---
type: "Bill"
title: "Health insurance; reimbursement for services rendered by certain practitioners, etc."
description: "Health insurance; reimbursement for services rendered by certain practitioners other than physicians. Requires health insurers and health service plan providers whose policies or contracts cover services that may be legally performed by a licensed certified midwife or licensed midwife to provide equal coverage for such services. The bill requires the reimbursement for a service provided by a licensed certified midwife or licensed midwife to be in the same amount as the reimbursement paid under the policy to a certified nurse midwife performing such service in the area served, subject to certain conditions."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2025"
identifier: "HB 1923"
citation: "Virginia HB 1923 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jeion A. Ward"]
version_count: 7
action_count: 55
vote_count: 16
first_action: "2025-01-06"
last_action: "2025-05-02"
source: "openstates"
source_identifier: "ocd-bill/1c58332f-231b-484a-95bb-baf4f51137fb"
source_url: "https://lis.virginia.gov/bill-details/20251/HB1923"
source_hash: "b975748e423a5940ee46e47088f97e8376202b7e52d465dc92d5cc5d18d51374"
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 1923 (2025) — Health insurance; reimbursement for services rendered by certain practitioners, etc.

Health insurance; reimbursement for services rendered by certain practitioners other than physicians. Requires health insurers and health service plan providers whose policies or contracts cover services that may be legally performed by a licensed certified midwife or licensed midwife to provide equal coverage for such services. The bill requires the reimbursement for a service provided by a licensed certified midwife or licensed midwife to be in the same amount as the reimbursement paid under the policy to a certified nurse midwife performing such service in the area served, subject to certain conditions.

## 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/1014045.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1079943.PDF)
3. **Commerce and Labor Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1046153.PDF)
4. **Conference Report** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1066667.HTML)
5. **Governor's Recommendation** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1073874.HTML)
6. **Labor and Commerce Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1025095.PDF)
7. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1068832.PDF)

## Votes

- Reported from Appropriations (22-Y 0-N) — **22–0** (pass) · lower
- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
- Passed in enrolled form (70-Y 24-N) — **70–24** (pass) · lower
- House rejected Governor's recommendation (14-Y 81-N) — **14–81** (fail) · lower
- Reported from Commerce and Labor with substitute (15-Y 0-N) — **15–0** (pass) · upper
- Conference report agreed to by House (96-Y 0-N) — **96–0** (pass) · lower
- Subcommittee recommends reporting with substitute and rereferred to Appropriations (5-Y 2-N) — **5–2** (pass) · lower
- Passed House (99-Y 0-N) — **99–0** (pass) · lower
- Subcommittee recommends reporting (6-Y 0-N) — **6–0** (pass) · lower
- Senate substitute rejected by House (0-Y 96-N) — **0–96** (fail) · lower
- Senate insisted on amendment (39-Y 0-N) — **39–0** (pass) · upper
- Senate insisted on substitute (40-Y 0-N) — **40–0** (pass) · upper
- Reported from Labor and Commerce with substitute and rereferred to Appropriations (22-Y 0-N) — **22–0** (pass) · lower
- Constitutional reading dispensed (on 2nd reading) (39-Y 0-N) — **39–0** (pass) · upper
- Read third time and passed House (97-Y 0-N) — **97–0** (pass) · lower
- Conference report agreed to by Senate (40-Y 0-N) — **40–0** (pass) · upper

## Sponsors

- Jeion A. Ward — primary (person)
- Adele Y. McClure — cosponsor (person)
- Bonita G. Anthony — cosponsor (person)
- Candi Mundon King — cosponsor (person)
- Chris Obenshain — cosponsor (person)
- Dan I. Helmer — cosponsor (person)
- Delores L. McQuinn — cosponsor (person)
- Destiny LeVere Bolling — cosponsor (person)
- Elizabeth B. Bennett-Parker — cosponsor (person)
- Ian T. Lovejoy — cosponsor (person)
- Karen Keys-Gamarra — cosponsor (person)
- Kelly K. Convirs-Fowler — cosponsor (person)
- Marty Martinez — cosponsor (person)
- Michael B. Feggans — cosponsor (person)
- Michael J. Jones — cosponsor (person)
- Michelle Lopes Maldonado — cosponsor (person)
- Nadarius E. Clark — cosponsor (person)
- Rae Cousins — cosponsor (person)
- Rodney T. Willett — cosponsor (person)
- Rozia A. Henson, Jr. — cosponsor (person)
- Sam Rasoul — cosponsor (person)
- Wren M. Williams — cosponsor (person)

