---
type: "Bill"
title: "Health director, local; qualifications."
description: "Local health director; qualifications. Amends the qualification requirements for local health directors to provide that a person may be a local health director if he possess a master's or doctoral degree in the area of public health and has at least three years of professional experience in a full-time position in either a public health agency or public health-related position or is otherwise qualified for the position as determined by the Commissioner of Health. Currently, only a person who is a physician licensed to practice medicine in the Commonwealth may be a local health director. The bill provides that if a local health director is not a physician licensed to practice medicine and there is no licensed physician on staff, the local health director shall enter into a consulting agreement with a licensed physician to execute prescribing duties, consult on clinical matters, and perform all other duties as requested."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "SB 192"
citation: "Virginia SB 192 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["T. Montgomery \"Monty\" Mason"]
version_count: 5
action_count: 47
vote_count: 10
first_action: "2022-01-10"
last_action: "2022-05-27"
source: "openstates"
source_identifier: "ocd-bill/fbfedc0f-42e3-47ef-9549-ac50dafb4e17"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+SB192"
source_hash: "8f88e78c7c3d403c7726e8e0f65ce4b5a9772721e1a827db1be5e6e88835065e"
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 SB 192 (2022) — Health director, local; qualifications.

Local health director; qualifications. Amends the qualification requirements for local health directors to provide that a person may be a local health director if he possess a master's or doctoral degree in the area of public health and has at least three years of professional experience in a full-time position in either a public health agency or public health-related position or is otherwise qualified for the position as determined by the Commissioner of Health. Currently, only a person who is a physician licensed to practice medicine in the Commonwealth may be a local health director. The bill provides that if a local health director is not a physician licensed to practice medicine and there is no licensed physician on staff, the local health director shall enter into a consulting agreement with a licensed physician to execute prescribing duties, consult on clinical matters, and perform all other duties as requested.

## Version chain

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

1. **CHAP0804** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0804)
2. **Committee substitute printed 22105409D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB192S1)
3. **Committee substitute printed 22107305D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB192H1)
4. **Prefiled and ordered printed; offered 01/12/22 22100567D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB192)
5. **SB192ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB192ER)

## Votes

- House substitute agreed to by Senate (39-Y 0-N) — **39–0** (pass) · upper
- Reported from Education and Health with substitute (15-Y 0-N) — **15–0** (pass) · upper
- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
- Senate rejected Governor's recommendation (19-Y 21-N) — **19–21** (fail) · upper
- Read third time and passed Senate (39-Y 0-N) — **39–0** (pass) · upper
- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
- Reported from Health, Welfare and Institutions with substitute (11-Y 10-N) — **11–10** (pass) · lower
- Reconsideration of passage agreed to by Senate (40-Y 0-N) — **40–0** (pass) · upper
- Subcommittee recommends reporting with substitute (5-Y 1-N) — **5–1** (pass) · lower
- VOTE: Passage (82-Y 16-N) — **81–16** (pass) · lower

## Sponsors

- T. Montgomery "Monty" Mason — primary (person)
- Mamie E. Locke — cosponsor (person)

## Timeline

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

- **2022-01-10** Prefiled and ordered printed; offered 01/12/22 22100567D `introduction`
- **2022-01-10** Referred to Committee on Education and Health `referral-committee`
- **2022-01-14** Assigned Education sub: Health `referral-committee`
- **2022-01-26** Impact statement from DPB (SB192)
- **2022-01-27** Senate committee, floor amendments and substitutes offered
- **2022-01-27** Reported from Education and Health with substitute (15-Y 0-N) `committee-passage`
- **2022-01-27** Incorporates SB617 (Locke)
- **2022-01-27** Committee substitute printed 22105409D-S1 `substitution`
- **2022-01-28** Constitutional reading dispensed (39-Y 0-N)
- **2022-01-31** Read second time `reading-2`
- **2022-01-31** Reading of substitute waived
- **2022-01-31** Committee substitute agreed to 22105409D-S1
- **2022-01-31** Engrossed by Senate - committee substitute SB192S1
- **2022-02-01** Read third time and passed Senate (39-Y 0-N) `passage, reading-3`
- **2022-02-01** Reconsideration of passage agreed to by Senate (40-Y 0-N)
- **2022-02-01** Passed Senate (40-Y 0-N) `passage`
- **2022-02-17** Impact statement from DPB (SB192S1)
- **2022-02-22** Placed on Calendar
- **2022-02-22** Read first time `reading-1`
- **2022-02-22** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2022-02-22** Assigned HWI sub: Subcommittee #3 `referral-committee`
- **2022-02-23** Senate subcommittee amendments and substitutes offered
- **2022-03-01** Subcommittee recommends reporting with substitute (5-Y 1-N)
- **2022-03-01** Reported from Health, Welfare and Institutions with substitute (11-Y 10-N) `committee-passage`
- **2022-03-01** Committee substitute printed 22107305D-H1 `substitution`
- **2022-03-02** Impact statement from DPB (SB192H1)
- **2022-03-03** Read second time `reading-2`
- **2022-03-04** Passed by for the day
- **2022-03-07** Passed by for the day
- **2022-03-08** Read third time `reading-3`
- **2022-03-08** Committee substitute agreed to 22107305D-H1
- **2022-03-08** Engrossed by House - committee substitute SB192H1
- **2022-03-08** Passed House with substitute (82-Y 16-N) `passage`
- **2022-03-08** VOTE: Passage (82-Y 16-N)
- **2022-03-09** House substitute agreed to by Senate (39-Y 0-N)
- **2022-03-09** Title replaced 22107305D-H1
- **2022-03-11** Enrolled
- **2022-03-11** Signed by President
- **2022-03-11** Signed by Speaker
- **2022-03-14** Impact statement from DPB (SB192ER)
- **2022-03-22** Enrolled Bill Communicated to Governor on March 22, 2022
- **2022-03-22** Governor's Action Deadline 11:59 p.m., April 11, 2022
- **2022-04-11** Governor's recommendation received by Senate
- **2022-04-27** Senate rejected Governor's recommendation (19-Y 21-N)
- **2022-04-27** Communicated to Governor on April 27, 2022
- **2022-04-27** Governor's Action Deadline 11:59 p.m., May 27, 2022
- **2022-05-27** Approved by Governor-Chapter 804 (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/fbfedc0f-42e3-47ef-9549-ac50dafb4e17`. Confidence: reported (aggregated from official Virginia legislature records).