Fabio
113 lines
8.1 KiB
Markdown
113 lines
8.1 KiB
Markdown
---
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type: "Bill"
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title: "Physician assistants; authorization to practice without a practice agreement."
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description: "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."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2026"
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identifier: "HB 746"
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citation: "Virginia HB 746 (2026)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Rozia A. Henson, Jr."]
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version_count: 7
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action_count: 41
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vote_count: 8
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first_action: "2026-01-13"
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last_action: "2026-04-08"
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source: "openstates"
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source_identifier: "ocd-bill/a8221a8b-b039-4d83-81d0-9da1f45e2b31"
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source_url: "https://lis.virginia.gov/bill-details/20261/HB746"
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source_hash: "4bbbf88162aee35de9e0bff692a857f707a54a1349d693f829b5ff470f130922"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-va"]
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---
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# Virginia HB 746 (2026) — Physician assistants; authorization to practice without a practice agreement.
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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.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1085733.PDF)
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2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1217969.PDF)
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3. **Education and Health Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1196843.HTML)
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4. **Health Professions Subcommittee Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1136517.PDF)
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5. **Health and Human Services Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1143314.PDF)
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6. **Senate Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1201102.HTML)
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7. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1210840.PDF)
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## Votes
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- Passage R — **38–2** (pass) · upper
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- H VOTE: — **99–0** (pass) · lower
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- Reported from Health and Human Services with substitute — **21–0** (pass) · lower
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- Reported from Education and Health with amendment — **14–0** (pass) · upper
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- Constitutional reading dispensed (on 2nd reading) — **37–0** (pass) · upper
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- Subcommittee recommends reporting with substitute — **10–0** (pass) · lower
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- Reported from Education and Health — **13–1** (pass) · upper
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- H VOTE: — **96–0** (pass) · lower
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## Sponsors
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- Rozia A. Henson, Jr. — primary (person)
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- Charlie Schmidt — cosponsor (person)
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- Nadarius E. Clark — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2026-01-13** Prefiled and ordered printed; Offered 01-14-2026 26105086D `filing, introduction`
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- **2026-01-13** Referred to Committee on Health and Human Services `referral-committee`
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- **2026-01-21** Assigned sub: Health Professions `referral-committee`
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- **2026-02-09** Fiscal Impact Statement from Department of Planning and Budget (HB746)
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- **2026-02-10** House subcommittee offered
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- **2026-02-10** Subcommittee recommends reporting with substitute (10-Y 0-N) `substitution`
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- **2026-02-12** Reported from Health and Human Services with substitute (21-Y 0-N) `committee-passage`
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- **2026-02-12** Committee substitute printed 26107501D-H1 `substitution`
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- **2026-02-15** Read first time `reading-1`
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- **2026-02-16** Read second time `reading-2`
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- **2026-02-16** committee substitute agreed to `substitution`
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- **2026-02-16** Engrossed by House - committee substitute `substitution`
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- **2026-02-17** Read third time and passed House (97-Y 0-N 0-A) `passage, reading-3`
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- **2026-02-17** Fiscal Impact Statement from Department of Planning and Budget (HB746)
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- **2026-02-18** Constitutional reading dispensed (on 1st reading)
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- **2026-02-18** Referred to Committee on Education and Health `referral-committee`
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- **2026-02-26** Reported from Education and Health (13-Y 1-N 1-A) `committee-passage`
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- **2026-02-27** Rules suspended
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- **2026-02-27** Constitutional reading dispensed Block Vote (on 2nd reading) (37-Y 0-N 0-A)
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- **2026-02-27** Passed by for the day Block Vote (Voice Vote)
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- **2026-03-02** Read third time `reading-3`
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- **2026-03-02** Passed by for the day
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- **2026-03-03** Motion to recommit to Education and Health agreed to
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- **2026-03-03** Recommitted to Education and Health
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- **2026-03-05** Senate committee offered
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- **2026-03-05** Reported from Education and Health with amendment (14-Y 0-N 1-A) `committee-passage`
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- **2026-03-06** Passed by for the day Block Vote (Voice Vote)
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- **2026-03-09** Read third time `reading-3`
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- **2026-03-09** Education and Health Amendment agreed to `amendment-passage`
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- **2026-03-09** Engrossed by Senate as amended
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- **2026-03-09** Passed Senate with amendment (38-Y 2-N 0-A) `passage`
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- **2026-03-10** Senate amendment agreed to by House (99-Y 0-N 0-A) `amendment-passage`
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- **2026-03-30** Enrolled `enrolled`
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- **2026-03-30** Bill text as passed House and Senate (HB746ER) `passage`
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- **2026-03-30** Signed by President `passage`
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- **2026-03-31** Fiscal Impact Statement from Department of Planning and Budget (HB746)
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- **2026-03-31** Signed by Speaker `passage`
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- **2026-03-31** Enrolled Bill communicated to Governor on March 31, 2026 `enrolled, executive-receipt`
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- **2026-03-31** Governor's Action Deadline 11:59 p.m., April 13, 2026 `executive-receipt`
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- **2026-04-08** Approved by Governor-Chapter 418 (effective 7/1/2026) `executive-signature`
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- **2026-04-08** Acts of Assembly Chapter text (CHAP0418)
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a8221a8b-b039-4d83-81d0-9da1f45e2b31`. Confidence: reported (aggregated from official Virginia legislature records).
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