republic-os/legislation/us/states/va/2024/hb-188.md

---
type: "Bill"
title: "Advance Health Care Planning Registry; amendment of regulations."
description: "Advance Health Care Planning Registry; amendment of regulations. Amends the list of documents that may be submitted to the Advance Health Care Directive Registry to include any other document that supports advance health care planning. The bill also changes the name of the Advance Health Care Directive Registry to the Advance Health Care Planning Registry. The bill directs the Department of Health to amend certain Advance Health Care Planning Registry regulations. This bill is identical to SB 154."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2024"
identifier: "HB 188"
citation: "Virginia HB 188 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Patrick A. Hope"]
version_count: 4
action_count: 32
vote_count: 7
first_action: "2024-01-03"
last_action: "2024-04-02"
source: "openstates"
source_identifier: "ocd-bill/2d19a90f-3bdb-45df-8633-a21dde02e73b"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB188"
source_hash: "2bfa77deb5962a3eb10aaa53c56c28fc5d3bcf1ca5ad48b2799014cfa28b3c50"
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 188 (2024) — Advance Health Care Planning Registry; amendment of regulations.

Advance Health Care Planning Registry; amendment of regulations. Amends the list of documents that may be submitted to the Advance Health Care Directive Registry to include any other document that supports advance health care planning. The bill also changes the name of the Advance Health Care Directive Registry to the Advance Health Care Planning Registry. The bill directs the Department of Health to amend certain Advance Health Care Planning Registry regulations. This bill is identical to SB 154.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **CHAP0274** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0274)
2. **Committee substitute printed 24107757D-S1** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB188S1)
3. **HB188ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB188ER)
4. **Prefiled and ordered printed; offered 01/10/24 24102629D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB188)

## Votes

- Passed Senate with substitute 24107757D-S1 (39-Y 0-N) — **39–0** (pass) · upper
- VOTE: Adoption (98-Y 0-N) — **97–0** (pass) · lower
- VOTE: Passage (100-Y 0-N) — **99–0** (pass) · lower
- Reported from Health and Human Services (21-Y 1-N) — **21–1** (pass) · lower
- Subcommittee recommends reporting (8-Y 0-N) — **8–0** (pass) · lower
- Reported from Education and Health with substitute (14-Y 0-N) — **14–0** (pass) · upper
- Constitutional reading dispensed (38-Y 0-N) — **38–0** (pass) · upper

## Sponsors

- Patrick A. Hope — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2024-01-03** Prefiled and ordered printed; offered 01/10/24 24102629D `filing, introduction`
- **2024-01-03** Referred to Committee on Health and Human Services `referral-committee`
- **2024-01-11** Impact statement from DPB (HB188)
- **2024-01-17** Assigned sub: Health `referral-committee`
- **2024-01-23** Subcommittee recommends reporting (8-Y 0-N)
- **2024-01-25** Reported from Health and Human Services (21-Y 1-N) `committee-passage`
- **2024-01-29** Read first time `reading-1`
- **2024-01-30** Read second time and engrossed `reading-2`
- **2024-01-31** Read third time and passed House (100-Y 0-N) `passage, reading-3`
- **2024-01-31** VOTE: Passage (100-Y 0-N) `passage`
- **2024-02-01** Constitutional reading dispensed
- **2024-02-01** Referred to Committee on Education and Health `referral-committee`
- **2024-02-15** Reported from Education and Health with substitute (14-Y 0-N) `committee-passage`
- **2024-02-15** Committee substitute printed 24107757D-S1 `substitution`
- **2024-02-15** Impact statement from DPB (HB188S1)
- **2024-02-16** Constitutional reading dispensed (38-Y 0-N)
- **2024-02-19** Read third time `reading-3`
- **2024-02-19** Reading of substitute waived
- **2024-02-19** Committee substitute agreed to 24107757D-S1 `substitution`
- **2024-02-19** Engrossed by Senate - committee substitute HB188S1 `substitution`
- **2024-02-19** Passed Senate with substitute 24107757D-S1 (39-Y 0-N) `passage`
- **2024-02-21** Senate substitute agreed to by House 24107757D-S1 (98-Y 0-N) `substitution`
- **2024-02-21** VOTE: Adoption (98-Y 0-N)
- **2024-02-27** Enrolled `enrolled`
- **2024-02-27** Bill text as passed House and Senate (HB188ER) `passage`
- **2024-02-27** Impact statement from DPB (HB188ER)
- **2024-02-27** Signed by Speaker `passage`
- **2024-03-01** 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`
- **2024-04-02** Approved by Governor-Chapter 274 (effective 7/1/24) `executive-signature`
- **2024-04-02** Acts of Assembly Chapter text (CHAP0274)

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2d19a90f-3bdb-45df-8633-a21dde02e73b`. Confidence: reported (aggregated from official Virginia legislature records).