VirginiaSB7382026 Regular SessionSenateWALLET

Hospitals; emergency department physicians.

Sponsored By: Emily M. Jordan (Republican)

Signed by Governor

Summary

Hospitals; psychiatric emergency departments. Allows hospitals with psychiatric emergency departments located in the City of Hampton to operate without a physician on duty when certain conditions are met, including having written agreements in place with emergency medical service providers and being immediately adjacent to a non-psychiatric emergency department. The bill requires such psychiatric emergency departments to submit treatment data to the General Assembly on an annual basis by November 1. This bill is identical to HB 1318.

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Bill Overview

Analyzed Economic Effects

8 provisions identified: 7 benefits, 1 costs, 0 mixed.

Emergency drug screens must test fentanyl

Hospitals with emergency departments must include fentanyl testing in urine drug screens used to help diagnose a patient's condition. The rule does not require testing every emergency patient or adding fentanyl testing to every type of test.

Parents get online hospital record access

Hospitals that give minors secure online access to health records must also give access to their parents or guardians. Access is not required when the hospital cannot prevent disclosure of legally withheld information. Access also is not required when legally required consent has not been given.

Patient visits during public health emergencies

During COVID-19 public health emergencies, nursing homes and certified nursing facilities must provide visits at least every 10 calendar days. Their plans must follow health guidance, explain when visits are in person or virtual, and be published or communicated. Patients or their representatives can waive or limit visits, with that choice recorded in the health record. During declared emergencies involving a communicable disease threat, hospitals and these nursing facilities must also have protocols allowing clergy visits. Facilities can limit clergy visit length or frequency, require virtual visits, and apply health rules and visitation orders.

Rules for patients' digital personal assistants

Hospitals, nursing homes, and certified nursing facilities must set and follow rules for patient-provided intelligent personal assistants during inpatient care. The rules govern permitted access and use; they do not guarantee unrestricted use. Facilities must protect health information under federal health privacy law and applicable regulations.

Hospitals must remove smoke during surgery

Hospitals performing surgery must adopt a policy requiring smoke-removal systems for planned procedures likely to produce surgical smoke. Systems must capture, filter, and remove smoke where it starts, preventing contact with people's eyes or lungs.

Physicians must staff hospital emergency departments

Virginia hospitals offering or advertising emergency services must always have a Virginia-licensed physician on duty and physically present. That physician must be primarily responsible for the emergency department. A psychiatric department immediately next to a medical emergency department is exempt when protocols ensure immediate physician response to medical emergencies. A separate exemption covers a psychiatric-only department in Hampton with written emergency transport agreements, physician video consultations, and onsite medical-director oversight. Hampton also requires quality oversight, on-duty providers trained in advanced adult and pediatric life support and capable of basic resuscitation, and annual reports to specified legislative committees.

Hospitals must track violence against workers

Hospitals must keep records of reported workplace violence against employees working on hospital premises for at least two years. Covered workers include hospital employees and health care providers credentialed or engaged to work there. Records must identify incident dates, locations, affected workers' job titles, attacker categories, incident types, responses, consequences, and reporter details. Hospitals must share data with chief medical and nursing officers at least quarterly. Annual reports to the Virginia Department of Health must count voluntarily reported incidents and remove personally identifying information; workers are protected against retaliation for reporting or seeking help.

Facility license fees cover inspection costs

The Virginia Board sets hospital and nursing home license issuance, change, and renewal fees to cover licensing and inspection costs. Costs must be shared fairly among facilities, and fees support timely inspections. Fee amounts can change no more than once a year. Changes can begin only when program fund balances and other funding differ from annual operating costs by more than 10%. Hospitals and nursing homes require separate financial analyses; no specific fee amount or direct household charge is stated.

Sponsors & Cosponsors

Sponsor

  • Emily M. Jordan

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 202 • No: 6

House vote • 2/27/2026

Passed House

Yes: 92 • No: 4

House vote • 2/24/2026

Reported from Health and Human Services

Yes: 20 • No: 2

Senate vote • 2/17/2026

Read third time and passed Senate

Yes: 40 • No: 0

Senate vote • 2/16/2026

Committee substitute agreed to (Voice Vote)

Yes: 0 • No: 0

Senate vote • 2/13/2026

Constitutional reading dispensed Block Vote (on 1st reading)

Yes: 36 • No: 0

Senate vote • 2/13/2026

Passed by for the day Block Vote (Voice Vote)

Yes: 0 • No: 0

Senate vote • 2/12/2026

Reported from Education and Health with substitute

Yes: 14 • No: 0 • Other: 1

Actions Timeline

  1. Acts of Assembly Chapter text (CHAP0297)

    4/6/2026Governor
  2. Approved by Governor-Chapter 297 (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 (SB738)

    3/4/2026Senate
  6. Bill text as passed Senate and House (SB738ER)

    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 (92-Y 4-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 (20-Y 2-N)

    2/24/2026House
  14. Referred to Committee on Health and Human Services

    2/24/2026House
  15. Read first time

    2/24/2026House
  16. Placed on Calendar

    2/24/2026House
  17. Fiscal Impact Statement from Department of Planning and Budget (SB738)

    2/22/2026Senate
  18. Read third time and passed Senate (40-Y 0-N 0-A)

    2/17/2026Senate
  19. Committee substitute agreed to (Voice Vote)

    2/16/2026Senate
  20. Engrossed by Senate - committee substitute (Voice Vote)

    2/16/2026Senate
  21. Read second time

    2/16/2026Senate
  22. Passed by for the day Block Vote (Voice Vote)

    2/13/2026Senate
  23. Constitutional reading dispensed Block Vote (on 1st reading) (36-Y 0-N 0-A)

    2/13/2026Senate
  24. Rules suspended

    2/13/2026Senate
  25. Committee substitute printed 26106705D-S1

    2/12/2026Senate

Bill Text

Related Bills

Back to State Legislation