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---
type: "Bill"
title: "Certificate of public need; conditions, triennial review."
description: "Directs the Commissioner of Health (i) to review charity care conditions on certificates of public need at least once every three years to determine whether conditions continue to be appropriate or should be revised and (ii) to notify the certificate holder as to his conclusions and the process for requesting changes to conditions on an existing certificate."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2019"
identifier: "HB 2766"
citation: "Virginia HB 2766 (2019)"
classification: ["bill"]
subjects: ["Health"]
status: "enacted"
primary_sponsors: ["Kathy J. Byron"]
version_count: 5
action_count: 28
vote_count: 9
first_action: "2019-01-18"
last_action: "2019-04-03"
source: "openstates"
source_identifier: "ocd-bill/d5b602a8-effc-4b25-ba2b-4f1fd848eb74"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?191+sum+HB2766"
source_hash: "0a2dfb76455df2fe6025d41d7c1f4f1ab7763d746e9b084855474871a064a05c"
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 2766 (2019) — Certificate of public need; conditions, triennial review.
Directs the Commissioner of Health (i) to review charity care conditions on certificates of public need at least once every three years to determine whether conditions continue to be appropriate or should be revised and (ii) to notify the certificate holder as to his conclusions and the process for requesting changes to conditions on an existing certificate.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Governor: Acts of Assembly Chapter text (CHAP0839)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+CHAP0839)
2. **House: Bill text as passed House and Senate (HB2766ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2766ER)
3. **House: Presented and ordered printed 19100615D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2766)
4. **House: Reenrolled bill text (HB2766ER2)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+ful+HB2766ER2)
5. **Senate amendments engrossed** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?191+amd+HB2766ASE)
## Votes
- Read third time and passed House BLOCK VOTE — **990** (pass) · lower
- Subcommittee recommends reporting — **60** (pass) · lower
- Reported from Health, Welfare and Institutions — **220** (pass) · lower
- Senate amendment agreed to by House — **953** (pass) · lower
- Reported from Education and Health with amendment — **150** (pass) · upper
- Senate concurred in Governor's recommendation — **380** (pass) · upper
- House concurred in Governor's recommendation — **980** (pass) · lower
- Passed Senate with amendment — **400** (pass) · upper
- Constitutional reading dispensed — **370** (pass) · upper
## Sponsors
- Kathy J. Byron — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-01-18** Presented and ordered printed 19100615D `introduction`
- **2019-01-18** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2019-01-22** Assigned HWI sub: Subcommittee #3 `referral-committee`
- **2019-02-01** Read first time `reading-1`
- **2019-02-04** Read second time and engrossed `reading-2`
- **2019-02-05** Read third time and passed House BLOCK VOTE (99-Y 0-N) `passage, reading-3`
- **2019-02-06** Constitutional reading dispensed
- **2019-02-06** Referred to Committee on Education and Health `referral-committee`
- **2019-02-18** Read third time `reading-3`
- **2019-02-18** Reading of amendment waived
- **2019-02-18** Committee amendment agreed to
- **2019-02-18** Engrossed by Senate as amended
- **2019-02-19** Placed on Calendar
- **2019-02-19** Senate amendment agreed to by House (95-Y 3-N)
- **2019-02-22** Enrolled
- **2019-02-22** Signed by Speaker
- **2019-02-22** Signed by President
- **2019-03-04** Enrolled Bill communicated to Governor on March 4, 2019
- **2019-03-04** Governor's Action Deadline Midnight, March 26, 2019
- **2019-03-18** Governor's recommendation received by House
- **2019-04-03** Placed on Calendar
- **2019-04-03** House concurred in Governor's recommendation (98-Y 0-N)
- **2019-04-03** Governor's recommendation adopted
- **2019-04-03** Reenrolled
- **2019-04-03** Reenrolled bill text (HB2766ER2)
- **2019-04-03** Signed by Speaker as reenrolled
- **2019-04-03** Signed by President as reenrolled
- **2019-04-03** Enacted, Chapter 839 (effective 7/1/19) `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d5b602a8-effc-4b25-ba2b-4f1fd848eb74`. Confidence: reported (aggregated from official Virginia legislature records).