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---
type: "Bill"
title: "Surgical technologists and surgical assistants; practice prior to certification of licensure."
description: "Surgical technologists and surgical assistants; practice prior to certification of licensure."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2023"
identifier: "HB 2222"
citation: "Virginia HB 2222 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Hayes"]
version_count: 6
action_count: 59
vote_count: 13
first_action: "2023-01-11"
last_action: "2023-04-12"
source: "openstates"
source_identifier: "ocd-bill/9e0c716c-6860-4f25-a485-dbec8fca28f3"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?231+sum+HB2222"
source_hash: "3f57566722175d8f561f36c42852e2a4dfcf401945f182ed7c0d74b1eb781422"
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 2222 (2023) — Surgical technologists and surgical assistants; practice prior to certification of licensure.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **CHAP0792** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+CHAP0792)
2. **Committee substitute printed 23107068D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2222S1)
3. **Conference substitute printed 23107580D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2222H1)
4. **Governor's substitute printed 23107793D-H2** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2222H2)
5. **HB2222ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2222ER)
6. **HB2222ER2** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?231+ful+HB2222ER2)
## Votes
- Reported from Health, Welfare and Institutions (21-Y 0-N) — **00** (fail) · lower
- Passed by motion rejected (17-Y 23-N) — **00** (fail) · upper
- Senate concurred in Governor's recommendation (25-Y 15-N) — **00** (fail) · upper
- VOTE: REJECTED (1-Y 98-N) — **00** (fail) · lower
- Reported from Education and Health with substitute (15-Y 0-N) — **00** (fail) · upper
- VOTE: Block Vote Passage (100-Y 0-N) — **00** (fail) · lower
- Conference report agreed to by Senate (40-Y 0-N) — **00** (fail) · upper
- VOTE: Adoption (96-Y 0-N) — **00** (fail) · lower
- Constitutional reading dispensed (37-Y 0-N) — **00** (fail) · upper
- VOTE: Adoption (49-Y 45-N) — **00** (fail) · lower
- Passed Senate with substitute (40-Y 0-N) — **00** (fail) · upper
- Subcommittee recommends reporting (6-Y 0-N) — **00** (fail) · lower
- Senate insisted on substitute (39-Y 1-N) — **00** (fail) · upper
## Sponsors
- Hayes — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-01-11** Prefiled and ordered printed; offered 01/11/23 23101446D `filing, introduction`
- **2023-01-11** Referred to Committee on Health, Welfare and Institutions `referral-committee`
- **2023-01-16** Impact statement from DPB (HB2222)
- **2023-01-19** Assigned HWI sub: Subcommittee #3 `referral-committee`
- **2023-01-26** Subcommittee recommends reporting (6-Y 0-N)
- **2023-01-31** Reported from Health, Welfare and Institutions (21-Y 0-N) `committee-passage`
- **2023-02-02** Read first time `reading-1`
- **2023-02-03** Read second time `reading-2`
- **2023-02-03** Passed by temporarily
- **2023-02-03** Engrossed by House
- **2023-02-06** Read third time and passed House BLOCK VOTE (100-Y 0-N) `passage, reading-3`
- **2023-02-06** VOTE: Block Vote Passage (100-Y 0-N) `passage`
- **2023-02-07** Constitutional reading dispensed
- **2023-02-07** Referred to Committee on Education and Health `referral-committee`
- **2023-02-16** Reported from Education and Health with substitute (15-Y 0-N) `committee-passage`
- **2023-02-16** Committee substitute printed 23107068D-S1 `substitution`
- **2023-02-17** Impact statement from DPB (HB2222S1)
- **2023-02-17** Constitutional reading dispensed (37-Y 0-N)
- **2023-02-20** Read third time `reading-3`
- **2023-02-20** Reading of substitute waived
- **2023-02-20** Committee substitute agreed to 23107068D-S1 `substitution`
- **2023-02-20** Engrossed by Senate - committee substitute HB2222S1 `substitution`
- **2023-02-20** Passed Senate with substitute (40-Y 0-N) `passage`
- **2023-02-21** Senate substitute rejected by House 23107068D-S1 (1-Y 98-N)
- **2023-02-21** VOTE: REJECTED (1-Y 98-N)
- **2023-02-22** Senate insisted on substitute (39-Y 1-N) `substitution`
- **2023-02-22** Senate requested conference committee `referral-committee`
- **2023-02-23** House acceded to request
- **2023-02-23** Conferees appointed by Senate
- **2023-02-23** Senators: Lucas, Petersen, Pillion
- **2023-02-23** Conferees appointed by House
- **2023-02-23** Delegates: Tran, Orrock, Hodges
- **2023-02-25** Amended by conference committee
- **2023-02-25** Conference substitute printed 23107580D-H1
- **2023-02-25** Conference report agreed to by House (96-Y 0-N) `committee-passage-favorable`
- **2023-02-25** VOTE: Adoption (96-Y 0-N)
- **2023-02-25** Conference report agreed to by Senate (40-Y 0-N) `committee-passage-favorable`
- **2023-02-27** Impact statement from DPB (HB2222H1)
- **2023-03-07** Enrolled `enrolled`
- **2023-03-07** Bill text as passed House and Senate (HB2222ER) `passage`
- **2023-03-08** Impact statement from DPB (HB2222ER)
- **2023-03-08** Signed by Speaker `passage`
- **2023-03-08** Signed by President `passage`
- **2023-03-13** Enrolled Bill communicated to Governor on March 13, 2023 `enrolled, executive-receipt`
- **2023-03-13** Governor's Action Deadline 11:59 p.m., March 27, 2023 `executive-receipt`
- **2023-03-27** Governor's recommendation received by House `executive-veto-line-item`
- **2023-03-27** Governor's substitute printed 23107793D-H2
- **2023-04-12** Placed on Calendar
- **2023-04-12** House concurred in Governor's recommendation (49-Y 45-N)
- **2023-04-12** VOTE: Adoption (49-Y 45-N)
- **2023-04-12** Passed by motion rejected (17-Y 23-N)
- **2023-04-12** Senate concurred in Governor's recommendation (25-Y 15-N)
- **2023-04-12** Governor's recommendation adopted `executive-signature`
- **2023-04-12** Reenrolled `enrolled`
- **2023-04-12** Reenrolled bill text (HB2222ER2) `enrolled`
- **2023-04-12** Signed by Speaker as reenrolled `enrolled, passage`
- **2023-04-12** Signed by President as reenrolled `enrolled, passage`
- **2023-04-12** Enacted, Chapter 792 (effective 7/1/23) `became-law`
- **2023-04-12** Acts of Assembly Chapter text (CHAP0792)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9e0c716c-6860-4f25-a485-dbec8fca28f3`. Confidence: reported (aggregated from official Virginia legislature records).