All Roll Calls
Yes: 259 • No: 2
Sponsored By: Christopher T. Head (Republican)
Became Law
Department of Health; State Health Commissioner; nursing homes; periodic medical visits and resident assessments; oversight and accountability. Requires all nursing homes to notify the resident of a nursing home, the resident's family, and the Department of Health if a federally required physician visit does not take place. The bill also requires each nursing home to conduct a comprehensive assessment on an annual basis to determine each resident's needs and describe each resident's capability to perform daily life functions. Such assessments must be reviewed at least once every 92 days, and more frequently in the event of a significant change in the resident's physical or mental condition. The bill directs the Department of Health and State Health Commissioner to take steps to improve care quality, protect residents, and strengthen oversight and accountability of nursing homes in the Commonwealth. The bill directs the Department to enhance recruitment efforts and expand workforce capacity in the Office of Licensure and Certification, accelerate training and onboarding initiatives, and explore measures to reduce administrative burdens. The bill requires the Commissioner to submit an annual report with recommendations for continuing improvement of nursing home quality and oversight. This bill incorporates SB 555.
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Virginia nursing homes must fully assess each resident’s needs. A registered nurse coordinates, signs, and certifies the assessment. The home completes a full assessment within 14 days of admission, after any big change in condition, and at least once every 366 days. Staff review the assessment at least every 92 days and update the care plan as needed. The home must create a comprehensive care plan within seven days after the assessment, involve the resident and family, and include clear goals and timelines. On request, the resident and family get a copy or summary within seven days. If required doctor visits do not follow the federal schedule (42 C.F.R. 483.30(c)), the home must notify the resident, the family or legal representative, and the Virginia Department of Health.
The Virginia Department of Health and the State Health Commissioner take steps to improve nursing home quality and oversight statewide. The Department must grow the Office of Licensure and Certification workforce and fill all open medical facilities inspector jobs. It must run a public recruitment dashboard to track vacancies and use traditional and non‑traditional hiring across markets. The Department must also name a training manager, deliver comprehensive staff training, and create an onboarding plan to help hire and keep inspectors.
Christopher T. Head
Republican • Senate
There are no cosponsors for this bill.
All Roll Calls
Yes: 259 • No: 2
Senate vote • 3/3/2026
House substitute agreed to by Senate
Yes: 40 • No: 0
House vote • 2/27/2026
Passed House with substitute
Yes: 95 • No: 1
House vote • 2/24/2026
Reported from Health and Human Services with substitute
Yes: 21 • No: 1
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
Acts of Assembly Chapter text (CHAP0944)
Approved by Governor-Chapter 944 (effective 7/1/2026)
Governor's Action Deadline 11:59 p.m., April 13, 2026
Enrolled Bill communicated to Governor on March 10, 2026
Fiscal Impact Statement from Department of Planning and Budget (SB429)
Bill text as passed Senate and House (SB429ER)
Enrolled
Signed by President
Signed by Speaker
House substitute agreed to by Senate (40-Y 0-N 0-A)
Passed House with substitute (95-Y 1-N 0-A)
Engrossed by House - committee substitute
committee substitute agreed to
Read third time
Read second time
Fiscal Impact Statement from Department of Planning and Budget (SB429)
Committee substitute printed 26108520D-H1
Reported from Health and Human Services with substitute (21-Y 1-N)
Incorporates SB555 (Sturtevant)
Subcommittee recommends reporting (10-Y 0-N)
Assigned sub: Health Professions
Read first time
Referred to Committee on Health and Human Services
Placed on Calendar
Read third time and passed Senate Block Vote (40-Y 0-N 0-A)
Chaptered
4/13/2026
Enrolled
3/9/2026
Substitute
2/24/2026
Introduced
1/13/2026
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