---
type: "Bill"
title: "Medical assistance services; state plan, pharmacy services."
description: "Medical assistance services; state plan, pharmacy services."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2023"
identifier: "SB 1538"
citation: "Virginia SB 1538 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Pillion"]
version_count: 4
action_count: 32
vote_count: 6
first_action: "2023-01-20"
last_action: "2023-03-23"
source: "openstates"
source_identifier: "ocd-bill/3dbcf632-3ecc-42d1-b00e-4c9e83212445"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?231+sum+SB1538"
source_hash: "738b418511f041297361a5d01993584b3fff8f07b20e70b6ba26a33ffdecc783"
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 1538 (2023) — Medical assistance services; state plan, pharmacy services.

## Version chain

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

1. **CHAP0412** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+CHAP0412)
2. **Committee substitute printed 23106025D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+SB1538S1)
3. **Presented and ordered printed 23103522D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+SB1538)
4. **SB1538ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+SB1538ER)

## Votes

- VOTE: Passage (97-Y 1-N) — **0–0** (fail) · lower
- Reported from Health, Welfare and Institutions (21-Y 1-N) — **0–0** (fail) · lower
- Constitutional reading dispensed (38-Y 0-N) — **0–0** (fail) · upper
- Reported from Education and Health with substitute (15-Y 0-N) — **0–0** (fail) · upper
- Passed Senate (39-Y 0-N) — **0–0** (fail) · upper
- Constitutional reading dispensed (39-Y 0-N) — **0–0** (fail) · upper

## Sponsors

- Pillion — primary (person)

## Timeline

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

- **2023-01-20** Presented and ordered printed 23103522D `introduction`
- **2023-01-20** Referred to Committee on Education and Health `referral-committee`
- **2023-01-27** Assigned Education sub: Health `referral-committee`
- **2023-01-27** Impact statement from DPB (SB1538)
- **2023-01-31** Senate subcommittee amendments and substitutes offered
- **2023-02-02** Reported from Education and Health with substitute (15-Y 0-N) `committee-passage`
- **2023-02-02** Committee substitute printed 23106025D-S1 `substitution`
- **2023-02-03** Constitutional reading dispensed (38-Y 0-N)
- **2023-02-03** Impact statement from DPB (SB1538S1)
- **2023-02-06** Read second time `reading-2`
- **2023-02-06** Reading of substitute waived
- **2023-02-06** Committee substitute agreed to 23106025D-S1 `substitution`
- **2023-02-06** Engrossed by Senate - committee substitute SB1538S1 `substitution`
- **2023-02-06** Constitutional reading dispensed (39-Y 0-N)
- **2023-02-06** Passed Senate (39-Y 0-N) `passage`
- **2023-02-13** Placed on Calendar
- **2023-02-13** Read first time `reading-1`
- **2023-02-13** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2023-02-16** Reported from Health, Welfare and Institutions (21-Y 1-N) `committee-passage`
- **2023-02-20** Read second time `reading-2`
- **2023-02-21** Read third time `reading-3`
- **2023-02-21** Passed House (97-Y 1-N) `passage`
- **2023-02-21** VOTE: Passage (97-Y 1-N) `passage`
- **2023-02-24** Enrolled `enrolled`
- **2023-02-24** Bill text as passed Senate and House (SB1538ER) `passage`
- **2023-02-24** Signed by President `passage`
- **2023-02-24** Signed by Speaker `passage`
- **2023-02-27** Impact statement from DPB (SB1538ER)
- **2023-03-02** Enrolled Bill Communicated to Governor on March 2, 2023 `enrolled`
- **2023-03-02** Governor's Action Deadline 11:59 p.m., March 27, 2023 `executive-receipt`
- **2023-03-23** Approved by Governor-Chapter 412 (effective 7/1/23) `executive-signature`
- **2023-03-23** Acts of Assembly Chapter text (CHAP0412)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3dbcf632-3ecc-42d1-b00e-4c9e83212445`. Confidence: reported (aggregated from official Virginia legislature records).