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---
type: "Bill"
title: "Hospitals and nursing homes; licensure and inspection fees."
description: "Hospitals and nursing homes; licensure and inspection fees; Hospital and Nursing Home Licensure and Inspection Program Fund established. Directs the State Board of Health to require in its regulations the establishment of fees for the issuance, change, or renewal of a hospital or nursing home license to cover the costs of operating the hospital and nursing home licensure and inspection program in a manner that ensures timely completion of inspections. The bill requires the Board to distribute the costs of operating the hospital and nursing home licensure and inspection program in an equitable manner across all hospitals and nursing homes and specifies that the amount of such fees shall change no more frequently than annually. Such fee changes shall only be initiated under the bill if the expenses are more than 10 percent greater or less than the annual costs of operating the licensure and inspection program in a manner that ensures timely completion of inspections. The bill also creates the Hospital and Nursing Home Licensure and Inspection Program Fund to be used for the purposes of supporting the activities of the licensure and inspections requirements administered pursuant to current law. The bill directs the Board to adopt emergency regulations to implement the provisions of the bill related to the establishment of such fees and specifies that the provisions pertaining to the creation of the Fund shall not become effective until the Board adopts such emergency regulations. This bill is identical to SB 1484."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2025"
identifier: "HB 2255"
citation: "Virginia HB 2255 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["H. Otto Wachsmann, Jr."]
version_count: 5
action_count: 36
vote_count: 9
first_action: "2025-01-07"
last_action: "2025-03-21"
source: "openstates"
source_identifier: "ocd-bill/3704b6d3-dcfe-4360-aaf5-9fd4a5621e25"
source_url: "https://lis.virginia.gov/bill-details/20251/HB2255"
source_hash: "1a06868a861abaa3d75dffb7961b337be1fa510b4683326a735829c31711057c"
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 2255 (2025) — Hospitals and nursing homes; licensure and inspection fees.
Hospitals and nursing homes; licensure and inspection fees; Hospital and Nursing Home Licensure and Inspection Program Fund established. Directs the State Board of Health to require in its regulations the establishment of fees for the issuance, change, or renewal of a hospital or nursing home license to cover the costs of operating the hospital and nursing home licensure and inspection program in a manner that ensures timely completion of inspections. The bill requires the Board to distribute the costs of operating the hospital and nursing home licensure and inspection program in an equitable manner across all hospitals and nursing homes and specifies that the amount of such fees shall change no more frequently than annually. Such fee changes shall only be initiated under the bill if the expenses are more than 10 percent greater or less than the annual costs of operating the licensure and inspection program in a manner that ensures timely completion of inspections. The bill also creates the Hospital and Nursing Home Licensure and Inspection Program Fund to be used for the purposes of supporting the activities of the licensure and inspections requirements administered pursuant to current law. The bill directs the Board to adopt emergency regulations to implement the provisions of the bill related to the establishment of such fees and specifies that the provisions pertaining to the creation of the Fund shall not become effective until the Board adopts such emergency regulations. This bill is identical to SB 1484.
## 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/1015747.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1072931.PDF)
3. **HHS Sub: Health Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1031403.PDF)
4. **Health and Human Services Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1034873.PDF)
5. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1061305.PDF)
## Votes
- Reported from Finance and Appropriations (14-Y 0-N) — **140** (pass) · upper
- Passed House (99-Y 0-N) — **990** (pass) · lower
- Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) — **150** (pass) · upper
- Constitutional reading dispensed (on 2nd reading) (39-Y 0-N) — **390** (pass) · upper
- Read third time and passed House (97-Y 0-N) — **970** (pass) · lower
- Reported from Health and Human Services with substitute and rereferred to Appropriations (21-Y 0-N) — **210** (pass) · lower
- Subcommittee recommends reporting with substitute and rereferred to Appropriations (8-Y 0-N) — **80** (pass) · lower
- Passed Senate (40-Y 0-N) — **400** (pass) · upper
- Reported from Appropriations (22-Y 0-N) — **220** (pass) · lower
## Sponsors
- H. Otto Wachsmann, Jr. — primary (person)
- Rodney T. Willett — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-07** Prefiled and ordered printed; Offered 01-08-2025 25104480D `filing, introduction`
- **2025-01-07** Referred to Committee on Health and Human Services `referral-committee`
- **2025-01-20** Fiscal Impact Statement from Department of Planning and Budget (HB2255)
- **2025-01-20** Assigned sub: Health `referral-committee`
- **2025-01-28** Subcommittee recommends reporting with substitute and referring to Appropriations (8-Y 0-N) `substitution`
- **2025-01-30** Reported from Health and Human Services with substitute and referred to Appropriations (21-Y 0-N) `committee-passage`
- **2025-01-30** Committee substitute printed 25106494D-H1 `substitution`
- **2025-01-30** Assigned Approps sub: Health & Human Resources `referral-committee`
- **2025-01-31** Fiscal Impact Statement from Department of Planning and Budget (HB2255)
- **2025-01-31** Reported from Appropriations (22-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 Substitute agreed to
- **2025-02-03** Engrossed by House - committee substitute `substitution`
- **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 and rereferred to Finance and Appropriations (15-Y 0-N) `committee-passage`
- **2025-02-14** Reported from Finance and Appropriations (14-Y 0-N) `committee-passage`
- **2025-02-17** Rules suspended
- **2025-02-17** Constitutional reading dispensed (on 2nd reading) (39-Y 0-N)
- **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 (HB2255ER) `passage`
- **2025-03-07** Fiscal Impact Statement from Department of Planning and Budget (HB2255)
- **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 254 (Effective - see bill) `executive-signature`
- **2025-03-21** Acts of Assembly Chapter text (CHAP0254)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3704b6d3-dcfe-4360-aaf5-9fd4a5621e25`. Confidence: reported (aggregated from official Virginia legislature records).