republic-os/legislation/us/states/va/2021/hb-2166.md

---
type: "Bill"
title: "Involuntary admission; provisions governing involuntary inpatient & mandatory outpatient treatment."
description: "Involuntary admission. Amends provisions governing involuntary inpatient and mandatory outpatient treatment to (i) revise criteria for entry of a mandatory outpatient treatment order to become effective upon expiration of an order for involuntary inpatient treatment; (ii) eliminate the requirement that a person agree to abide by a mandatory outpatient treatment plan to be eligible for mandatory outpatient treatment, and instead require that the judge or special justice find that the person is able to adhere to a mandatory outpatient treatment plan; (iii) eliminate the role of a treating physician in determining when a person is eligible to transition from inpatient to mandatory outpatient treatment under an order for mandatory outpatient treatment following a period of involuntary inpatient treatment; (iv) increase from 90 to 180 days the length of an order for mandatory outpatient treatment; (v) revise requirements for monitoring of a person's adherence to a mandatory outpatient treatment plan by a community services board; (vi) add a requirement that a community services board responsible for monitoring a person's adherence to a mandatory outpatient treatment plan report monthly to the court regarding the steps taken to ensure the person does not meet the criteria for an emergency custody order or temporary detention order during the period of mandatory outpatient treatment; (vii) expand the category of persons who may file petitions for various reviews of a mandatory outpatient treatment order or plan; (viii) add a provision for status hearings during the period of mandatory outpatient treatment; and (ix) make other changes to procedures and processes governing mandatory outpatient treatment."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2021"
identifier: "HB 2166"
citation: "Virginia HB 2166 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Patrick A. Hope"]
version_count: 4
action_count: 48
vote_count: 15
first_action: "2021-01-12"
last_action: "2021-03-18"
source: "openstates"
source_identifier: "ocd-bill/2fe1bb62-16da-433e-9e0f-d40bb6ab3e6c"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?212+sum+HB2166"
source_hash: "327288582b7ca7ffa3009a6d3956c5326cd9abd0b118c7344df912d5bb2fa907"
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 2166 (2021) — Involuntary admission; provisions governing involuntary inpatient & mandatory outpatient treatment.

Involuntary admission. Amends provisions governing involuntary inpatient and mandatory outpatient treatment to (i) revise criteria for entry of a mandatory outpatient treatment order to become effective upon expiration of an order for involuntary inpatient treatment; (ii) eliminate the requirement that a person agree to abide by a mandatory outpatient treatment plan to be eligible for mandatory outpatient treatment, and instead require that the judge or special justice find that the person is able to adhere to a mandatory outpatient treatment plan; (iii) eliminate the role of a treating physician in determining when a person is eligible to transition from inpatient to mandatory outpatient treatment under an order for mandatory outpatient treatment following a period of involuntary inpatient treatment; (iv) increase from 90 to 180 days the length of an order for mandatory outpatient treatment; (v) revise requirements for monitoring of a person's adherence to a mandatory outpatient treatment plan by a community services board; (vi) add a requirement that a community services board responsible for monitoring a person's adherence to a mandatory outpatient treatment plan report monthly to the court regarding the steps taken to ensure the person does not meet the criteria for an emergency custody order or temporary detention order during the period of mandatory outpatient treatment; (vii) expand the category of persons who may file petitions for various reviews of a mandatory outpatient treatment order or plan; (viii) add a provision for status hearings during the period of mandatory outpatient treatment; and (ix) make other changes to procedures and processes governing mandatory outpatient treatment.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **CHAP0221** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+CHAP0221)
2. **HB2166ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB2166ER)
3. **Prefiled and ordered printed; offered 01/13/21 21102637D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB2166)
4. **Printed as engrossed 21102637D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?212+ful+HB2166E)

## Votes

- Continued to 2021 Sp. Sess. 1 in Rehabilitation and Social Services (14-Y 0-N) — **14–0** (pass) · upper
- Subcommittee recommends reporting (8-Y 0-N) — **8–0** (pass) · lower
- Passed Senate with amendments (38-Y 0-N) — **38–0** (pass) · upper
- VOTE: Passage (98-Y 1-N) — **97–1** (pass) · lower
- Reported from Appropriations (21-Y 1-N) — **21–1** (pass) · lower
- Reported from Education and Health (13-Y 0-N) — **13–0** (pass) · upper
- Rereferred from Rehabilitation and Social Services (14-Y 0-N) — **14–0** (pass) · upper
- Reported from Health, Welfare and Institutions with amendment(s) (21-Y 0-N) — **21–0** (pass) · lower
- VOTE: Adoption (55-Y 42-N) — **54–42** (pass) · lower
- Reconsideration of Senate passage agreed to by Senate (39-Y 0-N) — **39–0** (pass) · upper
- Subcommittee recommends reporting with amendments (3-Y 2-N) — **3–2** (pass) · lower
- Reported from Finance and Appropriations with amendments (16-Y 0-N) — **16–0** (pass) · upper
- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
- Constitutional reading dispensed (39-Y 0-N) — **39–0** (pass) · upper
- Passed Senate with amendments (39-Y 0-N) — **39–0** (pass) · upper

