---
type: "Bill"
title: "Physician assistants; practice."
description: "Practice of physician assistants. Removesthe requirement that physician assistants appointed as medical examinerspractice as part of a patient care team. For hospice program licensing,the bill adds physician assistants to the list of hospice personnelwho may be part of a medically directed interdisciplinary team. Thebill removes a reference to physician assistants in the definitionof patient care team podiatrist. Finally, the bill permits physicianassistants working in the field of orthopedics as part of a patientcare team to utilize fluoroscopy for guidance of diagnostic and therapeuticprocedures, provided other requirements are met."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "HB 145"
citation: "Virginia HB 145 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Christopher T. Head"]
version_count: 4
action_count: 30
vote_count: 6
first_action: "2022-01-07"
last_action: "2022-04-07"
source: "openstates"
source_identifier: "ocd-bill/4ef991f9-412a-49a8-aa76-80a3683c72de"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB145"
source_hash: "8a95ea1406bc6098d32cc9922aa295cb00af0c6634a008c8ac3c8548827baf91"
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 145 (2022) — Physician assistants; practice.

Practice of physician assistants. Removesthe requirement that physician assistants appointed as medical examinerspractice as part of a patient care team. For hospice program licensing,the bill adds physician assistants to the list of hospice personnelwho may be part of a medically directed interdisciplinary team. Thebill removes a reference to physician assistants in the definitionof patient care team podiatrist. Finally, the bill permits physicianassistants working in the field of orthopedics as part of a patientcare team to utilize fluoroscopy for guidance of diagnostic and therapeuticprocedures, provided other requirements are met.

## Version chain

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

1. **CHAP0151** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0151)
2. **HB145ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB145ER)
3. **Prefiled and ordered printed; offered 01/12/22 22101644D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB145)
4. **Printed as engrossed 22101644D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB145E)

## Votes

- Subcommittee recommends reporting with substitute (9-Y 0-N) — **9–0** (pass) · lower
- VOTE: Block Vote Passage (99-Y 0-N) — **98–0** (pass) · lower
- Reported from Health, Welfare and Institutions with amendment(s) (22-Y 0-N) — **22–0** (pass) · lower
- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper
- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper

## Sponsors

- Christopher T. Head — primary (person)

## Timeline

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

- **2022-01-07** Prefiled and ordered printed; offered 01/12/22 22101644D `introduction`
- **2022-01-07** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2022-01-13** Impact statement from DPB (HB145)
- **2022-01-18** Assigned HWI sub: Subcommittee #2 `referral-committee`
- **2022-01-20** Subcommittee recommends reporting with substitute (9-Y 0-N)
- **2022-01-25** House committee, floor amendments and substitutes offered
- **2022-01-25** Reported from Health, Welfare and Institutions with amendment(s) (22-Y 0-N) `committee-passage`
- **2022-01-27** Read first time `reading-1`
- **2022-01-28** Read second time `reading-2`
- **2022-01-28** Committee amendments agreed to
- **2022-01-28** Engrossed by House as amended HB145E
- **2022-01-28** Printed as engrossed 22101644D-E
- **2022-01-31** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
- **2022-01-31** VOTE: Block Vote Passage (99-Y 0-N)
- **2022-02-01** Impact statement from DPB (HB145E)
- **2022-02-01** Constitutional reading dispensed
- **2022-02-01** Referred to Committee on Education and Health `referral-committee`
- **2022-02-16** Assigned Education sub: Health Professions `referral-committee`
- **2022-02-18** Read second time `reading-2`
- **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 (HB145ER)
- **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 151 (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/4ef991f9-412a-49a8-aa76-80a3683c72de`. Confidence: reported (aggregated from official Virginia legislature records).