Legislation: batch E — CA TN VA VT WA WI WV WY

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/va/2022/hb-286.md

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+---
+type: "Bill"
+title: "Nurse practitioners; authorized to declare death and determine cause of death."
+description: "Nurse practitioners; declaration of death andcause of death. Authorizes autonomous nurse practitioners, definedin the bill, to declare death and determine cause of death; allowsnurse practitioners who are not autonomous nurse practitioners topronounce the death of a patient in certain circumstances; and eliminatesthe requirement for a valid Do Not Resuscitate Order for the deceasedpatient for declaration of death by a registered nurse, physicianassistant, or nurse practitioner who is not an autonomous nurse practitioner."
+jurisdiction: "us/states/va"
+legislature: "Virginia General Assembly"
+session: "2022"
+identifier: "HB 286"
+citation: "Virginia HB 286 (2022)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Dawn M. Adams"]
+version_count: 4
+action_count: 30
+vote_count: 6
+first_action: "2022-01-11"
+last_action: "2022-04-07"
+source: "openstates"
+source_identifier: "ocd-bill/9e23494e-3fa8-4a45-85a6-32cbe816392e"
+source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB286"
+source_hash: "0d9a96b8cf4779d4d2484b7412307fcc328f543e7bb693a5e3a0e241616d3353"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-va"]
+---
+
+# Virginia HB 286 (2022) — Nurse practitioners; authorized to declare death and determine cause of death.
+
+Nurse practitioners; declaration of death andcause of death. Authorizes autonomous nurse practitioners, definedin the bill, to declare death and determine cause of death; allowsnurse practitioners who are not autonomous nurse practitioners topronounce the death of a patient in certain circumstances; and eliminatesthe requirement for a valid Do Not Resuscitate Order for the deceasedpatient for declaration of death by a registered nurse, physicianassistant, or nurse practitioner who is not an autonomous nurse practitioner.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **CHAP0184** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0184)
+2. **HB286ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB286ER)
+3. **Prefiled and ordered printed; offered 01/12/22 22103683D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB286)
+4. **Printed as engrossed 22103683D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB286E)
+
+## Votes
+
+- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper
+- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
+- Subcommittee recommends reporting with amendments (9-Y 0-N) — **9–0** (pass) · lower
+- Reported from Health, Welfare and Institutions with amendment(s) (22-Y 0-N) — **22–0** (pass) · lower
+- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
+- VOTE: Block Vote Passage (98-Y 0-N) — **97–0** (pass) · lower
+
+## Sponsors
+
+- Dawn M. Adams — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22103683D `introduction`
+- **2022-01-11** Referred to Committee on Health, Welfare and Institutions `referral-committee`
+- **2022-01-17** Impact statement from DPB (HB286)
+- **2022-01-18** Assigned HWI sub: Subcommittee #1 `referral-committee`
+- **2022-01-25** Subcommittee recommends reporting with amendments (9-Y 0-N)
+- **2022-01-27** Reported from Health, Welfare and Institutions with amendment(s) (22-Y 0-N) `committee-passage`
+- **2022-01-27** House committee, floor amendments and substitutes offered
+- **2022-01-27** House committee, floor amendments and substitutes offered
+- **2022-01-31** Read first time `reading-1`
+- **2022-02-01** Read second time `reading-2`
+- **2022-02-01** Committee amendments agreed to
+- **2022-02-01** Engrossed by House as amended HB286E
+- **2022-02-01** Printed as engrossed 22103683D-E
+- **2022-02-02** Read third time and passed House BLOCK VOTE (98-Y 0-N) `passage, reading-3`
+- **2022-02-02** Impact statement from DPB (HB286E)
+- **2022-02-02** VOTE: Block Vote Passage (98-Y 0-N)
+- **2022-02-03** Constitutional reading dispensed
+- **2022-02-03** Referred to Committee on Education and Health `referral-committee`
+- **2022-02-16** Assigned Education sub: Health Professions `referral-committee`
+- **2022-02-24** Reported from Education and Health (15-Y 0-N) `committee-passage`
+- **2022-02-25** Constitutional reading dispensed (39-Y 0-N)
+- **2022-02-28** Read third time `reading-3`
+- **2022-02-28** Passed Senate (40-Y 0-N) `passage`
+- **2022-03-02** Enrolled
+- **2022-03-02** Signed by Speaker
+- **2022-03-03** Impact statement from DPB (HB286ER)
+- **2022-03-03** Signed by President
+- **2022-03-11** Enrolled Bill communicated to Governor on March 11, 2022
+- **2022-03-11** Governor's Action Deadline 11:59 p.m., April 11, 2022
+- **2022-04-07** Approved by Governor-Chapter 184 (effective 7/1/22) `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9e23494e-3fa8-4a45-85a6-32cbe816392e`. Confidence: reported (aggregated from official Virginia legislature records).
+