republic-os/legislation/us/states/va/2019/hb-2750.md

---
type: "Bill"
title: "Elective medical procedure, test, or service; advance estimate of patient payment amount."
description: "Provides that every hospital currently required to provide an estimate of the payment amount for an elective procedure, test, or service for which a patient may be responsible shall also be required to provide each patient with written information regarding his right to request such estimate, to post written information regarding a patient's right to request such estimate conspicuously in public areas of the hospital, and to make such information available on the hospital's website."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2019"
identifier: "HB 2750"
citation: "Virginia HB 2750 (2019)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["David J. Toscano"]
version_count: 6
action_count: 33
vote_count: 13
first_action: "2019-01-17"
last_action: "2019-03-21"
source: "openstates"
source_identifier: "ocd-bill/84b453b8-4f67-42dd-818e-190f1b1d54dc"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2750"
source_hash: "189d107aa6316d800ea88ec9709273d89fceb72fbe5f8236c6903dc94db98982"
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 2750 (2019) — Elective medical procedure, test, or service; advance estimate of patient payment amount.

Provides that every hospital currently required to provide an estimate of the payment amount for an elective procedure, test, or service for which a patient may be responsible shall also be required to provide each patient with written information regarding his right to request such estimate, to post written information regarding a patient's right to request such estimate conspicuously in public areas of the hospital, and to make such information available on the hospital's website.

## Version chain

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

1. **Governor: Acts of Assembly Chapter text (CHAP0670)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0670)
2. **House subcommittee amendments and substitutes adopted** (committee substitute) — [source](https://committees.lis.virginia.gov/subcommitteeaction.aspx?ses=191&bil=HB2750)
3. **House: Bill text as passed House and Senate (HB2750ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2750ER)
4. **House: Committee substitute printed 19105552D-H1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2750H1)
5. **House: Presented and ordered printed 19102611D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2750)
6. **Senate: Committee substitute printed 19106570D-S1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2750S1)

## Votes

- Conference report agreed to by Senate — **40–0** (pass) · upper
- Passed House BLOCK VOTE — **99–0** (pass) · lower
- Senate insisted on substitute — **39–0** (pass) · upper
- Reconsideration of conference report agreed to by Senate — **40–0** (pass) · upper
- Conference report agreed to by House — **100–0** (pass) · lower
- Reported from Education and Health with substitute — **15–0** (pass) · upper
- Read third time and passed House BLOCK VOTE — **97–0** (pass) · lower
- Passed Senate with substitute — **40–0** (pass) · upper
- Constitutional reading dispensed — **40–0** (pass) · upper
- Conference report agreed to by Senate — **39–0** (pass) · upper
- Subcommittee recommends reporting with substitute — **10–0** (pass) · lower
- Reported from Health, Welfare and Institutions with substitute — **22–0** (pass) · lower
- Senate substitute rejected by House 19106570D-S1 — **0–96** (fail) · lower

## Sponsors

- David J. Toscano — primary (person)
- Betsy B. Carr — cosponsor (person)
- Debra H. Rodman — cosponsor (person)

## Timeline

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

- **2019-01-17** Presented and ordered printed 19102611D `introduction`
- **2019-01-17** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2019-01-21** Assigned HWI sub: Subcommittee #1 `referral-committee`
- **2019-01-31** Read first time `reading-1`
- **2019-02-01** Read second time `reading-2`
- **2019-02-01** Committee substitute agreed to 19105552D-H1
- **2019-02-01** Engrossed by House - committee substitute HB2750H1
- **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`
- **2019-02-11** Read third time `reading-3`
- **2019-02-11** Reading of substitute waived
- **2019-02-11** Committee substitute agreed to 19106570D-S1
- **2019-02-11** Engrossed by Senate - committee substitute HB2750S1
- **2019-02-13** Placed on Calendar
- **2019-02-13** Senate substitute rejected by House 19106570D-S1 (0-Y 96-N)
- **2019-02-15** Senate requested conference committee
- **2019-02-18** House acceded to request
- **2019-02-18** Conferees appointed by House
- **2019-02-19** Conferees appointed by Senate
- **2019-02-20** Amended by conference committee
- **2019-02-20** Conference report agreed to by House (100-Y 0-N)
- **2019-02-20** Passed by for the day
- **2019-02-21** Passed by for the day
- **2019-02-22** Passed by temporarily
- **2019-03-07** Enrolled
- **2019-03-07** Signed by Speaker
- **2019-03-09** Signed by President
- **2019-03-11** Enrolled Bill communicated to Governor on March 11, 2019
- **2019-03-11** Governor's Action Deadline Midnight, March 26, 2019
- **2019-03-21** Approved by Governor-Chapter 670 (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/84b453b8-4f67-42dd-818e-190f1b1d54dc`. Confidence: reported (aggregated from official Virginia legislature records).