---
type: "Bill"
title: "Hospitals; urine drug screening to include testing for fentanyl."
description: "Malcolm's Law; hospitals; urine drug screening; fentanyl. Requires hospitals with an emergency department, when conducting a urine drug screening, as defined in the bill, to assist in diagnosing a patient's condition, to include testing for fentanyl in such urine drug screening. The bill has a delayed effective date of January 1, 2026."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2025"
identifier: "HB 2742"
citation: "Virginia HB 2742 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Irene Shin"]
version_count: 6
action_count: 33
vote_count: 8
first_action: "2025-01-17"
last_action: "2025-03-21"
source: "openstates"
source_identifier: "ocd-bill/08e71ca2-f801-4f46-b0b9-657f14ced75f"
source_url: "https://lis.virginia.gov/bill-details/20251/HB2742"
source_hash: "ff533d78927abe67a4eeb9b596620f8c9c30bcd50f1da02aa464ad1306551110"
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 2742 (2025) — Hospitals; urine drug screening to include testing for fentanyl.

Malcolm's Law; hospitals; urine drug screening; fentanyl. Requires hospitals with an emergency department, when conducting a urine drug screening, as defined in the bill, to assist in diagnosing a patient's condition, to include testing for fentanyl in such urine drug screening. The bill has a delayed effective date of January 1, 2026.

## 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/1022507.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1072553.PDF)
3. **Engrossed** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1036802.PDF)
4. **HHS Sub: Health Amendments** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1031305.HTML)
5. **Health and Human Services Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1034877.HTML)
6. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1061230.PDF)

## Votes

- Reading waived (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
- Passed Senate (40-Y 0-N) — **40–0** (pass) · upper
- Passed House (99-Y 0-N) — **99–0** (pass) · lower
- Subcommittee recommends reporting with amendment(s) (8-Y 0-N) — **8–0** (pass) · lower
- Reported from Education and Health (15-Y 0-N) — **15–0** (pass) · upper
- Constitutional reading dispensed (on 2nd reading) — **39–0** (pass) · upper
- Reported from Health and Human Services with amendment(s) (21-Y 0-N) — **21–0** (pass) · lower

## Sponsors

- Irene Shin — primary (person)
- Elizabeth B. Bennett-Parker — cosponsor (person)
- Marcia S. "Cia" Price — cosponsor (person)
- W. Chad Green — cosponsor (person)

## Timeline

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

- **2025-01-17** Presented and ordered printed 25104621D `introduction`
- **2025-01-17** Referred to Committee on Health and Human Services `referral-committee`
- **2025-01-23** Fiscal Impact Statement from Department of Planning and Budget (HB2742)
- **2025-01-24** Assigned sub: Health `referral-committee`
- **2025-01-28** Subcommittee recommends reporting with amendment(s) (8-Y 0-N)
- **2025-01-30** Reported from Health and Human Services with amendment(s) (21-Y 0-N) `committee-passage`
- **2025-02-02** Read first time `reading-1`
- **2025-02-03** Read second time `reading-2`
- **2025-02-03** Health and Human Services Amendment agreed to `amendment-passage`
- **2025-02-03** Engrossed by House as amended
- **2025-02-03** Printed as engrossed 25104621D-E
- **2025-02-04** Fiscal Impact Statement from Department of Planning and Budget (HB2742)
- **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 Education and Health `referral-committee`
- **2025-02-11** Assigned Education sub: Health `referral-committee`
- **2025-02-13** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2025-02-17** Rules suspended
- **2025-02-17** Constitutional reading dispensed (on 2nd reading)
- **2025-02-17** Passed by for the day
- **2025-02-18** Read third time `reading-3`
- **2025-02-18** Passed Senate (40-Y 0-N) `passage`
- **2025-03-07** Enrolled `enrolled`
- **2025-03-07** Bill text as passed House and Senate (HB2742ER) `passage`
- **2025-03-07** Fiscal Impact Statement from Department of Planning and Budget (HB2742)
- **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`
- **2025-03-21** Approved by Governor-Chapter 238 (Effective 01/01/26) `executive-signature`
- **2025-03-21** Acts of Assembly Chapter text (CHAP0238)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/08e71ca2-f801-4f46-b0b9-657f14ced75f`. Confidence: reported (aggregated from official Virginia legislature records).