republic-os/legislation/us/states/va/2020/hb-1057.md

---
type: "Bill"
title: "Health insurance; clinical nurse specialists."
description: "Health insurance; clinical nurse specialists. Prohibits health insurers and health service plan providers whose policies or contracts cover services that may be legally performed by a licensed clinical nurse specialist from denying reimbursement because the service is rendered by a licensed clinical nurse specialist. The measure removes the existing limitation that requires such reimbursement only to licensed clinical nurse specialists who render mental health services."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2020"
identifier: "HB 1057"
citation: "Virginia HB 1057 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dawn M. Adams"]
version_count: 4
action_count: 34
vote_count: 8
first_action: "2020-01-07"
last_action: "2020-04-06"
source: "openstates"
source_identifier: "ocd-bill/f80d7a4b-5f88-4902-b220-46d5fa62083c"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+HB1057"
source_hash: "f383a91cba0b9c522210198fd718560f8ccaad0a3a7550671b040a4902ab2976"
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 1057 (2020) — Health insurance; clinical nurse specialists.

Health insurance; clinical nurse specialists. Prohibits health insurers and health service plan providers whose policies or contracts cover services that may be legally performed by a licensed clinical nurse specialist from denying reimbursement because the service is rendered by a licensed clinical nurse specialist. The measure removes the existing limitation that requires such reimbursement only to licensed clinical nurse specialists who render mental health services.

## Version chain

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

1. **Acts of Assembly Chapter text (CHAP0726)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP0726)
2. **Bill text as passed House and Senate (HB1057ER)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1057ER)
3. **Engrossed by House - committee substitute HB1057H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1057H1)
4. **Impact statement from SCC (HB1057)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1057)

## Votes

- Reported from Commerce and Labor with amendment (14-Y 0-N) — **14–0** (pass) · upper
- Subcommittee recommends reporting with substitute (8-Y 0-N) — **8–0** (pass) · lower
- Constitutional reading dispensed (40-Y 0-N) — **40–0** (pass) · upper
- Passed Senate with amendment (40-Y 0-N) — **40–0** (pass) · upper
- Reported from Labor and Commerce with substitute (22-Y 0-N) — **22–0** (pass) · lower
- VOTE: Block Vote Passage (100-Y 0-N) — **99–0** (pass) · lower
- Referred from Health, Welfare and Institutions — **0–0** (fail) · lower
- VOTE: Adoption (97-Y 0-N) — **96–0** (pass) · lower

## Sponsors

- Dawn M. Adams — primary (person)

## Timeline

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

- **2020-01-07** Prefiled and ordered printed; offered 01/08/20 20102208D `introduction`
- **2020-01-07** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2020-01-21** Referred from Health, Welfare and Institutions
- **2020-01-21** Referred to Committee on Labor and Commerce `referral-committee`
- **2020-01-28** Assigned L & C sub: Subcommittee #2 `referral-committee`
- **2020-01-28** Impact statement from SCC (HB1057)
- **2020-01-30** Subcommittee recommends reporting with substitute (8-Y 0-N)
- **2020-02-04** Reported from Labor and Commerce with substitute (22-Y 0-N) `committee-passage`
- **2020-02-04** Committee substitute printed 20107278D-H1 `substitution`
- **2020-02-05** Read first time `reading-1`
- **2020-02-06** Read second time `reading-2`
- **2020-02-06** Committee substitute agreed to 20107278D-H1
- **2020-02-06** Engrossed by House - committee substitute HB1057H1
- **2020-02-07** Read third time and passed House BLOCK VOTE (100-Y 0-N) `passage, reading-3`
- **2020-02-07** VOTE: Block Vote Passage (100-Y 0-N)
- **2020-02-10** Impact statement from SCC (HB1057H1)
- **2020-02-10** Constitutional reading dispensed
- **2020-02-10** Referred to Committee on Commerce and Labor `referral-committee`
- **2020-03-02** Reported from Commerce and Labor with amendment (14-Y 0-N) `committee-passage`
- **2020-03-04** Constitutional reading dispensed (40-Y 0-N)
- **2020-03-05** Read third time `reading-3`
- **2020-03-05** Reading of amendment waived
- **2020-03-05** Committee amendment agreed to
- **2020-03-05** Engrossed by Senate as amended
- **2020-03-05** Passed Senate with amendment (40-Y 0-N) `passage`
- **2020-03-05** Senate amendment agreed to by House (97-Y 0-N)
- **2020-03-05** VOTE: Adoption (97-Y 0-N)
- **2020-03-12** Enrolled
- **2020-03-12** Signed by Speaker
- **2020-03-12** Signed by President
- **2020-03-13** Impact statement from SCC (HB1057ER)
- **2020-03-17** Enrolled Bill communicated to Governor on March 17, 2020
- **2020-03-17** Governor's Action Deadline 11:59 p.m., April 11, 2020
- **2020-04-06** Approved by Governor-Chapter 726 (effective 7/1/20) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f80d7a4b-5f88-4902-b220-46d5fa62083c`. Confidence: reported (aggregated from official Virginia legislature records).