# Virginia SB641: Office-based buprenorphine treatment; Board of Medicine to amend regulations.

Virginia SB641, Office-based buprenorphine treatment; Board of Medicine to amend regulations., is a 2026 Regular Session Senate bill sponsored by Todd E. Pillion (Republican); status signed, last action 2026-04-06 (Acts of Assembly Chapter text (CHAP0208)); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/VA-SB641-2026
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Virginia SB641
- State: Virginia
- Session: 2026 Regular Session
- Title: Office-based buprenorphine treatment; Board of Medicine to amend regulations.
- Status: signed
- Chamber: Senate
- Introduced: 2026-01-14
- Last action: 2026-04-06, Acts of Assembly Chapter text (CHAP0208)
- Sponsor: Todd E. Pillion (Republican)
- Cosponsors: 0
- Touches household money: yes
- Roll calls: 7 (212 yes, 0 no in all)
- Economic provisions PRIA read: 1

## Summary

Board of Medicine; office-based buprenorphine treatment; counseling. Directs the Board of Medicine to amend its regulations regarding office-based buprenorphine treatment to require providers to offer counseling or referral to counseling to each patient as clinically necessary and mutually agreed-upon. The bill specifies that a patient's refusal of counseling does not preclude the patient from receiving office-based buprenorphine treatment for opioid use disorder. This bill is a recommendation of the Joint Commission on Health Care and is identical to HB 712.

## Bill overview: provisions PRIA read

- Counseling offered, not required, for buprenorphine: benefit, low. The Board of Medicine must update its rules for office-based buprenorphine care. Providers must offer counseling or a referral when it is clinically needed and both the patient and provider agree to include it. If you say no to counseling, you can still get buprenorphine treatment for opioid use di…

## Sponsors and cosponsors

- Sponsor: Todd E. Pillion (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-02-24 | House | Passed House Block Vote | pass | 98 | 0 |   |
| 2026-02-19 | House | Reported from Health and Human Services | pass | 21 | 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 | Passed by for the day Block Vote (Voice Vote) | pass | 0 | 0 |   |
| 2026-02-06 | Senate | Constitutional reading dispensed Block Vote (on 1st reading) | pass | 39 | 0 |   |
| 2026-02-05 | Senate | Reported from Education and Health | pass | 14 | 0 |   |

## Actions (28)

- 2026-04-06: Acts of Assembly Chapter text (CHAP0208) (Governor)
- 2026-04-06: Approved by Governor-Chapter 208 (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)
- 2026-03-02: Fiscal Impact statement From DPB (3/2/2026 2:20 pm) (Senate)
- 2026-02-26: Bill text as passed Senate and House (SB641ER) (Senate)
- 2026-02-26: Enrolled (Senate)
- 2026-02-26: Signed by President (Senate)
- 2026-02-26: Signed by Speaker (House)
- 2026-02-24: Passed House Block Vote (98-Y 0-N 0-A) (House)
- 2026-02-24: Read third time (House)
- 2026-02-23: Read second time (House)
- 2026-02-19: Reported from Health and Human Services (21-Y 0-N) (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)
- 2026-01-30: Assigned Education sub: Health Professions (Senate)
- 2026-01-21: Fiscal Impact Statement from Department of Planning and Budget (SB641) (Senate)
- 2026-01-14: Referred to Committee on Education and Health (Senate)
- 2026-01-14: Prefiled and ordered printed; Offered 01-14-2026 26104754D (Senate)

## Bill text

- Chaptered, 2026-04-06: [HTML](https://lis.blob.core.windows.net/files/1216782.HTML), [PDF](https://lis.blob.core.windows.net/files/1216781.PDF)
- Enrolled, 2026-02-26: [HTML](https://lis.blob.core.windows.net/files/1179239.HTML), [PDF](https://lis.blob.core.windows.net/files/1179238.PDF)
- Introduced, 2026-01-14: [HTML](https://lis.blob.core.windows.net/files/1091599.HTML), [PDF](https://lis.blob.core.windows.net/files/1091598.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/1216782.HTML)
- [Chaptered (PDF)](https://lis.blob.core.windows.net/files/1216781.PDF)
- [Enrolled (HTML)](https://lis.blob.core.windows.net/files/1179239.HTML)
- [Enrolled (PDF)](https://lis.blob.core.windows.net/files/1179238.PDF)
- [Introduced (HTML)](https://lis.blob.core.windows.net/files/1091599.HTML)
- [Introduced (PDF)](https://lis.blob.core.windows.net/files/1091598.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-SB641-2026 (as of 2026-10-12).