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---
type: "Bill"
title: "Topical drugs; administration by dental hygienists, physician assistants, and nurses."
description: "Topical drugs; administration by dental hygienists, physician assistants, and nurses."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2019"
identifier: "HB 2493"
citation: "Virginia HB 2493 (2019)"
classification: ["bill"]
subjects: ["Narcotics and Drugs", "Professions and Occupations"]
status: "enacted"
primary_sponsors: ["Kathy K.L. Tran"]
version_count: 3
action_count: 18
vote_count: 7
first_action: "2019-01-09"
last_action: "2019-03-18"
source: "openstates"
source_identifier: "ocd-bill/aeee5e0f-e46d-4e6b-8ff6-6fbc4556833e"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2493"
source_hash: "8c237b29d0a5f5ef3b824eaa56d861cf821c987b9a3e6cbf4e6b4ddf9f3cfca6"
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 2493 (2019) — Topical drugs; administration by dental hygienists, physician assistants, and nurses.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Governor: Acts of Assembly Chapter text (CHAP0431)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0431)
2. **House: Bill text as passed House and Senate (HB2493ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2493ER)
3. **House: Prefiled and ordered printed; offered 01/09/19 19101774D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2493)
## Votes
- Constitutional reading dispensed — **370** (pass) · upper
- Passed Senate — **400** (pass) · upper
- Subcommittee recommends reporting — **100** (pass) · lower
- Reported from Education and Health — **150** (pass) · upper
- Reported from Health, Welfare and Institutions — **220** (pass) · lower
- Read third time and passed House BLOCK VOTE — **970** (pass) · lower
- Passed House BLOCK VOTE — **990** (pass) · lower
## Sponsors
- Kathy K.L. Tran — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-01-09** Prefiled and ordered printed; offered 01/09/19 19101774D `introduction`
- **2019-01-09** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2019-01-16** Assigned HWI sub: Subcommittee #1 `referral-committee`
- **2019-01-31** Read first time `reading-1`
- **2019-02-01** Read second time and engrossed `reading-2`
- **2019-02-04** Read third time and passed House BLOCK VOTE (97-Y 0-N) `passage, reading-3`
- **2019-02-04** Reconsideration of passage agreed to by House
- **2019-02-04** Passed House BLOCK VOTE (99-Y 0-N) `passage`
- **2019-02-05** Constitutional reading dispensed
- **2019-02-05** Referred to Committee on Education and Health `referral-committee`
- **2019-02-08** Assigned Education sub: Health Professions `referral-committee`
- **2019-02-18** Read third time `reading-3`
- **2019-02-21** Enrolled
- **2019-02-21** Signed by Speaker
- **2019-02-21** Signed by President
- **2019-02-28** Enrolled Bill communicated to Governor on February 28, 2019
- **2019-02-28** Governor's Action Deadline Midnight, March 26, 2019
- **2019-03-18** Approved by Governor-Chapter 431 (effective 7/1/19) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/aeee5e0f-e46d-4e6b-8ff6-6fbc4556833e`. Confidence: reported (aggregated from official Virginia legislature records).