VirginiaSB4212026 Regular SessionSenateWALLET

Pharmacist; remote verification and counseling in opioid treatment programs.

Sponsored By: Barbara A. Favola (Democratic)

Signed by Governor

Summary

Remote pharmacist verification and counseling in opioid treatment programs. Authorizes a pharmacist licensed in the Commonwealth to exercise verification, counseling, and supervision duties remotely when a pharmacy technician or other authorized personnel dispenses medication prescribed for the management of opioid use disorder at a federally certified opioid treatment program.

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Bill Overview

Analyzed Economic Effects

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

Remote pharmacist care for opioid treatment patients

Virginia law allows remote pharmacist counseling and checks of medication dispensing at federally certified opioid treatment programs. This covers methadone and other medicines prescribed to manage opioid use disorder. Pharmacists must hold a Virginia license in good standing and use live, two-way video during program operating hours. They must remain immediately available, visually supervise staff, and make all legally required professional judgments before dispensing. Pharmacy technicians or other authorized staff can dispense the medicine under this supervision, and programs must meet federal requirements. Programs do not have to use remote supervision; on-site pharmacist supervision remains the general rule for pharmacies, with exceptions. The Board of Pharmacy must set rules for technology, staff training and skills, records, and patient privacy and safety. Those rules must allow pharmacists to lead multiple pharmacies within an opioid treatment program. The Board can require those pharmacists to be on-site at least one day per calendar month. The implementing rules are exempt from Virginia's Administrative Process Act requirements, and the Board keeps its enforcement and disciplinary powers.

Sponsors & Cosponsors

Sponsor

  • Barbara A. Favola

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 213 • No: 8

House vote • 2/27/2026

Passed House

Yes: 91 • No: 5

House vote • 2/24/2026

Reported from Health and Human Services

Yes: 19 • No: 3

House vote • 2/19/2026

Subcommittee recommends reporting

Yes: 10 • No: 0

Senate vote • 2/10/2026

Read third time and passed Senate Block Vote

Yes: 40 • No: 0

Senate vote • 2/9/2026

Engrossed by Senate Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 2/6/2026

Constitutional reading dispensed Block Vote (on 1st reading)

Yes: 39 • No: 0

Senate vote • 2/6/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 2/5/2026

Reported from Education and Health

Yes: 14 • No: 0

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0345)

    4/6/2026Governor
  2. Approved by Governor-Chapter 345 (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 (SB421)

    3/4/2026Senate
  6. Bill text as passed Senate and House (SB421ER)

    3/4/2026Senate
  7. Enrolled

    3/4/2026Senate
  8. Signed by President

    3/4/2026Senate
  9. Signed by Speaker

    3/4/2026House
  10. Passed House (91-Y 5-N 0-A)

    2/27/2026House
  11. Read third time

    2/27/2026House
  12. Read second time

    2/26/2026House
  13. Reported from Health and Human Services (19-Y 3-N)

    2/24/2026House
  14. Subcommittee recommends reporting (10-Y 0-N)

    2/19/2026House
  15. Assigned sub: Health Professions

    2/16/2026House
  16. Read first time

    2/13/2026House
  17. Referred to Committee on Health and Human Services

    2/13/2026House
  18. Placed on Calendar

    2/13/2026House
  19. Read third time and passed Senate Block Vote (40-Y 0-N 0-A)

    2/10/2026Senate
  20. Engrossed by Senate Block Vote (Voice Vote)

    2/9/2026Senate
  21. Read second time

    2/9/2026Senate
  22. Passed by for the day Block Vote (Voice Vote)

    2/6/2026Senate
  23. Constitutional reading dispensed Block Vote (on 1st reading) (39-Y 0-N 0-A)

    2/6/2026Senate
  24. Passed by for the day

    2/6/2026Senate
  25. Rules suspended

    2/6/2026Senate

Bill Text

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