---
type: "Bill"
title: "Alpha-gal syndrome; Board of Health shall adopt regulations to include on reportable disease list."
description: "Alpha-gal syndrome; Board of Health; reportable disease list. Directs the Board of Health to adopt regulations to include alpha-gal syndrome on the list of diseases that shall be required to be reported in accordance with the Code of Virginia. The bill has a delayed effective date of July 1, 2025."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2024"
identifier: "HB 93"
citation: "Virginia HB 93 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["H. Otto Wachsmann, Jr."]
version_count: 4
action_count: 36
vote_count: 9
first_action: "2023-12-30"
last_action: "2024-04-04"
source: "openstates"
source_identifier: "ocd-bill/ec6f3708-3bca-4cb9-8476-9b8b7298ba02"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB93"
source_hash: "0a0eb9b8d522df2700dcb1a3934f95123722c3ab2f9d8bfa84ac7a53ee7a7292"
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 93 (2024) — Alpha-gal syndrome; Board of Health shall adopt regulations to include on reportable disease list.

Alpha-gal syndrome; Board of Health; reportable disease list. Directs the Board of Health to adopt regulations to include alpha-gal syndrome on the list of diseases that shall be required to be reported in accordance with the Code of Virginia. The bill has a delayed effective date of July 1, 2025.

## Version chain

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

1. **CHAP0375** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0375)
2. **Committee substitute printed 24106019D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB93H1)
3. **HB93ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB93ER)
4. **Prefiled and ordered printed; offered 01/10/24 24103668D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB93)

## Votes

- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
- VOTE: Block Vote Passage (96-Y 0-N) — **95–0** (pass) · lower
- Reported from Appropriations (21-Y 0-N) — **21–0** (pass) · lower
- Reported from Finance and Appropriations (14-Y 0-N) — **14–0** (pass) · upper
- Subcommittee recommends reporting (8-Y 0-N) — **8–0** (pass) · lower
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- Subcommittee recommends reporting with substitute (8-Y 0-N) — **8–0** (pass) · lower
- Reported from Health and Human Services with substitute (22-Y 0-N) — **22–0** (pass) · lower
- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper

## Sponsors

- H. Otto Wachsmann, Jr. — primary (person)
- Dan I. Helmer — cosponsor (person)
- David A. Reid — cosponsor (person)
- Joshua E. Thomas — cosponsor (person)

## Timeline

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

- **2023-12-30** Prefiled and ordered printed; offered 01/10/24 24103668D `filing, introduction`
- **2023-12-30** Referred to Committee on Health and Human Services `referral-committee`
- **2024-01-17** Assigned sub: Health `referral-committee`
- **2024-01-23** House subcommittee amendments and substitutes offered
- **2024-01-23** Subcommittee recommends reporting with substitute (8-Y 0-N) `substitution`
- **2024-01-23** Subcommittee recommends referring to Committee on Appropriations `referral-committee`
- **2024-01-25** Reported from Health and Human Services with substitute (22-Y 0-N) `committee-passage`
- **2024-01-25** Committee substitute printed 24106019D-H1 `substitution`
- **2024-01-25** Referred to Committee on Appropriations `referral-committee`
- **2024-01-26** Assigned App. sub: Health & Human Resources `referral-committee`
- **2024-01-29** Impact statement from DPB (HB93H1)
- **2024-02-02** Subcommittee recommends reporting (8-Y 0-N)
- **2024-02-05** Reported from Appropriations (21-Y 0-N) `committee-passage`
- **2024-02-07** Read first time `reading-1`
- **2024-02-08** Read second time `reading-2`
- **2024-02-08** Committee substitute agreed to 24106019D-H1 `substitution`
- **2024-02-08** Engrossed by House - committee substitute HB93H1 `substitution`
- **2024-02-09** Read third time and passed House BLOCK VOTE (96-Y 0-N) `passage, reading-3`
- **2024-02-09** VOTE: Block Vote Passage (96-Y 0-N) `passage`
- **2024-02-12** Constitutional reading dispensed
- **2024-02-12** Referred to Committee on Education and Health `referral-committee`
- **2024-02-19** Assigned Education and Health Sub: Health `referral-committee`
- **2024-02-22** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2024-02-22** Rereferred to Finance and Appropriations `referral-committee`
- **2024-02-29** Reported from Finance and Appropriations (14-Y 0-N) `committee-passage`
- **2024-03-04** Constitutional reading dispensed (40-Y 0-N)
- **2024-03-05** Read third time `reading-3`
- **2024-03-05** Passed Senate (40-Y 0-N) `passage`
- **2024-03-25** Enrolled `enrolled`
- **2024-03-25** Bill text as passed House and Senate (HB93ER) `passage`
- **2024-03-25** Signed by President `passage`
- **2024-03-26** Signed by Speaker `passage`
- **2024-03-27** Enrolled Bill communicated to Governor on March 27, 2024 `enrolled, executive-receipt`
- **2024-03-27** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
- **2024-04-04** Approved by Governor-Chapter 375 (effective 7/1/25) `executive-signature`
- **2024-04-04** Acts of Assembly Chapter text (CHAP0375)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ec6f3708-3bca-4cb9-8476-9b8b7298ba02`. Confidence: reported (aggregated from official Virginia legislature records).