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---
type: "Bill"
title: "Chiropractic, practice of; clarifies definition."
description: "Practice of chiropractic; definition. Clarifies the definition of \"practice of chiropractic\" to make clear that a doctor of chiropractic may (i) request, receive, and review a patient's medical and physical history, including information related to past surgical and nonsurgical treatment of the patient and controlled substances prescribed to the patient, and (ii) document in a patient's record information related to the condition and symptoms of the patient, the examination and evaluation of the patient made by the doctor of chiropractic, and the treatment provided to the patient by the doctor of chiropractic."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2020"
identifier: "HB 385"
citation: "Virginia HB 385 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Mark D. Sickles"]
version_count: 4
action_count: 27
vote_count: 5
first_action: "2020-01-02"
last_action: "2020-03-18"
source: "openstates"
source_identifier: "ocd-bill/217b4d1f-1aec-404f-b47d-71ba8c77a6f8"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+HB385"
source_hash: "a5621306e6667c9fdcf282a9540daea3efc3c1beadde668d9db45397f206943a"
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 385 (2020) — Chiropractic, practice of; clarifies definition.
Practice of chiropractic; definition. Clarifies the definition of "practice of chiropractic" to make clear that a doctor of chiropractic may (i) request, receive, and review a patient's medical and physical history, including information related to past surgical and nonsurgical treatment of the patient and controlled substances prescribed to the patient, and (ii) document in a patient's record information related to the condition and symptoms of the patient, the examination and evaluation of the patient made by the doctor of chiropractic, and the treatment provided to the patient by the doctor of chiropractic.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Acts of Assembly Chapter text (CHAP0357)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP0357)
2. **Bill text as passed House and Senate (HB385ER)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB385ER)
3. **Engrossed by House as amended HB385E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB385E)
4. **Impact statement from DPB (HB385)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB385)
## Votes
- Constitutional reading dispensed (32-Y 0-N) — **320** (pass) · upper
- VOTE: Block Vote Passage (99-Y 0-N) — **980** (pass) · lower
- Passed Senate (40-Y 0-N) — **400** (pass) · upper
- Reported from Health, Welfare and Institutions with amendment (22-Y 0-N) — **220** (pass) · lower
- Reported from Education and Health (15-Y 0-N) — **150** (pass) · upper
## Sponsors
- Mark D. Sickles — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2020-01-02** Prefiled and ordered printed; offered 01/08/20 20101873D `introduction`
- **2020-01-02** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2020-01-13** Impact statement from DPB (HB385)
- **2020-01-28** House committee, floor amendments and substitutes offered
- **2020-01-28** Reported from Health, Welfare and Institutions with amendment (22-Y 0-N) `committee-passage`
- **2020-01-30** Read first time `reading-1`
- **2020-01-31** Read second time `reading-2`
- **2020-01-31** Committee amendment agreed to
- **2020-01-31** Engrossed by House as amended HB385E
- **2020-01-31** Printed as engrossed 20101873D-E
- **2020-02-03** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
- **2020-02-03** VOTE: Block Vote Passage (99-Y 0-N)
- **2020-02-03** Impact statement from DPB (HB385E)
- **2020-02-04** Constitutional reading dispensed
- **2020-02-04** Referred to Committee on Education and Health `referral-committee`
- **2020-02-12** Assigned Education sub: Health Professions `referral-committee`
- **2020-02-20** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2020-02-21** Constitutional reading dispensed (32-Y 0-N)
- **2020-02-24** Read third time `reading-3`
- **2020-02-24** Passed Senate (40-Y 0-N) `passage`
- **2020-02-27** Enrolled
- **2020-02-27** Impact statement from DPB (HB385ER)
- **2020-02-27** Signed by Speaker
- **2020-02-27** Signed by President
- **2020-03-06** Enrolled Bill communicated to Governor on March 6, 2020
- **2020-03-06** Governor's Action Deadline 11:59 p.m., April 11, 2020
- **2020-03-18** Approved by Governor-Chapter 357 (effective 7/1/20) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/217b4d1f-1aec-404f-b47d-71ba8c77a6f8`. Confidence: reported (aggregated from official Virginia legislature records).