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---
type: "Bill"
title: "Sickle cell disease education and screening program; cancer risk."
description: "Sickle cell disease education and screening program; cancer risk. Requires the sickle cell screening and treatment program to include the offering of educational resources to health care providers on the increased risks for certain cancers among individuals with sickle cell disease or the sickle cell trait."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2026"
identifier: "HB 392"
citation: "Virginia HB 392 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alex Q. Askew"]
version_count: 5
action_count: 35
vote_count: 8
first_action: "2026-01-12"
last_action: "2026-04-13"
source: "openstates"
source_identifier: "ocd-bill/0fcd38f2-eebb-4c23-b913-c00ebedbc1ac"
source_url: "https://lis.virginia.gov/bill-details/20261/HB392"
source_hash: "46d97fd1cc2c0d01285e0ba61f0f7947cb5d428cd4f7da064a90c0a361905371"
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 392 (2026) — Sickle cell disease education and screening program; cancer risk.
Sickle cell disease education and screening program; cancer risk. Requires the sickle cell screening and treatment program to include the offering of educational resources to health care providers on the increased risks for certain cancers among individuals with sickle cell disease or the sickle cell trait.
## 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/1084258.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1218924.PDF)
3. **Health Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1136571.PDF)
4. **Health and Human Services Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1143374.PDF)
5. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1194722.PDF)
## Votes
- H VOTE: — **960** (pass) · lower
- Subcommittee recommends reporting — **70** (pass) · lower
- Reported from Appropriations — **220** (pass) · lower
- Reported from Education and Health — **150** (pass) · upper
- Passage R — **400** (pass) · upper
- Reported from Health and Human Services with substitute — **210** (pass) · lower
- Subcommittee recommends reporting with substitute — **100** (pass) · lower
- Constitutional reading dispensed (on 2nd reading) — **370** (pass) · upper
## Sponsors
- Alex Q. Askew — primary (person)
- Adele Y. McClure — cosponsor (person)
- Alfonso H. Lopez — cosponsor (person)
- Amy J. Laufer — cosponsor (person)
- Atoosa R. Reaser — cosponsor (person)
- Betsy B. Carr — cosponsor (person)
- Bill Wiley — cosponsor (person)
- Bonita G. Anthony — cosponsor (person)
- Briana D. Sewell — cosponsor (person)
- C.E. Cliff Hayes, Jr. — cosponsor (person)
- Charlie Schmidt — cosponsor (person)
- Charniele L. Herring — cosponsor (person)
- Dan I. Helmer — cosponsor (person)
- David A. Reid — cosponsor (person)
- Debra D. Gardner — cosponsor (person)
- Delores L. McQuinn — cosponsor (person)
- Destiny LeVere Bolling — cosponsor (person)
- Don Scott — cosponsor (person)
- Elizabeth B. Bennett-Parker — cosponsor (person)
- Elizabeth R. Guzman — cosponsor (person)
- Garrett McGuire — cosponsor (person)
- Gretchen M. Bulova — cosponsor (person)
- Hillary Pugh Kent — cosponsor (person)
- Holly M. Seibold — cosponsor (person)
- Hyland F. "Buddy" Fowler, Jr. — cosponsor (person)
- Irene Shin — cosponsor (person)
- Israel D. O'Quinn — cosponsor (person)
- JJ Singh — cosponsor (person)
- Jackie H. Glass — cosponsor (person)
- James A. "Jay" Leftwich — cosponsor (person)
- James W. Morefield — cosponsor (person)
- Jason S. Ballard — cosponsor (person)
- Jeion A. Ward — cosponsor (person)
- Jessica L. Anderson — cosponsor (person)
- John Chilton McAuliff — cosponsor (person)
- Joseph P. McNamara — cosponsor (person)
- Joshua E. Thomas — cosponsor (person)
- Joshua G. Cole — cosponsor (person)
- Karen Keys-Gamarra — cosponsor (person)
- Karen R. "Kacey" Carnegie — cosponsor (person)
