---
type: "Bill"
title: "Collaborative agreements; removes registered nurses from list of practitioners, etc."
description: "Collaborative agreements; practitioners; diagnosis. Removes registered nurses from the list of practitioners whose diagnoses may form the basis of drug therapy conducted pursuant to a collaborative agreement between a practitioner and a pharmacist."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "HB 232"
citation: "Virginia HB 232 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["H. Otto Wachsmann, Jr."]
version_count: 3
action_count: 27
vote_count: 6
first_action: "2026-01-08"
last_action: "2026-04-06"
source: "openstates"
source_identifier: "ocd-bill/fff513d7-91d4-46c5-be2c-f9eba68ced1f"
source_url: "https://lis.virginia.gov/bill-details/20261/HB232"
source_hash: "81527786c34efd7c8043325f6fa82c518cb6591ad1721ba3d829979b2e13892a"
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 232 (2026) — Collaborative agreements; removes registered nurses from list of practitioners, etc.

Collaborative agreements; practitioners; diagnosis. Removes registered nurses from the list of practitioners whose diagnoses may form the basis of drug therapy conducted pursuant to a collaborative agreement between a practitioner and a pharmacist.

## Version chain

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

1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1083195.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1216415.PDF)
3. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1194012.PDF)

## Votes

- Subcommittee recommends reporting — **10–0** (pass) · lower
- Constitutional reading dispensed (on 2nd reading) — **37–0** (pass) · upper
- H VOTE: — **96–0** (pass) · lower
- Passage R — **40–0** (pass) · upper
- Reported from Education and Health — **15–0** (pass) · upper
- Reported from Health and Human Services — **21–0** (pass) · lower

## Sponsors

- H. Otto Wachsmann, Jr. — primary (person)

## Timeline

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

- **2026-01-08** Prefiled and ordered printed; Offered 01-14-2026 26100511D `filing, introduction`
- **2026-01-08** Referred to Committee on Health and Human Services `referral-committee`
- **2026-01-16** Fiscal Impact Statement from Department of Planning and Budget (HB232)
- **2026-01-16** Assigned sub: Health Professions `referral-committee`
- **2026-02-10** Subcommittee recommends reporting (10-Y 0-N)
- **2026-02-12** Reported from Health and Human Services (21-Y 0-N) `committee-passage`
- **2026-02-15** Read first time `reading-1`
- **2026-02-16** Read second time and engrossed `reading-2`
- **2026-02-17** Read third time and passed House (97-Y 0-N 0-A) `passage, reading-3`
- **2026-02-18** Constitutional reading dispensed (on 1st reading)
- **2026-02-18** Referred to Committee on Education and Health `referral-committee`
- **2026-02-20** Assigned Education sub: Health Professions `referral-committee`
- **2026-02-26** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2026-02-27** Rules suspended
- **2026-02-27** Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)
- **2026-02-27** Passed by for the day Block Vote (Voice Vote)
- **2026-03-02** Read third time `reading-3`
- **2026-03-02** Passed Senate (40-Y 0-N 0-A) `passage`
- **2026-03-06** Enrolled `enrolled`
- **2026-03-06** Bill text as passed House and Senate (HB232ER) `passage`
- **2026-03-06** Fiscal Impact Statement from Department of Planning and Budget (HB232)
- **2026-03-06** Signed by Speaker `passage`
- **2026-03-06** Signed by President `passage`
- **2026-03-10** Enrolled Bill communicated to Governor on March 10, 2026 `enrolled, executive-receipt`
- **2026-03-10** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
- **2026-04-06** Approved by Governor-Chapter 94 (effective 7/1/2026) `executive-signature`
- **2026-04-06** Acts of Assembly Chapter text (CHAP0094)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fff513d7-91d4-46c5-be2c-f9eba68ced1f`. Confidence: reported (aggregated from official Virginia legislature records).