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---
type: "Bill"
title: "Out-of-state emergency medical services providers; authorized to provide service in Commonwealth."
description: "Authorizes an emergency medical services provider who holds a valid license or certification in a state that borders the Commonwealth to provide emergency medical services in the Commonwealth if such services are provided at a widely attended event open to the public and, due to the expected number of attendees, the anticipated need for emergency medical services at the event is beyond the capacity of local emergency medical services providers. The bill requires that notice and certain information be provided to the Commissioner of Health. The bill provides that any out-of-state emergency medical services provider who holds a license or certification in a state that has entered into an interstate compact of which the Commonwealth is a member or any other interstate agreement with the Commonwealth regarding emergency medical services providers will be governed by the provisions of such compact or agreement."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2018"
identifier: "SB 703"
citation: "Virginia SB 703 (2018)"
classification: ["bill"]
subjects: ["Emergency Services and Vehicles", "Health"]
status: "enacted"
primary_sponsors: ["Frank M. Ruff, Jr."]
version_count: 3
action_count: 20
vote_count: 5
first_action: "2018-01-10"
last_action: "2018-03-05"
source: "openstates"
source_identifier: "ocd-bill/3c38b826-1c43-4546-bb71-1daaf652d175"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?181+sum+SB703"
source_hash: "1f84a0785df083a433c71b06d55805b37ea43c5881394b583314dd8341bc514f"
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 703 (2018) — Out-of-state emergency medical services providers; authorized to provide service in Commonwealth.
Authorizes an emergency medical services provider who holds a valid license or certification in a state that borders the Commonwealth to provide emergency medical services in the Commonwealth if such services are provided at a widely attended event open to the public and, due to the expected number of attendees, the anticipated need for emergency medical services at the event is beyond the capacity of local emergency medical services providers. The bill requires that notice and certain information be provided to the Commissioner of Health. The bill provides that any out-of-state emergency medical services provider who holds a license or certification in a state that has entered into an interstate compact of which the Commonwealth is a member or any other interstate agreement with the Commonwealth regarding emergency medical services providers will be governed by the provisions of such compact or agreement.
## 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 (SB703ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+SB703ER)
2. **Senate: Prefiled and ordered printed; offered 01/10/18 18102684D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+SB703)
3. **Senate: Printed as engrossed 18102684D-E** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?181+ful+SB703E)
## Votes
- Reported from Education and Health with amendment — **150** (pass) · legislature
- Read third time and passed Senate — **390** (pass) · legislature
- Reported from Health, Welfare and Institutions — **220** (pass) · legislature
- Constitutional reading dispensed — **350** (pass) · legislature
- Passed House BLOCK VOTE — **1000** (pass) · legislature
## Sponsors
- Frank M. Ruff, Jr. — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2018-01-10** Prefiled and ordered printed; offered 01/10/18 18102684D `introduction`
- **2018-01-10** Referred to Committee on Education and Health `referral-committee`
- **2018-01-22** Assigned Education sub: Health `referral-committee`
- **2018-01-29** Read second time `reading-2`
- **2018-01-29** Reading of amendment waived
- **2018-01-29** Committee amendment agreed to
- **2018-01-29** Engrossed by Senate as amended SB703E
- **2018-01-29** Printed as engrossed 18102684D-E
- **2018-02-05** Placed on Calendar
- **2018-02-05** Read first time `reading-1`
- **2018-02-05** 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 BLOCK VOTE (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 196 (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/3c38b826-1c43-4546-bb71-1daaf652d175`. Confidence: reported (aggregated from official Virginia legislature records).