---
type: "Bill"
title: "Health carriers; licensed athletic trainers."
description: "Health carriers; licensed athletic trainers. Requires health insurers and health service plan providers whose policies or contracts cover services that may be legally performed by a licensed athletic trainer to provide equal coverage for such services when rendered by a licensed athletic trainer when such services are performed in an office setting. As introduced, this bill was a recommendation of the Health Insurance Reform Commission. This bill is identical to SB 525."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "HB 45"
citation: "Virginia HB 45 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["R. Lee Ware"]
version_count: 4
action_count: 33
vote_count: 7
first_action: "2021-12-31"
last_action: "2022-04-11"
source: "openstates"
source_identifier: "ocd-bill/6450ee8b-83ec-4d5f-8801-dc93905f93de"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB45"
source_hash: "a3f33d354060ed658647a8b737845c34b2a08b415d586d44c25eeb52b3c4d35a"
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 45 (2022) — Health carriers; licensed athletic trainers.

Health carriers; licensed athletic trainers. Requires health insurers and health service plan providers whose policies or contracts cover services that may be legally performed by a licensed athletic trainer to provide equal coverage for such services when rendered by a licensed athletic trainer when such services are performed in an office setting. As introduced, this bill was a recommendation of the Health Insurance Reform Commission. This bill is identical to SB 525.

## Version chain

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

1. **CHAP0440** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0440)
2. **HB45ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB45ER)
3. **Prefiled and ordered printed; offered 01/12/22 22101946D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB45)
4. **Printed as engrossed 22101946D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB45E)

## Votes

- Reported from Commerce and Labor with amendments (14-Y 1-N) — **14–1** (pass) · upper
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- VOTE: Passage (86-Y 13-N) — **85–13** (pass) · lower
- Reported from Commerce and Energy with amendment(s) (18-Y 3-N) — **18–3** (pass) · lower
- VOTE: Adoption (88-Y 10-N) — **87–10** (pass) · lower
- Subcommittee recommends reporting with amendments (7-Y 3-N) — **7–3** (pass) · lower
- Passed Senate with amendments (39-Y 1-N) — **39–1** (pass) · upper

## Sponsors

- R. Lee Ware — primary (person)

## Timeline

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

- **2021-12-31** Prefiled and ordered printed; offered 01/12/22 22101946D `introduction`
- **2021-12-31** Referred to Committee on Commerce and Energy `referral-committee`
- **2022-01-12** Impact statement from SCC (HB45)
- **2022-01-18** Assigned sub: Subcommittee #2 `referral-committee`
- **2022-01-20** House subcommittee amendments and substitutes offered
- **2022-01-20** Subcommittee recommends reporting with amendments (7-Y 3-N)
- **2022-01-25** Reported from Commerce and Energy with amendment(s) (18-Y 3-N) `committee-passage`
- **2022-01-27** Read first time `reading-1`
- **2022-01-28** Read second time `reading-2`
- **2022-01-28** Committee amendment agreed to
- **2022-01-28** Engrossed by House as amended HB45E
- **2022-01-28** Printed as engrossed 22101946D-E
- **2022-01-31** Read third time and passed House (86-Y 13-N) `passage, reading-3`
- **2022-01-31** VOTE: Passage (86-Y 13-N)
- **2022-02-01** Constitutional reading dispensed
- **2022-02-01** Referred to Committee on Commerce and Labor `referral-committee`
- **2022-02-07** Impact statement from SCC (HB45E)
- **2022-02-21** Reported from Commerce and Labor with amendments (14-Y 1-N) `committee-passage`
- **2022-02-23** Constitutional reading dispensed (40-Y 0-N)
- **2022-02-24** Read third time `reading-3`
- **2022-02-24** Reading of amendments waived
- **2022-02-24** Committee amendments agreed to
- **2022-02-24** Engrossed by Senate as amended
- **2022-02-24** Passed Senate with amendments (39-Y 1-N) `passage`
- **2022-02-28** Senate amendments agreed to by House (88-Y 10-N)
- **2022-02-28** VOTE: Adoption (88-Y 10-N)
- **2022-03-02** Enrolled
- **2022-03-02** Signed by Speaker
- **2022-03-03** Signed by President
- **2022-03-03** Impact statement from SCC (HB45ER)
- **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
- **2022-04-11** Approved by Governor-Chapter 440 (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/6450ee8b-83ec-4d5f-8801-dc93905f93de`. Confidence: reported (aggregated from official Virginia legislature records).