---
type: "Bill"
title: "Health care provider panels; changes to provisions related to continuity of care."
description: "Health care provider panels; changes to provisions related to continuity of care."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2023"
identifier: "HB 2354"
citation: "Virginia HB 2354 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Orrock"]
version_count: 5
action_count: 41
vote_count: 7
first_action: "2023-01-13"
last_action: "2023-03-24"
source: "openstates"
source_identifier: "ocd-bill/241adaff-0942-4b0b-89ff-073fdff506ae"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?231+sum+HB2354"
source_hash: "8fcefac31cdaba32ec8e9665879939338557925ba86a006bb9faced89fae7c47"
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 2354 (2023) — Health care provider panels; changes to provisions related to continuity of care.

## Version chain

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

1. **CHAP0490** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+CHAP0490)
2. **Committee substitute printed 23104959D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2354H1)
3. **HB2354EH1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2354EH1)
4. **HB2354ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2354ER)
5. **Presented and ordered printed 23104322D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2354)

## Votes

- Subcommittee recommends reporting with substitute (9-Y 0-N) — **0–0** (fail) · lower
- Reported from Commerce and Labor (15-Y 0-N) — **0–0** (fail) · upper
- Constitutional reading dispensed (40-Y 0-N) — **0–0** (fail) · upper
- Passed Senate with amendments (40-Y 0-N) — **0–0** (fail) · upper
- Reported from Commerce and Energy with substitute (22-Y 0-N) — **0–0** (fail) · lower
- VOTE: Adoption (98-Y 0-N) — **0–0** (fail) · lower
- VOTE: Passage (98-Y 0-N) — **0–0** (fail) · lower

## Sponsors

- Orrock — primary (person)

## Timeline

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

- **2023-01-13** Presented and ordered printed 23104322D `introduction`
- **2023-01-13** Referred to Committee on Commerce and Energy `referral-committee`
- **2023-01-18** Assigned sub: Subcommittee #2 `referral-committee`
- **2023-01-18** Impact statement from SCC (HB2354)
- **2023-01-19** House subcommittee amendments and substitutes offered
- **2023-01-19** Subcommittee recommends reporting with substitute (9-Y 0-N) `substitution`
- **2023-01-24** Reported from Commerce and Energy with substitute (22-Y 0-N) `committee-passage`
- **2023-01-24** Committee substitute printed 23104959D-H1 `substitution`
- **2023-01-26** Read first time `reading-1`
- **2023-01-27** Passed by for the day
- **2023-01-29** Impact statement from SCC (HB2354H1)
- **2023-01-30** House committee, floor amendments and substitutes offered
- **2023-01-30** Read second time `reading-2`
- **2023-01-30** Committee substitute agreed to 23104959D-H1 `substitution`
- **2023-01-30** Passed by temporarily
- **2023-01-30** Amendments by Delegate Orrock agreed to `amendment-passage`
- **2023-01-30** Engrossed by House - committee substitute with amendments HB2354EH1 `substitution`
- **2023-01-30** Printed as engrossed 23104959D-EH1
- **2023-01-31** Read third time and passed House (98-Y 0-N) `passage, reading-3`
- **2023-01-31** VOTE: Passage (98-Y 0-N) `passage`
- **2023-02-01** Constitutional reading dispensed
- **2023-02-01** Referred to Committee on Commerce and Labor `referral-committee`
- **2023-02-07** Impact statement from SCC (HB2354EH1)
- **2023-02-13** Reported from Commerce and Labor (15-Y 0-N) `committee-passage`
- **2023-02-15** Constitutional reading dispensed (40-Y 0-N)
- **2023-02-16** Read third time `reading-3`
- **2023-02-16** Reading of amendments waived
- **2023-02-16** Amendments by Senator Saslaw agreed to `amendment-passage`
- **2023-02-16** Engrossed by Senate as amended
- **2023-02-16** Passed Senate with amendments (40-Y 0-N) `passage`
- **2023-02-20** Placed on Calendar
- **2023-02-20** Senate amendments agreed to by House (98-Y 0-N) `amendment-passage`
- **2023-02-20** VOTE: Adoption (98-Y 0-N)
- **2023-02-23** Enrolled `enrolled`
- **2023-02-23** Bill text as passed House and Senate (HB2354ER) `passage`
- **2023-02-23** Signed by Speaker `passage`
- **2023-02-25** Signed by President `passage`
- **2023-03-02** Enrolled Bill communicated to Governor on March 2, 2023 `enrolled, executive-receipt`
- **2023-03-02** Governor's Action Deadline 11:59 p.m., March 27, 2023 `executive-receipt`
- **2023-03-24** Approved by Governor-Chapter 490 (effective 1/1/24) `executive-signature`
- **2023-03-24** Acts of Assembly Chapter text (CHAP0490)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/241adaff-0942-4b0b-89ff-073fdff506ae`. Confidence: reported (aggregated from official Virginia legislature records).