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---
type: "Bill"
title: "Nursing homes, assisted living facilities, etc.; SHHR to study current oversight/regulation."
description: "Secretary of Health and Human Resources; study consolidating oversight and regulation of nursing homes, assistedliving facilities, and other congregate living settings under a singlestate agency; report. Directs the Secretary of Health and Human Resources to study the feasibility of consolidating oversight andregulation of nursing homes, assisted living facilities, and othercongregate living settings under a single state agency to improveefficiency and effectiveness of regulation and oversight, providebetter transparency for members of the public navigating the processof receiving services from such facilities, and better protect thehealth and safety of the public and to develop recommendations forconsolidation of such oversight and regulation and to report hisfindings and recommendations to the Governor and the Chairmen ofthe Senate Committees on Education and Health and Finance and Appropriationsand the House Committees on Appropriations and Health, Welfare andInstitutions by October 1, 2022."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2022"
identifier: "HB 234"
citation: "Virginia HB 234 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Robert D. Orrock, Sr."]
version_count: 4
action_count: 37
vote_count: 7
first_action: "2022-01-10"
last_action: "2022-04-11"
source: "openstates"
source_identifier: "ocd-bill/dcb0afe1-8e0d-42f1-ba3f-72deeb3a6a3c"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?221+sum+HB234"
source_hash: "dab13021ec5f841e4353c27a85139149bbc3e7f731142a31338e8c2ecd5b062f"
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 234 (2022) — Nursing homes, assisted living facilities, etc.; SHHR to study current oversight/regulation.
Secretary of Health and Human Resources; study consolidating oversight and regulation of nursing homes, assistedliving facilities, and other congregate living settings under a singlestate agency; report. Directs the Secretary of Health and Human Resources to study the feasibility of consolidating oversight andregulation of nursing homes, assisted living facilities, and othercongregate living settings under a single state agency to improveefficiency and effectiveness of regulation and oversight, providebetter transparency for members of the public navigating the processof receiving services from such facilities, and better protect thehealth and safety of the public and to develop recommendations forconsolidation of such oversight and regulation and to report hisfindings and recommendations to the Governor and the Chairmen ofthe Senate Committees on Education and Health and Finance and Appropriationsand the House Committees on Appropriations and Health, Welfare andInstitutions by October 1, 2022.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **CHAP0559** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+CHAP0559)
2. **HB234ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB234ER)
3. **Prefiled and ordered printed; offered 01/12/22 22100893D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB234)
4. **Printed as engrossed 22100893D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?221+ful+HB234E)
## Votes
- VOTE: Passage (99-Y 0-N) — **980** (pass) · lower
- Subcommittee recommends reporting with amendments (9-Y 0-N) — **90** (pass) · lower
- Constitutional reading dispensed (39-Y 0-N) — **390** (pass) · upper
- Passed Senate with amendment (40-Y 0-N) — **400** (pass) · upper
- Reported from Education and Health with amendment (15-Y 0-N) — **150** (pass) · upper
- VOTE: Adoption (100-Y 0-N) — **990** (pass) · lower
- Reported from Health, Welfare and Institutions with amendment(s) (22-Y 0-N) — **220** (pass) · lower
## Sponsors
- Robert D. Orrock, Sr. — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2022-01-10** Prefiled and ordered printed; offered 01/12/22 22100893D `introduction`
- **2022-01-10** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2022-01-18** Assigned HWI sub: Subcommittee #1 `referral-committee`
- **2022-01-21** Impact statement from DPB (HB234)
- **2022-01-25** House subcommittee amendments and substitutes offered
- **2022-01-25** Subcommittee recommends reporting with amendments (9-Y 0-N)
- **2022-01-27** House committee, floor amendments and substitutes offered
- **2022-01-27** Reported from Health, Welfare and Institutions with amendment(s) (22-Y 0-N) `committee-passage`
- **2022-01-31** Read first time `reading-1`
- **2022-02-01** Read second time `reading-2`
- **2022-02-01** Committee amendments agreed to
- **2022-02-01** Amendments by Delegate Orrock agreed to `amendment-passage`
- **2022-02-01** Engrossed by House as amended HB234E
- **2022-02-01** Printed as engrossed 22100893D-E
- **2022-02-02** Read third time and passed House (99-Y 0-N) `passage, reading-3`
- **2022-02-02** VOTE: Passage (99-Y 0-N)
- **2022-02-03** Impact statement from DPB (HB234E)
- **2022-02-03** Constitutional reading dispensed
- **2022-02-03** Referred to Committee on Education and Health `referral-committee`
- **2022-02-21** Assigned Education sub: Health `referral-committee`
- **2022-02-23** Senate subcommittee amendments and substitutes offered
- **2022-02-24** Reported from Education and Health with amendment (15-Y 0-N) `committee-passage`
- **2022-02-25** Constitutional reading dispensed (39-Y 0-N)
- **2022-02-28** Read third time `reading-3`
- **2022-02-28** Reading of amendment waived
- **2022-02-28** Committee amendment agreed to
- **2022-02-28** Engrossed by Senate as amended
- **2022-02-28** Passed Senate with amendment (40-Y 0-N) `passage`
- **2022-03-02** Senate amendment agreed to by House (100-Y 0-N)
- **2022-03-02** VOTE: Adoption (100-Y 0-N)
- **2022-03-07** Enrolled
- **2022-03-08** Impact statement from DPB (HB234ER)
- **2022-03-08** Signed by Speaker
- **2022-03-08** Signed by President
- **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 559 (effective 7/1/22) `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/dcb0afe1-8e0d-42f1-ba3f-72deeb3a6a3c`. Confidence: reported (aggregated from official Virginia legislature records).