Fabio
86 lines
4.8 KiB
Markdown
86 lines
4.8 KiB
Markdown
---
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type: "Bill"
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title: "Health carriers; services provided by nurse practitioners."
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description: "Requires health insurers and health services plan providers whose policies or contracts cover services that may be legally performed by licensed nurse practitioners to provide equal coverage for such services when rendered by a licensed nurse practitioner. The bill contains an enactment that exempts the measure from the requirement that the Health Insurance Reform Commission review any legislative measure containing a mandated health insurance benefit or provider. The bill has a delayed effective date of October 1, 2019."
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jurisdiction: "us/states/va"
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legislature: "Virginia General Assembly"
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session: "2019"
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identifier: "HB 1640"
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citation: "Virginia HB 1640 (2019)"
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classification: ["bill"]
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subjects: ["Health", "Insurance", "Professions and Occupations"]
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status: "enacted"
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primary_sponsors: ["Margaret B. Ransone"]
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version_count: 5
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action_count: 17
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vote_count: 5
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first_action: "2018-11-26"
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last_action: "2019-03-12"
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source: "openstates"
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source_identifier: "ocd-bill/bdd018c8-f05b-46f3-98a3-6d57e14f30de"
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source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB1640"
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source_hash: "f304c0ad4e7b8bca2d259f52d7ee39f2f96d9d7df6d622fb9110ccdf5e5526e2"
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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 1640 (2019) — Health carriers; services provided by nurse practitioners.
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Requires health insurers and health services plan providers whose policies or contracts cover services that may be legally performed by licensed nurse practitioners to provide equal coverage for such services when rendered by a licensed nurse practitioner. The bill contains an enactment that exempts the measure from the requirement that the Health Insurance Reform Commission review any legislative measure containing a mandated health insurance benefit or provider. The bill has a delayed effective date of October 1, 2019.
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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. **Governor: Acts of Assembly Chapter text (CHAP0332)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0332)
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2. **House amendments adopted** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+amd+HB1640AH)
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3. **House: Bill text as passed House and Senate (HB1640ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB1640ER)
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4. **House: Prefiled and ordered printed; offered 01/09/19 19100868D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB1640)
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5. **House: Printed as engrossed 19100868D-E** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB1640E)
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## Votes
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- Reported from Commerce and Labor with amendment — **19–0** (pass) · lower
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- Constitutional reading dispensed — **39–0** (pass) · upper
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- Passed Senate — **40–0** (pass) · upper
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- Reported from Commerce and Labor — **13–0** (pass) · upper
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- Read third time and passed House BLOCK VOTE — **99–0** (pass) · lower
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## Sponsors
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- Margaret B. Ransone — primary (person)
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- C. Matthew Fariss — cosponsor (person)
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- Hyland F. "Buddy" Fowler, Jr. — cosponsor (person)
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- Israel D. O'Quinn — cosponsor (person)
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- James A. "Jay" Leftwich — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2018-11-26** Prefiled and ordered printed; offered 01/09/19 19100868D `introduction`
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- **2018-11-26** Referred to Committee on Commerce and Labor `referral-committee`
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- **2019-02-03** Read first time `reading-1`
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- **2019-02-04** Read second time `reading-2`
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- **2019-02-04** Committee amendment agreed to
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- **2019-02-04** Engrossed by House as amended HB1640E
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- **2019-02-04** Printed as engrossed 19100868D-E
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- **2019-02-05** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
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- **2019-02-06** Constitutional reading dispensed
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- **2019-02-06** Referred to Committee on Commerce and Labor `referral-committee`
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- **2019-02-14** Read third time `reading-3`
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- **2019-02-19** Enrolled
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- **2019-02-19** Signed by Speaker
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- **2019-02-20** Signed by President
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- **2019-02-21** Enrolled Bill communicated to Governor on February 21, 2019
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- **2019-02-21** Governor's Action Deadline Midnight, March 26, 2019
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- **2019-03-12** Approved by Governor-Chapter 332 (effective 10/1/19) `executive-signature`
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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/bdd018c8-f05b-46f3-98a3-6d57e14f30de`. Confidence: reported (aggregated from official Virginia legislature records).
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