republic-os/legislation/us/states/va/2026/hb-1403.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	Severe Maternal Mortality Surveillance and Review Program; established.	Severe Maternal Morbidity Surveillance and Review Program established; duties; report. Creates the Severe Maternal Morbidity Surveillance and Review Program (SMM Program) to identify, analyze, and review instances of severe maternal morbidity. The bill directs the Department of Health to develop a reporting system for hospitals and freestanding birthing centers to report findings and recommendations, as well as a model protocol for conducting reviews of severe maternal morbidity. The bill requires all hospitals and freestanding birthing centers to participate in the SMM Program and report their findings and recommendations to the Department of Health on an annual basis. The bill has a delayed effective date of September 1, 2026.	us/states/va	Virginia General Assembly	2026	HB 1403	Virginia HB 1403 (2026)	bill		enacted	Margaret A. Franklin	7	41	11	2026-01-22	2026-04-13	openstates	ocd-bill/93513e59-9444-43ac-8ac6-c8e17bf7d0a7	https://lis.virginia.gov/bill-details/20261/HB1403	25e6988e13b278e4cad1d0a9af271586ac0383b921550c4f1ef7c995d7449b32	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-va

Virginia HB 1403 (2026) — Severe Maternal Mortality Surveillance and Review Program; established.

Severe Maternal Morbidity Surveillance and Review Program established; duties; report. Creates the Severe Maternal Morbidity Surveillance and Review Program (SMM Program) to identify, analyze, and review instances of severe maternal morbidity. The bill directs the Department of Health to develop a reporting system for hospitals and freestanding birthing centers to report findings and recommendations, as well as a model protocol for conducting reviews of severe maternal morbidity. The bill requires all hospitals and freestanding birthing centers to participate in the SMM Program and report their findings and recommendations to the Department of Health on an annual basis. The bill has a delayed effective date of September 1, 2026.

Version chain

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

1. Introduced (filed) — source
2. Appropriations Amendment (committee substitute) — source
3. Appropriations Substitute (committee substitute) — source
4. Behavioral Health Subcommittee Substitute (committee substitute) — source
5. Health & Human Resources Subcommittee Substitute (committee substitute) — source
6. Health and Human Services Substitute (committee substitute) — source
7. Enrolled (enrolled) — source

Votes

• Constitutional reading dispensed (on 2nd reading) — 37–0 (pass) · upper
• Subcommittee recommends reporting with substitute — 7–1 (pass) · lower
• Reported from Appropriations with substitute — 22–0 (pass) · lower
• Reported from Health and Human Services with substitute — 21–1 (pass) · lower
• Reported from Finance and Appropriations — 14–0 (pass) · upper
• Passage R — 40–0 (pass) · upper
• Passage R — 39–0 (pass) · upper
• Reconsider R — 40–0 (pass) · upper
• Subcommittee recommends reporting with substitute — 7–0 (pass) · lower
• Reported from Education and Health — 15–0 (pass) · upper
• H VOTE: — 94–2 (pass) · lower

Sponsors

• Margaret A. Franklin — primary (person)
• Bonita G. Anthony — cosponsor (person)
• Debra D. Gardner — cosponsor (person)
• Kathy K.L. Tran — cosponsor (person)
• May Nivar — cosponsor (person)
• Rae Cousins — cosponsor (person)

Timeline

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

• 2026-01-22 Presented and ordered printed 26105745D introduction
• 2026-01-22 Referred to Committee on Health and Human Services referral-committee
• 2026-01-27 Assigned sub: Behavioral Health referral-committee
• 2026-02-02 Fiscal Impact Statement from Department of Planning and Budget (HB1403)
• 2026-02-05 House subcommittee offered
• 2026-02-05 Subcommittee recommends reporting with substitute and referring to Appropriations (7-Y 1-N) substitution
• 2026-02-10 Reported from Health and Human Services with substitute and referred to Appropriations (21-Y 1-N) committee-passage
• 2026-02-10 Committee substitute printed 26107290D-H1 substitution
• 2026-02-10 Assigned HAPP sub: Health & Human Resources referral-committee
• 2026-02-10 Fiscal Impact Statement from Department of Planning and Budget (HB1403)
• 2026-02-11 Subcommittee recommends reporting with substitute (7-Y 0-N) substitution
• 2026-02-11 House subcommittee offered
• 2026-02-11 Reported from Appropriations with substitute (22-Y 0-N) committee-passage
• 2026-02-12 Committee substitute printed 26107849D-H2 substitution
• 2026-02-13 Read first time reading-1
• 2026-02-13 Fiscal Impact Statement from Department of Planning and Budget (HB1403)
• 2026-02-16 Read second time reading-2
• 2026-02-16 committee substitute rejected
• 2026-02-16 committee substitute agreed to substitution
• 2026-02-16 Engrossed by House - committee substitute substitution
• 2026-02-17 Read third time and passed House (95-Y 2-N 0-A) passage, reading-3
• 2026-02-18 Constitutional reading dispensed (on 1st reading)
• 2026-02-18 Referred to Committee on Education and Health referral-committee
• 2026-02-24 Assigned Education sub: Health referral-committee
• 2026-02-26 Reported from Education and Health and rereferred to Finance and Appropriations (15-Y 0-N) committee-passage
• 2026-03-09 Reported from Finance and Appropriations (14-Y 0-N) committee-passage
• 2026-03-10 Rules suspended
• 2026-03-10 Constitutional reading dispensed (on 2nd reading) (37-Y 0-N 0-A)
• 2026-03-10 Passed by for the day (Voice Vote)
• 2026-03-11 Read third time reading-3
• 2026-03-11 Passed Senate Block Vote (39-Y 0-N 0-A) passage
• 2026-03-11 Reconsideration of Senate passage agreed to by Senate (40-Y 0-N 0-A)
• 2026-03-11 Passed Senate Block Vote (40-Y 0-N 0-A) passage
• 2026-03-30 Enrolled enrolled
• 2026-03-30 Bill text as passed House and Senate (HB1403ER) passage
• 2026-03-30 Signed by President passage
• 2026-03-31 Fiscal Impact Statement from Department of Planning and Budget (HB1403)
• 2026-03-31 Signed by Speaker passage
• 2026-03-31 Enrolled Bill communicated to Governor on March 31, 2026 enrolled, executive-receipt
• 2026-03-31 Governor's Action Deadline 11:59 p.m., April 13, 2026 executive-receipt
• 2026-04-13 Approved by Governor-Chapter 842 (effective 7/1/2026) executive-signature

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/93513e59-9444-43ac-8ac6-c8e17bf7d0a7. Confidence: reported (aggregated from official Virginia legislature records).