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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 Physician assistants; authorization to practice without a practice agreement. Physician assistants; authorization to practice without a practice agreement. Authorizes a physician assistant with at least three years of full-time clinical experience to practice without a practice agreement upon receipt of an attestation from a patient care team physician or patient care team podiatrist who provided collaboration and consultation to such physician assistant verifying the length and nature of the physician assistant's practice. The bill establishes methods for a physician assistant who is unable to obtain the required attestation to submit other evidence that the physician assistant meets the requirements to practice without a practice agreement and establishes a method for physician assistants who obtain licensure by endorsement to practice without a practice agreement if they meet the applicable requirements. The bill also establishes a scope of practice for physician assistants who practice without a practice agreement. The bill specifies that the effective date of the foregoing provisions are contingent upon the Board of Medicine adopting regulations to implement the bill's provisions and to establish processes for granting authorization to physician assistants to practice without a practice agreement. us/states/va Virginia General Assembly 2026 HB 746 Virginia HB 746 (2026)
bill
enacted
Rozia A. Henson, Jr.
7 41 8 2026-01-13 2026-04-08 openstates ocd-bill/a8221a8b-b039-4d83-81d0-9da1f45e2b31 https://lis.virginia.gov/bill-details/20261/HB746 4bbbf88162aee35de9e0bff692a857f707a54a1349d693f829b5ff470f130922 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
bill
us-va

Virginia HB 746 (2026) — Physician assistants; authorization to practice without a practice agreement.

Physician assistants; authorization to practice without a practice agreement. Authorizes a physician assistant with at least three years of full-time clinical experience to practice without a practice agreement upon receipt of an attestation from a patient care team physician or patient care team podiatrist who provided collaboration and consultation to such physician assistant verifying the length and nature of the physician assistant's practice. The bill establishes methods for a physician assistant who is unable to obtain the required attestation to submit other evidence that the physician assistant meets the requirements to practice without a practice agreement and establishes a method for physician assistants who obtain licensure by endorsement to practice without a practice agreement if they meet the applicable requirements. The bill also establishes a scope of practice for physician assistants who practice without a practice agreement. The bill specifies that the effective date of the foregoing provisions are contingent upon the Board of Medicine adopting regulations to implement the bill's provisions and to establish processes for granting authorization to physician assistants to practice without a practice agreement.

Version chain

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

  1. Introduced (filed) — source
  2. Chaptered (committee substitute) — source
  3. Education and Health Amendment (committee substitute) — source
  4. Health Professions Subcommittee Substitute (committee substitute) — source
  5. Health and Human Services Substitute (committee substitute) — source
  6. Senate Amendment (committee substitute) — source
  7. Enrolled (enrolled) — source

Votes

  • Passage R — 382 (pass) · upper
  • H VOTE: — 990 (pass) · lower
  • Reported from Health and Human Services with substitute — 210 (pass) · lower
  • Reported from Education and Health with amendment — 140 (pass) · upper
  • Constitutional reading dispensed (on 2nd reading) — 370 (pass) · upper
  • Subcommittee recommends reporting with substitute — 100 (pass) · lower
  • Reported from Education and Health — 131 (pass) · upper
  • H VOTE: — 960 (pass) · lower

Sponsors

  • Rozia A. Henson, Jr. — primary (person)
  • Charlie Schmidt — cosponsor (person)
  • Nadarius E. Clark — cosponsor (person)

Timeline

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

  • 2026-01-13 Prefiled and ordered printed; Offered 01-14-2026 26105086D filing, introduction
  • 2026-01-13 Referred to Committee on Health and Human Services referral-committee
  • 2026-01-21 Assigned sub: Health Professions referral-committee
  • 2026-02-09 Fiscal Impact Statement from Department of Planning and Budget (HB746)
  • 2026-02-10 House subcommittee offered
  • 2026-02-10 Subcommittee recommends reporting with substitute (10-Y 0-N) substitution
  • 2026-02-12 Reported from Health and Human Services with substitute (21-Y 0-N) committee-passage
  • 2026-02-12 Committee substitute printed 26107501D-H1 substitution
  • 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
  • 2026-02-17 Fiscal Impact Statement from Department of Planning and Budget (HB746)
  • 2026-02-18 Constitutional reading dispensed (on 1st reading)
  • 2026-02-18 Referred to Committee on Education and Health referral-committee
  • 2026-02-26 Reported from Education and Health (13-Y 1-N 1-A) 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 by for the day
  • 2026-03-03 Motion to recommit to Education and Health agreed to
  • 2026-03-03 Recommitted to Education and Health
  • 2026-03-05 Senate committee offered
  • 2026-03-05 Reported from Education and Health with amendment (14-Y 0-N 1-A) committee-passage
  • 2026-03-06 Passed by for the day Block Vote (Voice Vote)
  • 2026-03-09 Read third time reading-3
  • 2026-03-09 Education and Health Amendment agreed to amendment-passage
  • 2026-03-09 Engrossed by Senate as amended
  • 2026-03-09 Passed Senate with amendment (38-Y 2-N 0-A) passage
  • 2026-03-10 Senate amendment agreed to by House (99-Y 0-N 0-A) amendment-passage
  • 2026-03-30 Enrolled enrolled
  • 2026-03-30 Bill text as passed House and Senate (HB746ER) passage
  • 2026-03-30 Signed by President passage
  • 2026-03-31 Fiscal Impact Statement from Department of Planning and Budget (HB746)
  • 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
  • 2026-04-08 Approved by Governor-Chapter 418 (effective 7/1/2026) executive-signature
  • 2026-04-08 Acts of Assembly Chapter text (CHAP0418)

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/a8221a8b-b039-4d83-81d0-9da1f45e2b31. Confidence: reported (aggregated from official Virginia legislature records).