## Sponsors

- Patrick A. Hope — primary (person)
- Kaye Kory — cosponsor (person)
- R. Creigh Deeds — cosponsor (person)

## Timeline

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

- **2021-01-12** Prefiled and ordered printed; offered 01/13/21 21102637D `introduction`
- **2021-01-12** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2021-01-15** Assigned HWI sub: Behavioral Health `referral-committee`
- **2021-01-26** House subcommittee amendments and substitutes offered
- **2021-01-26** Subcommittee recommends reporting with amendments (3-Y 2-N)
- **2021-01-27** Impact statement from DPB (HB2166)
- **2021-01-28** Reported from Health, Welfare and Institutions with amendment(s) (21-Y 0-N) `committee-passage`
- **2021-01-28** Referred to Committee on Appropriations `referral-committee`
- **2021-01-28** Assigned App. sub: Health & Human Resources `referral-committee`
- **2021-01-29** Subcommittee recommends reporting (8-Y 0-N)
- **2021-02-01** Reported from Appropriations (21-Y 1-N) `committee-passage`
- **2021-02-02** Read first time `reading-1`
- **2021-02-03** Read second time `reading-2`
- **2021-02-03** Committee amendments agreed to
- **2021-02-03** Engrossed by House as amended HB2166E
- **2021-02-03** Printed as engrossed 21102637D-E
- **2021-02-04** Read third time and passed House (98-Y 1-N) `passage, reading-3`
- **2021-02-04** VOTE: Passage (98-Y 1-N)
- **2021-02-05** Impact statement from DPB (HB2166E)
- **2021-02-05** Constitutional reading dispensed
- **2021-02-05** Referred to Committee on Rehabilitation and Social Services `referral-committee`
- **2021-02-05** Continued to 2021 Sp. Sess. 1 in Rehabilitation and Social Services (14-Y 0-N)
- **2021-02-10** Rereferred from Rehabilitation and Social Services (14-Y 0-N)
- **2021-02-10** Rereferred to Education and Health `referral-committee`
- **2021-02-11** Reported from Education and Health (13-Y 0-N) `committee-passage`
- **2021-02-12** Constitutional reading dispensed (39-Y 0-N)
- **2021-02-12** Motion to rerefer to committee agreed to
- **2021-02-12** Rereferred to Finance and Appropriations `referral-committee`
- **2021-02-17** Senate committee, floor amendments and substitutes offered
- **2021-02-17** Constitutional reading dispensed (39-Y 0-N)
- **2021-02-17** Reported from Finance and Appropriations with amendments (16-Y 0-N) `committee-passage`
- **2021-02-18** Read third time `reading-3`
- **2021-02-18** Reading of amendments waived
- **2021-02-18** Committee amendments agreed to
- **2021-02-18** Engrossed by Senate as amended
- **2021-02-18** Passed Senate with amendments (38-Y 0-N) `passage`
- **2021-02-18** Reconsideration of Senate passage agreed to by Senate (39-Y 0-N)
- **2021-02-18** Passed Senate with amendments (39-Y 0-N) `passage`
- **2021-02-22** Placed on Calendar
- **2021-02-22** Senate amendments agreed to by House (55-Y 42-N)
- **2021-02-22** VOTE: Adoption (55-Y 42-N)
- **2021-02-25** Enrolled
- **2021-02-25** Signed by President
- **2021-02-26** Impact statement from DPB (HB2166ER)
- **2021-02-26** Signed by Speaker
- **2021-03-01** Enrolled Bill communicated to Governor on March 1, 2021
- **2021-03-01** Governor's Action Deadline 11:59 p.m., March 31, 2021
- **2021-03-18** Approved by Governor-Chapter 221 (effective 7/1/22) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2fe1bb62-16da-433e-9e0f-d40bb6ab3e6c`. Confidence: reported (aggregated from official Virginia legislature records).