## Timeline

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

- **2025-01-06** Prefiled and ordered printed; Offered 01-13-2025 25100572D `filing, introduction`
- **2025-01-06** Referred to Committee on Labor and Commerce `referral-committee`
- **2025-01-14** Assigned L & C sub: Subcommittee #1 `referral-committee`
- **2025-01-21** Subcommittee recommends reporting with substitute and referred to Appropriations (5-Y 2-N) `substitution`
- **2025-01-23** Reported from Labor and Commerce with substitute and referred to Appropriations (22-Y 0-N) `committee-passage`
- **2025-01-23** Committee substitute printed 25105490D-H1 `substitution`
- **2025-01-24** Assigned Approps sub: Health & Human Resources `referral-committee`
- **2025-01-29** Subcommittee recommends reporting (6-Y 0-N)
- **2025-01-31** Reported from Appropriations (22-Y 0-N) `committee-passage`
- **2025-02-02** Read first time `reading-1`
- **2025-02-03** Read second time `reading-2`
- **2025-02-03** Labor and Commerce Substitute agreed to
- **2025-02-03** Engrossed by House - committee substitute `substitution`
- **2025-02-04** Read third time and passed House (97-Y 0-N) `passage, reading-3`
- **2025-02-04** Reconsideration of passage agreed to by House
- **2025-02-04** Passed House (99-Y 0-N) `passage`
- **2025-02-05** Constitutional reading dispensed (on 1st reading)
- **2025-02-05** Referred to Committee on Commerce and Labor `referral-committee`
- **2025-02-10** Reported from Commerce and Labor with substitute (15-Y 0-N) `committee-passage`
- **2025-02-10** Committee substitute printed 25107039D-S1 `substitution`
- **2025-02-12** Rules suspended
- **2025-02-12** Constitutional reading dispensed (on 2nd reading) (39-Y 0-N)
- **2025-02-12** Passed by for the day
- **2025-02-13** Read third time `reading-3`
- **2025-02-13** Reading of substitute waived
- **2025-02-13** Commerce and Labor Substitute agreed to
- **2025-02-13** Engrossed by Senate - committee substitute `substitution`
- **2025-02-13** Passed Senate with substitute (40-Y 0-N) `passage`
- **2025-02-17** Senate substitute rejected by House (0-Y 96-N)
- **2025-02-18** Senate insisted on substitute (40-Y 0-N) `substitution`
- **2025-02-18** Senate requested conference committee `referral-committee`
- **2025-02-19** House acceded to request
- **2025-02-19** Conferees appointed by House
- **2025-02-19** Delegates: Ward, Mundon King, Webert
- **2025-02-20** Conferees appointed by Senate
- **2025-02-20** Senators: Surovell, Locke, Stanley
- **2025-02-21** Amended by conference committee
- **2025-02-21** Conference report agreed to by House (96-Y 0-N) `committee-passage-favorable`
- **2025-02-21** Conference report agreed to by Senate (40-Y 0-N) `committee-passage-favorable`
- **2025-03-04** Fiscal Impact Statement from Department of Planning and Budget (HB1923)
- **2025-03-07** Enrolled `enrolled`
- **2025-03-07** Bill text as passed House and Senate (HB1923ER) `passage`
- **2025-03-07** Signed by Speaker `passage`
- **2025-03-10** Signed by President `passage`
- **2025-03-11** Enrolled Bill communicated to Governor on March 11, 2025 `enrolled, executive-receipt`
- **2025-03-11** Governor's Action Deadline 11:59 p.m., March 24, 2025 `executive-receipt`
- **2025-03-12** Fiscal Impact Statement from Department of Planning and Budget (HB1923)
- **2025-03-24** Governor's recommendation received by House `executive-veto-line-item`
- **2025-04-02** House rejected Governor's recommendation (14-Y 81-N) `veto-override-passage`
- **2025-04-02** Passed in enrolled form (70-Y 24-N) `committee-passage-favorable, enrolled`
- **2025-04-02** Passed by for the day
- **2025-04-02** Communicated to Governor
- **2025-04-02** Governor's Action Deadline 11:59 p.m., May 2, 2025 `executive-receipt`
- **2025-05-02** Approved by Governor-Chapter 695 (Effective 07/01/25) `executive-signature`
- **2025-05-02** Acts of Assembly Chapter text (CHAP0695)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1c58332f-231b-484a-95bb-baf4f51137fb`. Confidence: reported (aggregated from official Virginia legislature records).