---
type: "Bill"
title: "Line of Duty Act; Virginia licensed health practitioners required to conduct medical reviews."
description: "Virginia Retirement System; Line of Duty Act;medical reviews to be conducted by Virginia practitioners. Providesthat, for any medical review of a claim made pursuant to the provisionsof the Line of Duty Act, the Virginia Retirement System shall requirethat such review be conducted by a doctor, nurse, or psychologistwho is licensed in Virginia or a contiguous state. The bill has adelayed effective date of July 1, 2023."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "SB 468"
citation: "Virginia SB 468 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bill DeSteph"]
version_count: 3
action_count: 24
vote_count: 7
first_action: "2022-01-11"
last_action: "2022-04-11"
source: "openstates"
source_identifier: "ocd-bill/64a58960-650c-4c55-b88e-455fc038e09f"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+SB468"
source_hash: "388974a7c55b141ee2c7b17349f59279a993e8c8c1ac81dbc5e2cad4fc66442a"
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 468 (2022) — Line of Duty Act; Virginia licensed health practitioners required to conduct medical reviews.

Virginia Retirement System; Line of Duty Act;medical reviews to be conducted by Virginia practitioners. Providesthat, for any medical review of a claim made pursuant to the provisionsof the Line of Duty Act, the Virginia Retirement System shall requirethat such review be conducted by a doctor, nurse, or psychologistwho is licensed in Virginia or a contiguous state. The bill has adelayed effective date of July 1, 2023.

## Version chain

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

1. **CHAP0484** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0484)
2. **Prefiled and ordered printed; offered 01/12/22 22100890D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB468)
3. **SB468ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+SB468ER)

## Votes

- Reconsideration of passage agreed to by Senate (39-Y 0-N) — **39–0** (pass) · upper
- Passed Senate (37-Y 2-N) — **37–2** (pass) · upper
- Reported from Appropriations (21-Y 0-N) — **21–0** (pass) · lower
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- Read third time and passed Senate (35-Y 3-N) — **35–3** (pass) · upper
- VOTE: Block Vote Passage (98-Y 0-N) — **97–0** (pass) · lower
- Reported from Finance and Appropriations (12-Y 4-N) — **12–4** (pass) · upper

## Sponsors

- Bill DeSteph — primary (person)
- Adam P. Ebbin — cosponsor (person)
- John A. Cosgrove, Jr. — cosponsor (person)
- Mark L. Keam — cosponsor (person)

## Timeline

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

- **2022-01-11** Prefiled and ordered printed; offered 01/12/22 22100890D `introduction`
- **2022-01-11** Referred to Committee on Finance and Appropriations `referral-committee`
- **2022-01-18** Impact statement from VRS (SB468)
- **2022-02-01** Reported from Finance and Appropriations (12-Y 4-N) `committee-passage`
- **2022-02-02** Constitutional reading dispensed (40-Y 0-N)
- **2022-02-03** Read second time and engrossed `reading-2`
- **2022-02-04** Read third time and passed Senate (35-Y 3-N) `passage, reading-3`
- **2022-02-04** Reconsideration of passage agreed to by Senate (39-Y 0-N)
- **2022-02-04** Passed Senate (37-Y 2-N) `passage`
- **2022-02-23** Placed on Calendar
- **2022-02-23** Read first time `reading-1`
- **2022-02-23** Referred to Committee on Appropriations `referral-committee`
- **2022-03-02** Reported from Appropriations (21-Y 0-N) `committee-passage`
- **2022-03-04** Read second time `reading-2`
- **2022-03-07** Read third time `reading-3`
- **2022-03-07** Passed House BLOCK VOTE (98-Y 0-N) `passage`
- **2022-03-07** VOTE: Block Vote Passage (98-Y 0-N)
- **2022-03-10** Enrolled
- **2022-03-10** Impact statement from VRS (SB468ER)
- **2022-03-10** Signed by President
- **2022-03-10** Signed by Speaker
- **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 484 (effective 7/1/23) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/64a58960-650c-4c55-b88e-455fc038e09f`. Confidence: reported (aggregated from official Virginia legislature records).