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---
type: "Bill"
title: "Auricular acupuncture; use of the five needle protocol."
description: "Auricular acupuncture; use of the five needle protocol. Allows any person to engage in the five needle auricular acupuncture protocol (5NP), a standardized protocol wherein up to five needles are inserted into the external human ear to provide relief from the effects of behavioral health conditions, provided that such person (i) has appropriate training in the 5NP, including training established by the National Acupuncture Detoxification Association or equivalent certifying body; (ii) does not use any letters, words, or insignia indicating or implying that he is an acupuncturist; and (iii) makes no statement implying that his practice of the 5NP is licensed, certified, or otherwise overseen by the Commonwealth. Treatment utilizing the 5NP pursuant to this bill is strictly limited to the insertion of disposable, sterile acupuncture needles into the ear and only in compliance with the 5NP."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2024"
identifier: "HB 1278"
citation: "Virginia HB 1278 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Eric R. Zehr"]
version_count: 4
action_count: 31
vote_count: 6
first_action: "2024-01-10"
last_action: "2024-04-05"
source: "openstates"
source_identifier: "ocd-bill/89c86b2d-e987-49ab-904b-96f398ded0a5"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB1278"
source_hash: "adc7066a3e8cf94fd8211445e90f7ef178a5cc48634f6b3d78e8bfc8b4a8b18f"
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 1278 (2024) — Auricular acupuncture; use of the five needle protocol.
Auricular acupuncture; use of the five needle protocol. Allows any person to engage in the five needle auricular acupuncture protocol (5NP), a standardized protocol wherein up to five needles are inserted into the external human ear to provide relief from the effects of behavioral health conditions, provided that such person (i) has appropriate training in the 5NP, including training established by the National Acupuncture Detoxification Association or equivalent certifying body; (ii) does not use any letters, words, or insignia indicating or implying that he is an acupuncturist; and (iii) makes no statement implying that his practice of the 5NP is licensed, certified, or otherwise overseen by the Commonwealth. Treatment utilizing the 5NP pursuant to this bill is strictly limited to the insertion of disposable, sterile acupuncture needles into the ear and only in compliance with the 5NP.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **CHAP0548** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0548)
2. **Committee substitute printed 24106733D-H1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1278H1)
3. **HB1278ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1278ER)
4. **Prefiled and ordered printed; offered 01/10/24 24100800D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB1278)
## Votes
- Reported from Education and Health (15-Y 0-N) — **150** (pass) · upper
- VOTE: Passage (97-Y 3-N) — **963** (pass) · lower
- Reported from Health and Human Services with substitute (20-Y 2-N) — **202** (pass) · lower
- Subcommittee recommends reporting with substitute (8-Y 0-N) — **80** (pass) · lower
- Passed Senate (39-Y 0-N) — **390** (pass) · upper
- Constitutional reading dispensed (40-Y 0-N) — **400** (pass) · upper
## Sponsors
- Eric R. Zehr — primary (person)
- Nadarius E. Clark — cosponsor (person)
- Sam Rasoul — cosponsor (person)
- Wendell S. Walker — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-10** Prefiled and ordered printed; offered 01/10/24 24100800D `filing, introduction`
- **2024-01-10** Referred to Committee on Health and Human Services `referral-committee`
- **2024-01-23** Assigned sub: Behavioral Health `referral-committee`
- **2024-02-01** House subcommittee amendments and substitutes offered
- **2024-02-01** Subcommittee recommends reporting with substitute (8-Y 0-N) `substitution`
- **2024-02-06** Impact statement from DPB (HB1278)
- **2024-02-06** Reported from Health and Human Services with substitute (20-Y 2-N) `committee-passage`
- **2024-02-06** Committee substitute printed 24106733D-H1 `substitution`
- **2024-02-07** Impact statement from DPB (HB1278H1)
- **2024-02-08** Read first time `reading-1`
- **2024-02-09** Read second time `reading-2`
- **2024-02-09** Committee substitute agreed to 24106733D-H1 `substitution`
- **2024-02-09** Engrossed by House - committee substitute HB1278H1 `substitution`
- **2024-02-12** Read third time and passed House (97-Y 3-N) `passage, reading-3`
- **2024-02-12** VOTE: Passage (97-Y 3-N) `passage`
- **2024-02-13** Constitutional reading dispensed
- **2024-02-13** Referred to Committee on Education and Health `referral-committee`
- **2024-02-21** Assigned Education and Health Sub: Health Professions `referral-committee`
- **2024-02-29** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2024-03-01** Constitutional reading dispensed (40-Y 0-N)
- **2024-03-04** Read third time `reading-3`
- **2024-03-04** Passed Senate (39-Y 0-N) `passage`
- **2024-03-08** Enrolled `enrolled`
- **2024-03-08** Bill text as passed House and Senate (HB1278ER) `passage`
- **2024-03-08** Impact statement from DPB (HB1278ER)
- **2024-03-08** Signed by Speaker `passage`
- **2024-03-09** Signed by President `passage`
- **2024-03-11** Enrolled Bill communicated to Governor on March 11, 2024 `enrolled, executive-receipt`
- **2024-03-11** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
- **2024-04-05** Approved by Governor-Chapter 548 (effective 7/1/24) `executive-signature`
- **2024-04-05** Acts of Assembly Chapter text (CHAP0548)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/89c86b2d-e987-49ab-904b-96f398ded0a5`. Confidence: reported (aggregated from official Virginia legislature records).