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---
type: "Bill"
title: "Physician assistants; practice agreement exemption."
description: "Physician assistants; practice agreement exemption. Allows physician assistants employed by a hospital or employed incertain facilities operated by the Department of Behavioral Health and Developmental Services or in federally qualified health centersdesignated by the Centers for Medicare and Medicaid Services to practicewithout a separate practice agreement if the credentialing and privilegingrequirements of the applicable facility include a practice arrangement,as described in the bill."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2024"
identifier: "SB 133"
citation: "Virginia SB 133 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Christopher T. Head"]
version_count: 3
action_count: 27
vote_count: 6
first_action: "2024-01-05"
last_action: "2024-03-20"
source: "openstates"
source_identifier: "ocd-bill/c55a8bab-026f-4d9e-9d0b-11dddf84c7e9"
source_url: "https://lis.virginia.gov/cgi-bin/legp604.exe?241+sum+SB133"
source_hash: "a4e1ad29e24b4f042f976a27550968ae798bb8b84991f612631019745a0c153e"
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 SB 133 (2024) — Physician assistants; practice agreement exemption.
Physician assistants; practice agreement exemption. Allows physician assistants employed by a hospital or employed incertain facilities operated by the Department of Behavioral Health and Developmental Services or in federally qualified health centersdesignated by the Centers for Medicare and Medicaid Services to practicewithout a separate practice agreement if the credentialing and privilegingrequirements of the applicable facility include a practice arrangement,as described in the bill.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **CHAP0116** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+CHAP0116)
2. **Prefiled and ordered printed; offered 01/10/24 24101483D** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB133)
3. **SB133ER** (committee substitute) — [source](https://lis.virginia.gov/cgi-bin/legp604.exe?241+ful+SB133ER)
## Votes
- Read third time and passed Senate (39-Y 0-N) — **390** (pass) · upper
- Subcommittee recommends reporting (8-Y 0-N) — **80** (pass) · lower
- VOTE: Passage (97-Y 1-N) — **961** (pass) · lower
- Reported from Education and Health (15-Y 0-N) — **150** (pass) · upper
- Constitutional reading dispensed (37-Y 0-N) — **370** (pass) · upper
- Reported from Health and Human Services (21-Y 1-N) — **211** (pass) · lower
## Sponsors
- Christopher T. Head — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-05** Prefiled and ordered printed; offered 01/10/24 24101483D `filing, introduction`
- **2024-01-05** Referred to Committee on Education and Health `referral-committee`
- **2024-01-11** Assigned Education sub: Health Professions `referral-committee`
- **2024-01-16** Impact statement from DPB (SB133)
- **2024-01-18** Reported from Education and Health (15-Y 0-N) `committee-passage`
- **2024-01-19** Constitutional reading dispensed (37-Y 0-N)
- **2024-01-22** Read second time and engrossed `reading-2`
- **2024-01-23** Read third time and passed Senate (39-Y 0-N) `passage, reading-3`
- **2024-02-13** Placed on Calendar
- **2024-02-13** Read first time `reading-1`
- **2024-02-13** Referred to Committee on Health and Human Services `referral-committee`
- **2024-02-13** Assigned sub: Health Professions `referral-committee`
- **2024-02-15** Subcommittee recommends reporting (8-Y 0-N)
- **2024-02-20** Reported from Health and Human Services (21-Y 1-N) `committee-passage`
- **2024-02-22** Read second time `reading-2`
- **2024-02-23** Read third time `reading-3`
- **2024-02-23** Passed House (97-Y 1-N) `passage`
- **2024-02-23** VOTE: Passage (97-Y 1-N) `passage`
- **2024-02-28** Enrolled `enrolled`
- **2024-02-28** Bill text as passed Senate and House (SB133ER) `passage`
- **2024-02-28** Impact statement from DPB (SB133ER)
- **2024-02-28** Signed by Speaker `passage`
- **2024-03-02** Signed by President `passage`
- **2024-03-11** Enrolled Bill Communicated to Governor on March 11, 2024 `enrolled`
- **2024-03-11** Governor's Action Deadline 11:59 p.m., April 8, 2024 `executive-receipt`
- **2024-03-20** Approved by Governor-Chapter 116 (effective 7/1/24) `executive-signature`
- **2024-03-20** Acts of Assembly Chapter text (CHAP0116)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c55a8bab-026f-4d9e-9d0b-11dddf84c7e9`. Confidence: reported (aggregated from official Virginia legislature records).