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---
type: "Bill"
title: "Hospitals; emergency departments to have at least one licensed physician on duty at all times."
description: "Hospitals; emergency departments; licensed physicians. Requires any hospital with an emergency department to have at least one licensed physician on duty and physically present at all times. Current law requires such hospitals to have a licensed physician on call, though not necessarily physically present on the premises, at all times. The bill has a delayed effective date of July 1, 2025 and is identical to SB 392."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2024"
identifier: "HB 353"
citation: "Virginia HB 353 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Patrick A. Hope"]
version_count: 4
action_count: 32
vote_count: 7
first_action: "2024-01-05"
last_action: "2024-04-04"
source: "openstates"
source_identifier: "ocd-bill/dbce4bf1-6e68-4858-8afc-1371470e4352"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB353"
source_hash: "3153e25e6683dd22bde5cadee442fdd936d4d340028b8f94edf7209e478f6c57"
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 353 (2024) — Hospitals; emergency departments to have at least one licensed physician on duty at all times.
Hospitals; emergency departments; licensed physicians. Requires any hospital with an emergency department to have at least one licensed physician on duty and physically present at all times. Current law requires such hospitals to have a licensed physician on call, though not necessarily physically present on the premises, at all times. The bill has a delayed effective date of July 1, 2025 and is identical to SB 392.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **CHAP0441** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0441)
2. **HB353ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB353ER)
3. **Prefiled and ordered printed; offered 01/10/24 24100997D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB353)
4. **Printed as engrossed 24100997D-E** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+HB353E)
## Votes
- Passed Senate (40-Y 0-N) — **400** (pass) · upper
- Constitutional reading dispensed (40-Y 0-N) — **400** (pass) · upper
- Reported from Finance and Appropriations (14-Y 0-N) — **140** (pass) · upper
- Subcommittee recommends reporting with amendments (8-Y 0-N) — **80** (pass) · lower
- VOTE: Passage (81-Y 19-N) — **8019** (pass) · lower
- Reported from Health and Human Services with amendment(s) (22-Y 0-N) — **220** (pass) · lower
- Reported from Education and Health (14-Y 0-N) — **140** (pass) · upper
## Sponsors
- Patrick A. Hope — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-05** Prefiled and ordered printed; offered 01/10/24 24100997D `filing, introduction`
- **2024-01-05** Referred to Committee on Health and Human Services `referral-committee`
- **2024-01-17** Assigned sub: Health `referral-committee`
- **2024-01-19** Impact statement from DPB (HB353)
- **2024-01-23** House subcommittee amendments and substitutes offered
- **2024-01-23** Subcommittee recommends reporting with amendments (8-Y 0-N)
- **2024-01-25** Reported from Health and Human Services with amendment(s) (22-Y 0-N) `committee-passage`
- **2024-01-29** Read first time `reading-1`
- **2024-01-30** Read second time `reading-2`
- **2024-01-30** Committee amendment agreed to `amendment-passage`
- **2024-01-30** Engrossed by House as amended HB353E
- **2024-01-30** Printed as engrossed 24100997D-E
- **2024-01-30** Impact statement from DPB (HB353E)
- **2024-01-31** Read third time and passed House (81-Y 19-N) `passage, reading-3`
- **2024-01-31** VOTE: Passage (81-Y 19-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 (14-Y 0-N) `committee-passage`
- **2024-02-15** Rereferred to Finance and Appropriations `referral-committee`
- **2024-02-29** Reported from Finance and Appropriations (14-Y 0-N) `committee-passage`
- **2024-03-04** Constitutional reading dispensed (40-Y 0-N)
- **2024-03-05** Read third time `reading-3`
- **2024-03-05** Passed Senate (40-Y 0-N) `passage`
- **2024-03-25** Enrolled `enrolled`
- **2024-03-25** Bill text as passed House and Senate (HB353ER) `passage`
- **2024-03-25** Signed by President `passage`
- **2024-03-26** Signed by Speaker `passage`
- **2024-03-27** Impact statement from DPB (HB353ER)
- **2024-03-27** Enrolled Bill communicated to Governor on March 27, 2024 `enrolled, executive-receipt`
- **2024-03-27** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
- **2024-04-04** Approved by Governor-Chapter 441 (effective 7/1/25) `executive-signature`
- **2024-04-04** Acts of Assembly Chapter text (CHAP0441)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/dbce4bf1-6e68-4858-8afc-1371470e4352`. Confidence: reported (aggregated from official Virginia legislature records).