# Virginia SB429: Health, Department of, and State Health Commissioner; nursing home oversight and accountability. Virginia SB429, Health, Department of, and State Health Commissioner; nursing home oversight and accountability., is a 2026 Regular Session Senate bill sponsored by Christopher T. Head (Republican); status signed, last action 2026-04-13 (Acts of Assembly Chapter text (CHAP0944)); PRIA reads it as touching household money (as of 2026-10-12). - Canonical: https://policyrisk.com/state-bill/VA-SB429-2026 - As of: 2026-10-12 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia SB429 - State: Virginia - Session: 2026 Regular Session - Title: Health, Department of, and State Health Commissioner; nursing home oversight and accountability. - Status: signed - Chamber: Senate - Introduced: 2026-01-13 - Last action: 2026-04-13, Acts of Assembly Chapter text (CHAP0944) - Sponsor: Christopher T. Head (Republican) - Cosponsors: 0 - Touches household money: yes - Roll calls: 9 (259 yes, 2 no in all) - Economic provisions PRIA read: 2 ## Summary 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. ## Bill overview: provisions PRIA read - Nursing home care plans and visit notices: benefit, medium. 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… - More inspectors and training for oversight: benefit, low. 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… ## Sponsors and cosponsors - Sponsor: Christopher T. Head (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-03 | Senate | House substitute agreed to by Senate | pass | 40 | 0 | | | 2026-02-27 | House | Passed House with substitute | pass | 95 | 1 | | | 2026-02-24 | House | Reported from Health and Human Services with substitute | pass | 21 | 1 | | | 2026-02-19 | House | Subcommittee recommends reporting | pass | 10 | 0 | | | 2026-02-10 | Senate | Read third time and passed Senate Block Vote | pass | 40 | 0 | | | 2026-02-09 | Senate | Engrossed by Senate Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-02-06 | Senate | Constitutional reading dispensed Block Vote (on 1st reading) | pass | 39 | 0 | | | 2026-02-06 | Senate | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 | | | 2026-02-05 | Senate | Reported from Education and Health | pass | 14 | 0 | | ## Actions (36) - 2026-04-13: Acts of Assembly Chapter text (CHAP0944) (Governor) - 2026-04-13: Approved by Governor-Chapter 944 (effective 7/1/2026) (Governor) - 2026-03-10: Governor's Action Deadline 11:59 p.m., April 13, 2026 (Governor) - 2026-03-10: Enrolled Bill communicated to Governor on March 10, 2026 (Senate) - 2026-03-09: Fiscal Impact Statement from Department of Planning and Budget (SB429) (Senate) - 2026-03-09: Bill text as passed Senate and House (SB429ER) (Senate) - 2026-03-09: Enrolled (Senate) - 2026-03-09: Signed by President (Senate) - 2026-03-09: Signed by Speaker (House) - 2026-03-03: House substitute agreed to by Senate (40-Y 0-N 0-A) (Senate) - 2026-02-27: Passed House with substitute (95-Y 1-N 0-A) (House) - 2026-02-27: Engrossed by House - committee substitute (House) - 2026-02-27: committee substitute agreed to (House) - 2026-02-27: Read third time (House) - 2026-02-26: Read second time (House) - 2026-02-25: Fiscal Impact Statement from Department of Planning and Budget (SB429) (Senate) - 2026-02-24: Committee substitute printed 26108520D-H1 (House) - 2026-02-24: Reported from Health and Human Services with substitute (21-Y 1-N) (House) - 2026-02-24: Incorporates SB555 (Sturtevant) (Senate) - 2026-02-19: Subcommittee recommends reporting (10-Y 0-N) (House) - 2026-02-16: Assigned sub: Health Professions (House) - 2026-02-13: Read first time (House) - 2026-02-13: Referred to Committee on Health and Human Services (House) - 2026-02-13: Placed on Calendar (House) - 2026-02-10: Read third time and passed Senate Block Vote (40-Y 0-N 0-A) (Senate) - 2026-02-09: Engrossed by Senate Block Vote (Voice Vote) (Senate) - 2026-02-09: Read second time (Senate) - 2026-02-06: Passed by for the day Block Vote (Voice Vote) (Senate) - 2026-02-06: Constitutional reading dispensed Block Vote (on 1st reading) (39-Y 0-N 0-A) (Senate) - 2026-02-06: Passed by for the day (Senate) - 2026-02-06: Rules suspended (Senate) - 2026-02-05: Reported from Education and Health (14-Y 0-N) (Senate) - 2026-02-04: Fiscal Impact Statement from Department of Planning and Budget (SB429) (Senate) - 2026-01-30: Assigned Education sub: Health Professions (Senate) - 2026-01-13: Referred to Committee on Education and Health (Senate) - 2026-01-13: Prefiled and ordered printed; Offered 01-14-2026 26100798D (Senate) ## Bill text - Chaptered, 2026-04-13: [HTML](https://lis.blob.core.windows.net/files/1224647.HTML), [PDF](https://lis.blob.core.windows.net/files/1224646.PDF) - Enrolled, 2026-03-09: [HTML](https://lis.blob.core.windows.net/files/1196015.HTML), [PDF](https://lis.blob.core.windows.net/files/1196014.PDF) - Substitute, 2026-02-24: [HTML](https://lis.blob.core.windows.net/files/1178063.HTML), [PDF](https://lis.blob.core.windows.net/files/1178062.PDF) - Introduced, 2026-01-13: [HTML](https://lis.blob.core.windows.net/files/1090246.HTML), [PDF](https://lis.blob.core.windows.net/files/1090245.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/1224647.HTML) - [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1224646.PDF) - [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1196015.HTML) - [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1196014.PDF) - [Substitute (HTML)](https://lis.blob.core.windows.net/files/1178063.HTML) - [Substitute (PDF)](https://lis.blob.core.windows.net/files/1178062.PDF) - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1090246.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1090245.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-SB429-2026 (as of 2026-10-12).