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---
type: "Bill"
title: "Out-of-state health care practitioners; temporary authorization to practice."
description: "Out-of-state health care practitioners; temporary authorization to practice; licensure by reciprocity for physicians; emergency. Allows a health care practitioner licensed, certified, or registered in another state or the District of Columbia to practice in the Commonwealth for a period of up to 90 days provided certain conditions are met and provides that if such health care practitioner has applied for licensure, certification, or registration in the Commonwealth, the applicable health regulatory board shall expedite such application. The bill also requires the Department of Health Professions to pursue reciprocity agreements with jurisdictions that surround the Commonwealth to streamline the application process to facilitate the practice of medicine and to report to the Chairmen of the Senate Committee on Education and Health and the House Committee on Health, Welfare and Institutions the number of out-of-state health care practitioners who have utilized the temporary authorization created by the bill to practice in the Commonwealth pending licensure who have not subsequently been issued a full license to practice in the Commonwealth. The bill contains an emergency clause."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "HB 1187"
citation: "Virginia HB 1187 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dan I. Helmer"]
version_count: 5
action_count: 38
vote_count: 7
first_action: "2022-01-17"
last_action: "2022-04-11"
source: "openstates"
source_identifier: "ocd-bill/399c2d95-f2ac-45f5-a40b-882e77739d2c"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB1187"
source_hash: "44ab8e21aa7339afb07fa4676a17aa9ac6843340cb41dea3d523a4a14c0d7661"
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 1187 (2022) — Out-of-state health care practitioners; temporary authorization to practice.
Out-of-state health care practitioners; temporary authorization to practice; licensure by reciprocity for physicians; emergency. Allows a health care practitioner licensed, certified, or registered in another state or the District of Columbia to practice in the Commonwealth for a period of up to 90 days provided certain conditions are met and provides that if such health care practitioner has applied for licensure, certification, or registration in the Commonwealth, the applicable health regulatory board shall expedite such application. The bill also requires the Department of Health Professions to pursue reciprocity agreements with jurisdictions that surround the Commonwealth to streamline the application process to facilitate the practice of medicine and to report to the Chairmen of the Senate Committee on Education and Health and the House Committee on Health, Welfare and Institutions the number of out-of-state health care practitioners who have utilized the temporary authorization created by the bill to practice in the Commonwealth pending licensure who have not subsequently been issued a full license to practice in the Commonwealth. The bill contains an emergency clause.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **CHAP0463** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0463)
2. **Committee substitute printed 22105376D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB1187H1)
3. **Committee substitute printed 22106947D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB1187S1)
4. **HB1187ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB1187ER)
5. **Presented and ordered printed with emergency clause 22104638D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB1187)
## Votes
- VOTE: Block Vote Passage (100-Y 0-N) — **990** (pass) · lower
- Constitutional reading dispensed (39-Y 0-N) — **390** (pass) · upper
- Passed Senate with substitute (40-Y 0-N) — **400** (pass) · upper
- VOTE: Adoption (100-Y 0-N) — **990** (pass) · lower
- Reported from Education and Health with substitute (15-Y 0-N) — **150** (pass) · upper
- Subcommittee recommends reporting with substitute (9-Y 0-N) — **90** (pass) · lower
- Reported from Health, Welfare and Institutions with substitute (22-Y 0-N) — **220** (pass) · lower
## Sponsors
- Dan I. Helmer — primary (person)
- Carrie E. Coyner — cosponsor (person)
- Elizabeth B. Bennett-Parker — cosponsor (person)
- Glenn R. Davis — cosponsor (person)
- Kathleen Murphy — cosponsor (person)
- Phillip A. Scott — cosponsor (person)
- Suhas Subramanyam — cosponsor (person)
- Timothy V. Anderson — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2022-01-17** Presented and ordered printed with emergency clause 22104638D `introduction`
- **2022-01-17** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2022-01-25** Assigned HWI sub: Subcommittee #2 `referral-committee`
- **2022-02-03** Subcommittee recommends reporting with substitute (9-Y 0-N)
- **2022-02-04** House subcommittee amendments and substitutes offered
- **2022-02-07** Impact statement from DPB (HB1187)
- **2022-02-10** Reported from Health, Welfare and Institutions with substitute (22-Y 0-N) `committee-passage`
- **2022-02-10** Committee substitute printed 22105376D-H1 `substitution`
- **2022-02-13** Read first time `reading-1`
- **2022-02-14** Read second time `reading-2`
- **2022-02-14** Committee substitute agreed to 22105376D-H1
- **2022-02-14** Engrossed by House - committee substitute HB1187H1
- **2022-02-15** Read third time and passed House BLOCK VOTE (100-Y 0-N) `passage, reading-3`
- **2022-02-15** Impact statement from DPB (HB1187H1)
- **2022-02-15** VOTE: Block Vote Passage (100-Y 0-N)
- **2022-02-16** Constitutional reading dispensed
- **2022-02-16** Referred to Committee on Education and Health `referral-committee`
- **2022-02-24** Senate committee, floor amendments and substitutes offered
- **2022-02-24** Reported from Education and Health with substitute (15-Y 0-N) `committee-passage`
- **2022-02-24** Committee substitute printed 22106947D-S1 `substitution`
- **2022-02-25** Constitutional reading dispensed (39-Y 0-N)
- **2022-02-25** Impact statement from DPB (HB1187S1)
- **2022-02-28** Read third time `reading-3`
- **2022-02-28** Reading of substitute waived
- **2022-02-28** Committee substitute agreed to 22106947D-S1
- **2022-02-28** Passed by for the day
- **2022-03-01** Read third time `reading-3`
- **2022-03-01** Engrossed by Senate - committee substitute HB1187S1
- **2022-03-01** Passed Senate with substitute (40-Y 0-N) `passage`
- **2022-03-03** Senate substitute agreed to by House 22106947D-S1 (100-Y 0-N)
- **2022-03-03** VOTE: Adoption (100-Y 0-N)
- **2022-03-08** Enrolled
- **2022-03-08** Signed by Speaker
- **2022-03-08** Signed by President
- **2022-03-09** Impact statement from DPB (HB1187ER)
- **2022-03-22** Enrolled Bill communicated to Governor on March 22, 2022
- **2022-03-22** Governor's Action Deadline 11:59 p.m., April 11, 2022
- **2022-04-11** Approved by Governor-Chapter 463 (effective 4/11/22) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/399c2d95-f2ac-45f5-a40b-882e77739d2c`. Confidence: reported (aggregated from official Virginia legislature records).