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---
type: "Bill"
title: "Higher educational institutions, public; collection of debts by hospitals affiliated w/institutions."
description: "Collection of debts by hospitals affiliated with public institutions of higher education. Prohibits the Virginia Commonwealth University Health System Authority and the University of Virginia Medical Center from participating in debt collection efforts pursuant to the Virginia Debt Collection Act or the Setoff Debt Collection Act unless all reasonable efforts have been made to determine if the individual with delinquent debt is eligible for financial assistance. The bill requires both hospitals to develop debt collection policies that adhere, at a minimum, to Internal Revenue Service policies regarding financial assistance by tax-exempt hospitals as they were in effect on January 1, 2020."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2020"
identifier: "HB 1226"
citation: "Virginia HB 1226 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kathy K.L. Tran"]
version_count: 4
action_count: 34
vote_count: 8
first_action: "2020-01-07"
last_action: "2020-03-31"
source: "openstates"
source_identifier: "ocd-bill/811e3e6e-ec2b-46f7-9bc9-f060070a258b"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+HB1226"
source_hash: "44c6256c522d155f58b343f77c1086fbe4098eaeb80425f86f151154b7504b5d"
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 1226 (2020) — Higher educational institutions, public; collection of debts by hospitals affiliated w/institutions.
Collection of debts by hospitals affiliated with public institutions of higher education. Prohibits the Virginia Commonwealth University Health System Authority and the University of Virginia Medical Center from participating in debt collection efforts pursuant to the Virginia Debt Collection Act or the Setoff Debt Collection Act unless all reasonable efforts have been made to determine if the individual with delinquent debt is eligible for financial assistance. The bill requires both hospitals to develop debt collection policies that adhere, at a minimum, to Internal Revenue Service policies regarding financial assistance by tax-exempt hospitals as they were in effect on January 1, 2020.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Acts of Assembly Chapter text (CHAP0577)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP0577)
2. **Bill text as passed House and Senate (HB1226ER)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1226ER)
3. **Engrossed by House - committee substitute HB1226H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1226H1)
4. **Impact statement from DPB (HB1226)** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB1226)
## Votes
- Referred from General Laws — **00** (fail) · lower
- Subcommittee recommends reporting with substitute (5-Y 0-N) — **50** (pass) · lower
- Constitutional reading dispensed (32-Y 0-N) — **320** (pass) · upper
- Reported from Education and Health (15-Y 0-N) — **150** (pass) · upper
- Reported from Health, Welfare and Institutions with substitute (22-Y 0-N) — **220** (pass) · lower
- Passed Senate (40-Y 0-N) — **400** (pass) · upper
- Reported from Appropriations (18-Y 1-N) — **181** (pass) · lower
- VOTE: Passage (98-Y 0-N) — **970** (pass) · lower
## Sponsors
- Kathy K.L. Tran — primary (person)
- Chris L. Hurst — cosponsor (person)
- Sally L. Hudson — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2020-01-07** Prefiled and ordered printed; offered 01/08/20 20103924D `introduction`
- **2020-01-07** Referred to Committee on General Laws `referral-committee`
- **2020-01-16** Referred from General Laws
- **2020-01-16** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2020-01-22** Assigned HWI sub: Health `referral-committee`
- **2020-01-23** Impact statement from DPB (HB1226)
- **2020-01-28** House committee, floor amendments and substitutes offered
- **2020-01-28** Subcommittee recommends reporting with substitute (5-Y 0-N)
- **2020-01-28** Subcommittee recommends referring to Committee on Appropriations
- **2020-01-30** Committee substitute printed 20106870D-H1 `substitution`
- **2020-01-30** Reported from Health, Welfare and Institutions with substitute (22-Y 0-N) `committee-passage`
- **2020-01-30** Referred to Committee on Appropriations `referral-committee`
- **2020-01-31** Reported from Appropriations (18-Y 1-N) `committee-passage`
- **2020-02-04** Read first time `reading-1`
- **2020-02-05** Read second time `reading-2`
- **2020-02-05** Committee substitute agreed to 20106870D-H1
- **2020-02-05** Engrossed by House - committee substitute HB1226H1
- **2020-02-06** Read third time and passed House (98-Y 0-N) `passage, reading-3`
- **2020-02-06** VOTE: Passage (98-Y 0-N)
- **2020-02-07** Constitutional reading dispensed
- **2020-02-07** Referred to Committee on Education and Health `referral-committee`
- **2020-02-10** Impact statement from DPB (HB1226H1)
- **2020-02-14** Assigned Education sub: Higher Education `referral-committee`
- **2020-02-20** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2020-02-21** Constitutional reading dispensed (32-Y 0-N)
- **2020-02-24** Read third time `reading-3`
- **2020-02-24** Passed Senate (40-Y 0-N) `passage`
- **2020-02-28** Enrolled
- **2020-02-28** Impact statement from DPB (HB1226ER)
- **2020-02-28** Signed by Speaker
- **2020-03-02** Signed by President
- **2020-03-11** Enrolled Bill communicated to Governor on March 11, 2020
- **2020-03-11** Governor's Action Deadline 11:59 p.m., April 11, 2020
- **2020-03-31** Approved by Governor-Chapter 577 (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/811e3e6e-ec2b-46f7-9bc9-f060070a258b`. Confidence: reported (aggregated from official Virginia legislature records).