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---
type: "Bill"
title: "Practice of chiropractic; amends definition."
description: "Vitamins, minerals, and food supplements; practice of chiropractic; definition. Amends the definition of \"practice of chiropractic\" to include recommending or directing patients on the use of vitamins, minerals, or food supplements. The bill also allows a chiropractor to recommend or direct patients on the use of vitamins, minerals, or food supplements, provided that the rationale for such recommendation is (i) documented in a patient's record and (ii) based on a reasonable expectation that the use of such vitamins, minerals, or food supplements will result in a favorable patient outcome, including preventive practices, and that a greater benefit will be achieved than that which can be expected without such use. Under the bill, such chiropractor is not permitted to sell, dispense, or recommend vitamins, minerals, or food supplements for use if such use will negatively impact any of the patient's existing medical conditions. This bill is identical to SB 1015."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2025"
identifier: "HB 1646"
citation: "Virginia HB 1646 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["C.E. Cliff Hayes, Jr."]
version_count: 3
action_count: 28
vote_count: 8
first_action: "2025-01-03"
last_action: "2025-03-21"
source: "openstates"
source_identifier: "ocd-bill/1e90544f-8c75-4fb2-9927-b14c65367e4e"
source_url: "https://lis.virginia.gov/bill-details/20251/HB1646"
source_hash: "5fb97b088ebbcefec66cf62e7c0eb20358d11d10306a82e3d4f4831ef559b350"
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 1646 (2025) — Practice of chiropractic; amends definition.
Vitamins, minerals, and food supplements; practice of chiropractic; definition. Amends the definition of "practice of chiropractic" to include recommending or directing patients on the use of vitamins, minerals, or food supplements. The bill also allows a chiropractor to recommend or direct patients on the use of vitamins, minerals, or food supplements, provided that the rationale for such recommendation is (i) documented in a patient's record and (ii) based on a reasonable expectation that the use of such vitamins, minerals, or food supplements will result in a favorable patient outcome, including preventive practices, and that a greater benefit will be achieved than that which can be expected without such use. Under the bill, such chiropractor is not permitted to sell, dispense, or recommend vitamins, minerals, or food supplements for use if such use will negatively impact any of the patient's existing medical conditions. This bill is identical to SB 1015.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://lis.blob.core.windows.net/files/1012485.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1071976.PDF)
3. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1060956.PDF)
## Votes
- Read third time and passed House (98-Y 0-N) — **980** (pass) · lower
- Passed Senate (40-Y 0-N) — **400** (pass) · upper
- Reading waived (on 2nd reading) (39-Y 0-N) — **390** (pass) · upper
- Subcommittee recommends reporting (8-Y 0-N) — **80** (pass) · lower
- Reported from Health and Human Services (21-Y 0-N) — **210** (pass) · lower
- Reported from Education and Health (13-Y 0-N) — **130** (pass) · upper
- Constitutional reading dispensed (on 2nd reading) — **390** (pass) · upper
- Read third time and passed House (99-Y 0-N) — **990** (pass) · lower
## Sponsors
- C.E. Cliff Hayes, Jr. — primary (person)
- David Owen — cosponsor (person)
- Joshua G. Cole — cosponsor (person)
- Marty Martinez — cosponsor (person)
- Michael B. Feggans — cosponsor (person)
- Nadarius E. Clark — cosponsor (person)
- Rozia A. Henson, Jr. — cosponsor (person)
- Sam Rasoul — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-03** Prefiled and ordered printed; Offered 01-08-2025 25102257D `filing, introduction`
- **2025-01-03** Referred to Committee on Health and Human Services `referral-committee`
- **2025-01-13** Fiscal Impact Statement from Department of Planning and Budget (HB1646)
- **2025-01-13** Assigned sub: Health Professions `referral-committee`
- **2025-01-23** Subcommittee recommends reporting (8-Y 0-N)
- **2025-01-28** Reported from Health and Human Services (21-Y 0-N) `committee-passage`
- **2025-01-30** Read first time `reading-1`
- **2025-01-31** Read second time and engrossed `reading-2`
- **2025-02-03** Read third time and passed House (98-Y 0-N) `passage, reading-3`
- **2025-02-03** Reconsideration of passage agreed to by House
- **2025-02-03** Read third time and passed House (99-Y 0-N) `passage, reading-3`
- **2025-02-04** Constitutional reading dispensed (on 1st reading)
- **2025-02-04** Referred to Committee on Education and Health `referral-committee`
- **2025-02-13** Reported from Education and Health (13-Y 0-N) `committee-passage`
- **2025-02-17** Rules suspended
- **2025-02-17** Constitutional reading dispensed (on 2nd reading)
- **2025-02-17** Passed by for the day
- **2025-02-18** Read third time `reading-3`
- **2025-02-18** Passed Senate (40-Y 0-N) `passage`
- **2025-03-07** Enrolled `enrolled`
- **2025-03-07** Bill text as passed House and Senate (HB1646ER) `passage`
- **2025-03-07** Fiscal Impact Statement from Department of Planning and Budget (HB1646)
- **2025-03-07** Signed by Speaker `passage`
- **2025-03-10** Signed by President `passage`
- **2025-03-11** Enrolled Bill communicated to Governor on March 11, 2025 `enrolled, executive-receipt`
- **2025-03-11** Governor's Action Deadline 11:59 p.m., March 24, 2025 `executive-receipt`
- **2025-03-21** Approved by Governor-Chapter 184 (Effective 07/01/25) `executive-signature`
- **2025-03-21** Acts of Assembly Chapter text (CHAP0184)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1e90544f-8c75-4fb2-9927-b14c65367e4e`. Confidence: reported (aggregated from official Virginia legislature records).