- Karrie K. Delaney — cosponsor (person)
- Kathy K.L. Tran — cosponsor (person)
- Katrina Callsen — cosponsor (person)
- Kelly K. Convirs-Fowler — cosponsor (person)
- Kimberly Pope Adams — cosponsor (person)
- Laura Jane Cohen — cosponsor (person)
- Leslie Chambers Mehta — cosponsor (person)
- Lily V. Franklin — cosponsor (person)
- Lindsey Dougherty — cosponsor (person)
- Luke E. Torian — cosponsor (person)
- Marcia S. "Cia" Price — cosponsor (person)
- Marcus B. Simon — cosponsor (person)
- Margaret A. Franklin — cosponsor (person)
- Mark C. Downey — cosponsor (person)
- Marty Martinez — cosponsor (person)
- May Nivar — cosponsor (person)
- Michael B. Feggans — cosponsor (person)
- Michael J. Webert — cosponsor (person)
- Michelle Lopes Maldonado — cosponsor (person)
- Mike A. Cherry — cosponsor (person)
- Nadarius E. Clark — cosponsor (person)
- Nicole Cole — cosponsor (person)
- Patrick A. Hope — cosponsor (person)
- Paul E. Krizek — cosponsor (person)
- Phil M. Hernandez — cosponsor (person)
- Rae Cousins — cosponsor (person)
- Richard C. "Rip" Sullivan, Jr. — cosponsor (person)
- Robert S. Bloxom, Jr. — cosponsor (person)
- Rodney T. Willett — cosponsor (person)
- Rozia A. Henson, Jr. — cosponsor (person)
- Sam Rasoul — cosponsor (person)
- Scott A. Wyatt — cosponsor (person)
- Shelly A. Simonds — cosponsor (person)
- Stacey Annie Carroll — cosponsor (person)
- Terry G. Kilgore — cosponsor (person)
- Terry L. Austin — cosponsor (person)
- Tony O. Wilt — cosponsor (person)
- Virgil Thornton — cosponsor (person)
- Vivian E. Watts — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-01-12** Prefiled and ordered printed; Offered 01-14-2026 26104087D `filing, introduction`
- **2026-01-12** Referred to Committee on Health and Human Services `referral-committee`
- **2026-01-16** Assigned sub: Health `referral-committee`
- **2026-02-05** Fiscal Impact Statement from Department of Planning and Budget (HB392)
- **2026-02-10** House subcommittee offered
- **2026-02-10** Subcommittee recommends reporting with substitute and referring to Appropriations (10-Y 0-N) `substitution`
- **2026-02-12** Committee substitute printed 26106556D-H1 `substitution`
- **2026-02-12** Reported from Health and Human Services with substitute and referred to Appropriations (21-Y 0-N) `committee-passage`
- **2026-02-12** Assigned HAPP sub: Health & Human Resources `referral-committee`
- **2026-02-12** Fiscal Impact Statement from Department of Planning and Budget (HB392)
- **2026-02-13** Subcommittee recommends reporting (7-Y 0-N)
- **2026-02-13** Reported from Appropriations (22-Y 0-N) `committee-passage`
- **2026-02-15** Read first time `reading-1`
- **2026-02-16** Read second time `reading-2`
- **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 (97-Y 0-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 (15-Y 0-N) `committee-passage`
- **2026-02-27** Rules suspended
- **2026-02-27** Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)
- **2026-02-27** Passed by for the day Block Vote (Voice Vote)
- **2026-03-02** Read third time `reading-3`
- **2026-03-02** Passed Senate (40-Y 0-N 0-A) `passage`
- **2026-03-05** Enrolled `enrolled`
- **2026-03-05** Bill text as passed House and Senate (HB392ER) `passage`
- **2026-03-05** Fiscal Impact Statement from Department of Planning and Budget (HB392)
- **2026-03-05** Signed by Speaker `passage`
- **2026-03-05** Signed by President `passage`
- **2026-03-10** Enrolled Bill communicated to Governor on March 10, 2026 `enrolled, executive-receipt`
- **2026-03-10** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
- **2026-04-13** Approved by Governor-Chapter 600 (effective 7/1/2026) `executive-signature`
- **2026-04-13** Acts of Assembly Chapter text (CHAP0600)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0fcd38f2-eebb-4c23-b913-c00ebedbc1ac`. Confidence: reported (aggregated from official Virginia legislature records).