VirginiaSB2912026 Regular SessionSenateWALLET

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

Sponsored By: Lashrecse D. Aird (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 HB 456.

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Bill Overview

Analyzed Economic Effects

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

Hospital workers gain violence reporting protections

Hospitals must track and analyze reported violence against employees working on hospital property, then use findings to improve prevention. Employee reporting is voluntary, and retaliation for reporting or seeking help is prohibited. Hospitals must keep incident records for at least two years. Data must go to chief medical and nursing officers at least quarterly. Annual incident totals must go to Virginia's Department of Health without information identifying people.

Hemophilia patients get contaminated product alerts

Facilities treating people with hemophilia and stocking clotting factors must track product lots so recipients can be identified. When a lot is contaminated with an infectious agent, the facility must notify the recipient's attending doctor. It must ask the doctor to notify the recipient. If the doctor is unavailable, the facility must send return-receipt mail to the recipient's last known address.

Hospitals can offer adult day care

Licensed hospitals, nursing homes, and certified nursing facilities can operate adult day centers after getting any required license. The law does not require them to open a center or set what families pay.

More overdose medicine access after emergencies

After substance use-related emergencies, hospital protocols must provide overdose-reversal medicine at discharge, or a prescription and information on getting it. This includes naloxone and access through pharmacies or community groups using statewide standing orders. Protocols may also refer patients to recovery support and treatment providers. Hospitals may make optional agreements with Virginia's Department of Health to provide overdose-reversal medicine to uninsured patients. Hospitals with emergency departments must include fentanyl testing in urine drug screens used to help diagnose a patient's condition.

Parents gain online hospital record access

Hospitals that offer a minor patient's records on a secure website must also give parents or guardians access there. Access is not required when the hospital cannot keep legally withheld information from being disclosed. It is also not required when needed consent is missing.

Patient visits protected during health emergencies

During COVID-19 public health emergencies, nursing homes and certified nursing facilities must offer each patient visits every 10 calendar days. Visits may be virtual or in person where appropriate; patients or their representatives may waive or limit them. Facilities must communicate their visitation plans and follow federal guidance and Board direction. During declared emergencies involving a serious communicable disease threat, hospitals and nursing facilities must have protocols allowing clergy visits of any faith. Those visits may have frequency, duration, virtual-only, or safety limits and remain subject to government guidance and orders.

Patients get policies for assistant devices

Hospitals, nursing homes, and certified nursing facilities must have policies for permitted use of patient-provided intelligent personal assistants. These policies cover patients receiving inpatient services. They must protect health information under federal privacy law and follow applicable rules. Facilities are not required to supply the devices.

Hospitals must remove smoke during surgery

Hospitals that perform surgery must adopt a policy requiring smoke removal systems. The policy must cover every planned surgery likely to create surgical smoke.

New standards for newborn hospital care

Virginia's Board of Health must set standards and maintain a process for naming levels of newborn care. Standards must match the approach of the latest American Academy of Pediatrics standards for levels II, III, and IV. They do not have to be identical. The law's implementing rules are due July 1, 2027. Enforcement begins July 1, 2029; no penalties or enforcement actions for rule violations are allowed before then.

Hospital and nursing home fees reviewed

The Board of Health must set hospital and nursing home license fees to cover licensing and inspection costs equitably. Fees must support timely inspections, with hospitals and nursing homes analyzed separately. Fees can rise or fall, but no more than once a year. Changes require program expenses and other appropriated funding to be more than 10 percent above or below annual operating costs. Changes must cover unfunded expenses without being excessive.

Sponsors & Cosponsors

Sponsor

  • Lashrecse D. Aird

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 251 • No: 0

Senate vote • 2/26/2026

House substitute agreed to by Senate

Yes: 40 • No: 0

House vote • 2/24/2026

Passed House with substitute Block Vote

Yes: 98 • No: 0

House vote • 2/19/2026

Reported from Health and Human Services with substitute

Yes: 21 • No: 0

Senate vote • 1/27/2026

Read third time and passed Senate Block Vote

Yes: 39 • No: 0

Senate vote • 1/26/2026

Engrossed by Senate Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 1/23/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 1/23/2026

Constitutional reading dispensed Block Vote (on 1st reading)

Yes: 39 • No: 0

Senate vote • 1/22/2026

Reported from Education and Health with amendment

Yes: 14 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0146)

    4/6/2026Governor
  2. Approved by Governor-Chapter 146 (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

    3/10/2026Senate
  5. Fiscal Impact Statement from Department of Planning and Budget (SB291)

    3/2/2026Senate
  6. Bill text as passed Senate and House (SB291ER)

    3/2/2026Senate
  7. Enrolled

    3/2/2026Senate
  8. Signed by President

    3/2/2026Senate
  9. Signed by Speaker

    3/2/2026House
  10. House substitute agreed to by Senate (40-Y 0-N 0-A)

    2/26/2026Senate
  11. Passed House with substitute Block Vote (98-Y 0-N 0-A)

    2/24/2026House
  12. Engrossed by House - committee substitute

    2/24/2026House
  13. committee substitute agreed to

    2/24/2026House
  14. Read third time

    2/24/2026House
  15. Read second time

    2/23/2026House
  16. Fiscal Impact Statement from Department of Planning and Budget (SB291)

    2/20/2026Senate
  17. Committee substitute printed 26108254D-H1

    2/19/2026House
  18. Reported from Health and Human Services with substitute (21-Y 0-N)

    2/19/2026House
  19. Fiscal Impact Statement from Department of Planning and Budget (SB291)

    2/13/2026Senate
  20. Referred to Committee on Health and Human Services

    2/3/2026House
  21. Read first time

    2/3/2026House
  22. Placed on Calendar

    2/3/2026House
  23. Read third time and passed Senate Block Vote (39-Y 0-N 0-A)

    1/27/2026Senate
  24. Engrossed by Senate Block Vote (Voice Vote)

    1/26/2026Senate
  25. Education and Health Amendment agreed to

    1/26/2026Senate

Bill Text

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