---
type: "Bill"
title: "Nurse practitioners; patient care team physician supervision capacity increased."
description: "Nurse practitioners; patient care team physician supervision capacity increased. Allows a physician to serve as a patient care team physician on a patient care team with up to 10 nurse practitioners licensed in the category of psychiatric-mental health nurse practitioner. The bill retains, in all other cases, the existing provision that a physician may serve as a patient care team physician on a patient care team with no more than six nurse practitioners."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "SB 414"
citation: "Virginia SB 414 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jennifer A. Kiggans"]
version_count: 4
action_count: 32
vote_count: 6
first_action: "2022-01-11"
last_action: "2022-04-11"
source: "openstates"
source_identifier: "ocd-bill/155d807a-449c-4dc0-a4de-5d616c5a5902"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+SB414"
source_hash: "f343a930097562dc06a0a58c189f559d9923ef95eeee05b25d0a3c2100d6eee2"
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 414 (2022) — Nurse practitioners; patient care team physician supervision capacity increased.

Nurse practitioners; patient care team physician supervision capacity increased. Allows a physician to serve as a patient care team physician on a patient care team with up to 10 nurse practitioners licensed in the category of psychiatric-mental health nurse practitioner. The bill retains, in all other cases, the existing provision that a physician may serve as a patient care team physician on a patient care team with no more than six nurse practitioners.

## Version chain

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

1. **CHAP0667** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0667)
2. **Prefiled and ordered printed; offered 01/12/22 22100912D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB414)
3. **Printed as engrossed 22100912D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB414E)
4. **SB414ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB414ER)

## Votes

- Constitutional reading dispensed (35-Y 0-N) — **35–0** (pass) · upper
- VOTE: Passage (96-Y 3-N) — **95–3** (pass) · lower
- Reported from Health, Welfare and Institutions with amendment(s) (21-Y 1-N) — **21–1** (pass) · lower
- House amendments agreed to by Senate (40-Y 0-N) — **40–0** (pass) · upper
- Read third time and passed Senate (40-Y 0-N) — **40–0** (pass) · upper
- Reported from Education and Health with amendment (15-Y 0-N) — **15–0** (pass) · upper

## Sponsors

- Jennifer A. Kiggans — primary (person)

## Timeline

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

- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22100912D `introduction`
- **2022-01-11** Referred to Committee on Education and Health `referral-committee`
- **2022-01-21** Impact statement from DPB (SB414)
- **2022-01-25** Assigned Education sub: Health Professions `referral-committee`
- **2022-01-28** Senate subcommittee amendments and substitutes offered
- **2022-02-03** Reported from Education and Health with amendment (15-Y 0-N) `committee-passage`
- **2022-02-04** Constitutional reading dispensed (35-Y 0-N)
- **2022-02-07** Read second time `reading-2`
- **2022-02-07** Reading of amendment waived
- **2022-02-07** Committee amendment agreed to
- **2022-02-07** Engrossed by Senate as amended SB414E
- **2022-02-07** Printed as engrossed 22100912D-E
- **2022-02-08** Impact statement from DPB (SB414E)
- **2022-02-08** Read third time and passed Senate (40-Y 0-N) `passage, reading-3`
- **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`
- **2022-02-24** Reported from Health, Welfare and Institutions with amendment(s) (21-Y 1-N) `committee-passage`
- **2022-02-28** Read second time `reading-2`
- **2022-03-01** Read third time `reading-3`
- **2022-03-01** Committee amendments agreed to
- **2022-03-01** Engrossed by House as amended
- **2022-03-01** Passed House with amendments (96-Y 3-N) `passage`
- **2022-03-01** VOTE: Passage (96-Y 3-N)
- **2022-03-03** House amendments agreed to by Senate (40-Y 0-N)
- **2022-03-08** Enrolled
- **2022-03-08** Signed by President
- **2022-03-08** Signed by Speaker
- **2022-03-09** Impact statement from DPB (SB414ER)
- **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** Approved by Governor-Chapter 667 (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/155d807a-449c-4dc0-a4de-5d616c5a5902`. Confidence: reported (aggregated from official Virginia legislature records).