senate requested conference committee (Senate)
- 2026-03-04: Senate substitute rejected by House (2-Y 94-N 0-A) (House)
- 2026-03-02: Passed Senate with substitute Block Vote (40-Y 0-N 0-A) (Senate)
- 2026-03-02: Education and Health Substitute agreed to (Senate)
- 2026-03-02: Engrossed by Senate - committee substitute (Senate)
- 2026-03-02: Read third time (Senate)
- 2026-02-27: Committee substitute printed 26108827D-S1 (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 with substitute (14-Y 0-N) (Senate)
- 2026-02-23: Fiscal Impact Statement from Department of Planning and Budget (HB75) (House)
- 2026-02-18: Referred to Committee on Education and Health (Senate)
- 2026-02-18: Constitutional reading dispensed (on 1st reading) (Senate)
- 2026-02-17: Read third time and passed House (95-Y 1-N 0-A) (House)
- 2026-02-16: Engrossed by House - floor substitute (House)
- 2026-02-16: Delegate Keys-Gamarra Floor substitute agreed to (House)
- 2026-02-16: committee substitute rejected (House)
- 2026-02-16: Read second time (House)
- 2026-02-16: Floor Offered (House)
- 2026-02-16: Floor substitute printed 26108023D-H2 (Keys-Gamarra) (House)
- 2026-02-15: Read first time (House)
- 2026-02-12: Committee substitute printed 26107743D-H1 (House)
- 2026-02-12: Incorporates HB486 (Shin) (House)
- 2026-02-12: Reported from Health and Human Services with substitute (18-Y 2-N 1-A) (House)
- 2026-02-10: Subcommittee recommends reporting with substitute (7-Y 0-N 1-A) (House)
- 2026-01-30: Fiscal Impact Statement from Department of Planning and Budget (HB75) (House)
- 2026-01-16: Assigned sub: Health (House)
- 2025-12-31: Referred to Committee on Health and Human Services (House)
- 2025-12-31: Prefiled and ordered printed; Offered 01-14-2026 26103193D (House)

## Bill text

- Chaptered, 2026-04-13: [HTML](https://lis.blob.core.windows.net/files/1218745.HTML), [PDF](https://lis.blob.core.windows.net/files/1218744.PDF)
- Enrolled, 2026-03-30: [HTML](https://lis.blob.core.windows.net/files/1212196.HTML), [PDF](https://lis.blob.core.windows.net/files/1212195.PDF)
- Conference Report, 2026-03-11: [HTML](https://lis.blob.core.windows.net/files/1205541.HTML)
- Substitute, 2026-03-11: [HTML](https://lis.blob.core.windows.net/files/1205538.HTML), [PDF](https://lis.blob.core.windows.net/files/1205537.PDF)
- Substitute, 2026-02-27: [HTML](https://lis.blob.core.windows.net/files/1186914.HTML), [HTML](https://lis.blob.core.windows.net/files/1186903.HTML), [PDF](https://lis.blob.core.windows.net/files/1186913.PDF), [PDF](https://lis.blob.core.windows.net/files/1186902.PDF)
- Substitute, 2026-02-16: [HTML](https://lis.blob.core.windows.net/files/1149201.HTML), [PDF](https://lis.blob.core.windows.net/files/1149200.PDF)
- Substitute, 2026-02-12: [HTML](https://lis.blob.core.windows.net/files/1143328.HTML), [PDF](https://lis.blob.core.windows.net/files/1143327.PDF)
- Substitute, 2026-02-11: [HTML](https://lis.blob.core.windows.net/files/1139554.HTML), [PDF](https://lis.blob.core.windows.net/files/1139553.PDF)
- Introduced, 2025-12-31: [HTML](https://lis.blob.core.windows.net/files/1082298.HTML), [PDF](https://lis.blob.core.windows.net/files/1082295.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/1218745.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1218744.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1212196.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1212195.PDF)
- [Conference Report (HTML)](https://lis.blob.core.windows.net/files/1205541.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1205538.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1205537.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1186914.HTML)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1186903.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1186913.PDF)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1186902.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1149201.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1149200.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1143328.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1143327.PDF)
- [Substitute (HTML)](https://lis.blob.core.windows.net/files/1139554.HTML)
- [Substitute (PDF)](https://lis.blob.core.windows.net/files/1139553.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1082298.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1082295.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)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/VA-HB75-2026 (as of 2026-10-12).