---
type: "Bill"
title: "Fluoride varnish; possession and administration by medical assistants, etc."
description: "Medical assistants; administration of fluoride varnish. Allows an authorized agent of a doctor of medicine, osteopathic medicine, or dentistry to possess and administer topical fluoride varnish pursuant to an oral or written order or a standing protocol issued by a doctor of medicine, osteopathic medicine, or dentistry. This bill is identical to SB 239."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2020"
identifier: "HB 299"
citation: "Virginia HB 299 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Mark D. Sickles"]
version_count: 4
action_count: 29
vote_count: 7
first_action: "2019-12-30"
last_action: "2020-03-02"
source: "openstates"
source_identifier: "ocd-bill/69a588cc-f2e2-468f-96e9-654153c3803a"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+HB299"
source_hash: "ef5cb837809419f913d07980d1b4ce33ac81905319d4fcda96ce5bbf8ad59892"
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 299 (2020) — Fluoride varnish; possession and administration by medical assistants, etc.

Medical assistants; administration of fluoride varnish. Allows an authorized agent of a doctor of medicine, osteopathic medicine, or dentistry to possess and administer topical fluoride varnish pursuant to an oral or written order or a standing protocol issued by a doctor of medicine, osteopathic medicine, or dentistry. This bill is identical to SB 239.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Acts of Assembly Chapter text (CHAP0039)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP0039)
2. **Bill text as passed House and Senate (HB299ER)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB299ER)
3. **Engrossed by House as amended HB299E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB299E)
4. **Impact statement from DPB (HB299)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB299)

## Votes

- VOTE: (99-Y 0-N) — **98–0** (pass) · lower
- Reported from Health, Welfare and Institutions with amendments (22-Y 0-N) — **22–0** (pass) · lower
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- Passed Senate (38-Y 2-N) — **38–2** (pass) · upper
- Reconsideration of Senate passage agreed to by Senate (39-Y 1-N) — **39–1** (pass) · upper
- Passed Senate (37-Y 3-N) — **37–3** (pass) · upper
- Reported from Education and Health (14-Y 1-N) — **14–1** (pass) · upper

## Sponsors

- Mark D. Sickles — primary (person)
- Marcia S. "Cia" Price — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-12-30** Prefiled and ordered printed; offered 01/08/20 20103995D `introduction`
- **2019-12-30** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2020-01-13** Impact statement from DPB (HB299)
- **2020-01-21** House committee, floor amendments and substitutes offered
- **2020-01-21** Reported from Health, Welfare and Institutions with amendments (22-Y 0-N) `committee-passage`
- **2020-01-23** Read first time `reading-1`
- **2020-01-24** Read second time `reading-2`
- **2020-01-24** Committee amendments agreed to
- **2020-01-24** Engrossed by House as amended HB299E
- **2020-01-24** Printed as engrossed 20103995D-E
- **2020-01-27** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
- **2020-01-27** VOTE: (99-Y 0-N)
- **2020-01-28** Constitutional reading dispensed
- **2020-01-28** Referred to Committee on Education and Health `referral-committee`
- **2020-01-30** Impact statement from DPB (HB299E)
- **2020-02-13** Reported from Education and Health (14-Y 1-N) `committee-passage`
- **2020-02-14** Constitutional reading dispensed (40-Y 0-N)
- **2020-02-17** Read third time `reading-3`
- **2020-02-17** Passed by temporarily
- **2020-02-17** Passed Senate (37-Y 3-N) `passage`
- **2020-02-17** Reconsideration of Senate passage agreed to by Senate (39-Y 1-N)
- **2020-02-17** Passed Senate (38-Y 2-N) `passage`
- **2020-02-19** Enrolled
- **2020-02-19** Impact statement from DPB (HB299ER)
- **2020-02-19** Signed by Speaker
- **2020-02-20** Signed by President
- **2020-02-24** Enrolled Bill communicated to Governor on February 24, 2020
- **2020-02-24** Governor's Action Deadline 11:59 p.m., March 2, 2020
- **2020-03-02** Approved by Governor-Chapter 39 (effective 7/1/20) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/69a588cc-f2e2-468f-96e9-654153c3803a`. Confidence: reported (aggregated from official Virginia legislature records).