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---
type: "Bill"
title: "Medicare patients; patient notice of observation or outpatient status."
description: "Provides that, for Medicare patients placed in observation or outpatient status, any hospital that provides a written notice and an oral explanation of such notice to the patient that satisfies the federal requirements for such notice shall be deemed to have satisfied Virginia's requirements for such notice. The bill also extends the timeframe for the provision of the notice required by current law from 24 hours to 36 hours. This bill incorporates"
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2018"
identifier: "SB 269"
citation: "Virginia SB 269 (2018)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["Richard H. Black"]
version_count: 3
action_count: 19
vote_count: 7
first_action: "2018-01-05"
last_action: "2018-03-05"
source: "openstates"
source_identifier: "ocd-bill/03ecbc3c-8d7c-41cd-b13d-fdbf33a2d44c"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?181+sum+SB269"
source_hash: "d58d1e97f9842fbb7f1d14cdad5e13c3bbb9f7bcc32a2be6fdcc286363537e89"
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 269 (2018) — Medicare patients; patient notice of observation or outpatient status.
Provides that, for Medicare patients placed in observation or outpatient status, any hospital that provides a written notice and an oral explanation of such notice to the patient that satisfies the federal requirements for such notice shall be deemed to have satisfied Virginia's requirements for such notice. The bill also extends the timeframe for the provision of the notice required by current law from 24 hours to 36 hours. This bill incorporates
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Senate: Bill text as passed Senate and House (SB269ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+SB269ER)
2. **Senate: Committee substitute printed 18104911D-S1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+SB269S1)
3. **Senate: Prefiled and ordered printed; offered 01/10/18 18100970D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+SB269)
## Votes
- Reconsideration of passage agreed to by Senate — **400** (pass) · legislature
- Read third time and passed Senate — **400** (pass) · legislature
- Reported from Health, Welfare and Institutions — **211** (pass) · legislature
- Constitutional reading dispensed — **390** (pass) · legislature
- Passed Senate — **391** (pass) · legislature
- Reported from Education and Health with substitute — **150** (pass) · legislature
- Passed House — **1000** (pass) · legislature
## Sponsors
- Richard H. Black — primary (person)
- George L. Barker (incorporated chief co-patron) — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2018-01-05** Prefiled and ordered printed; offered 01/10/18 18100970D `introduction`
- **2018-01-05** Referred to Committee on Education and Health `referral-committee`
- **2018-01-11** Incorporates SB281 (Barker)
- **2018-01-15** Read second time `reading-2`
- **2018-01-15** Reading of substitute waived
- **2018-01-15** Committee substitute agreed to 18104911D-S1
- **2018-01-15** Engrossed by Senate - committee substitute SB269S1
- **2018-01-18** Placed on Calendar
- **2018-01-18** Read first time `reading-1`
- **2018-01-18** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2018-02-19** Read second time `reading-2`
- **2018-02-20** Read third time `reading-3`
- **2018-02-20** Passed House (100-Y 0-N) `passage`
- **2018-02-22** Enrolled
- **2018-02-22** Signed by Speaker
- **2018-02-23** Signed by President
- **2018-02-26** Enrolled Bill Communicated to Governor on February 26, 2018
- **2018-02-26** Governor's Action Deadline Midnight, March 5, 2018
- **2018-03-05** Approved by Governor-Chapter 194 (effective 7/1/18) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/03ecbc3c-8d7c-41cd-b13d-fdbf33a2d44c`. Confidence: reported (aggregated from official Virginia legislature records).