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---
type: "Bill"
title: "Certified nurse midwives, licensed certified midwives, etc.; coverage for nursery services."
description: "Department of Health; coverage for nursery services; certified nurse midwives; licensed certified midwives; pediatric nurse practitioners. Directs the Department of Health to amend its regulations on coverage for nursery services to (i) allow certified nurse midwives, licensed certified midwives, or pediatric nurse practitioners with pediatric privileges and a neonatal resuscitation certification from the American Academy of Pediatrics, including endotracheal intubation training, to be on the 24-hour on-call duty roster for nursery care if a physician is not available and (ii) permit physicians to provide consultation via telehealth when a certified nurse midwife, licensed certified midwife, or pediatric nurse practitioner is providing coverage for the 24-hour on-call duty roster and a physician is incapable of arriving on site within 30 minutes of notification."
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2025"
identifier: "HB 1904"
citation: "Virginia HB 1904 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Rodney T. Willett"]
version_count: 6
action_count: 33
vote_count: 7
first_action: "2025-01-06"
last_action: "2025-03-24"
source: "openstates"
source_identifier: "ocd-bill/cd4bee21-d1f3-43e4-a7b4-988eed96e232"
source_url: "https://lis.virginia.gov/bill-details/20251/HB1904"
source_hash: "b699ed044fc671b1240fea95fa625425a9457d735311d5ef2fa5c9dc41c1b850"
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 1904 (2025) — Certified nurse midwives, licensed certified midwives, etc.; coverage for nursery services.
Department of Health; coverage for nursery services; certified nurse midwives; licensed certified midwives; pediatric nurse practitioners. Directs the Department of Health to amend its regulations on coverage for nursery services to (i) allow certified nurse midwives, licensed certified midwives, or pediatric nurse practitioners with pediatric privileges and a neonatal resuscitation certification from the American Academy of Pediatrics, including endotracheal intubation training, to be on the 24-hour on-call duty roster for nursery care if a physician is not available and (ii) permit physicians to provide consultation via telehealth when a certified nurse midwife, licensed certified midwife, or pediatric nurse practitioner is providing coverage for the 24-hour on-call duty roster and a physician is incapable of arriving on site within 30 minutes of notification.
## 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/1013582.PDF)
2. **Chaptered** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1077035.PDF)
3. **Delegate Willett Amendment** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1036193.HTML)
4. **Engrossed** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1037055.PDF)
5. **Health and Human Services Substitute** (committee substitute) — [source](https://lis.blob.core.windows.net/files/1026999.PDF)
6. **Enrolled** (enrolled) — [source](https://lis.blob.core.windows.net/files/1061523.PDF)
## Votes
- Subcommittee recommends reporting with substitute (8-Y 0-N) — **80** (pass) · lower
- Constitutional reading dispensed (on 2nd reading) — **390** (pass) · upper
- Reading waived (on 2nd reading) (39-Y 0-N) — **390** (pass) · upper
- Read third time and passed House (98-Y 0-N) — **980** (pass) · lower
- Reported from Health and Human Services with substitute (21-Y 0-N) — **210** (pass) · lower
- Passed Senate (40-Y 0-N) — **400** (pass) · upper
- Reported from Education and Health (15-Y 0-N) — **150** (pass) · upper
## Sponsors
- Rodney T. Willett — primary (person)
- Adele Y. McClure — cosponsor (person)
- Alfonso H. Lopez — cosponsor (person)
- Amy J. Laufer — cosponsor (person)
- Chris Obenshain — cosponsor (person)
- Christopher T. Head — cosponsor (person)
- David Owen — cosponsor (person)
- Destiny LeVere Bolling — cosponsor (person)
- Joshua G. Cole — cosponsor (person)
- Kathy K.L. Tran — cosponsor (person)
- Nadarius E. Clark — cosponsor (person)
- Rae Cousins — cosponsor (person)
- Sam Rasoul — cosponsor (person)
- Thomas A. Garrett, Jr. — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-06** Prefiled and ordered printed; Offered 01-13-2025 25102337D `filing, introduction`
- **2025-01-06** Referred to Committee on Health and Human Services `referral-committee`
- **2025-01-23** Subcommittee recommends reporting with substitute (8-Y 0-N) `substitution`
- **2025-01-28** Reported from Health and Human Services with substitute (21-Y 0-N) `committee-passage`
- **2025-01-28** Committee substitute printed 25105564D-H1 `substitution`
- **2025-01-28** Fiscal Impact Statement from Department of Planning and Budget (HB1904)
- **2025-01-30** Read first time `reading-1`
- **2025-01-31** Moved from Uncontested Calendar to Regular Calendar
- **2025-01-31** Read second time `reading-2`
- **2025-01-31** Health and Human Services Substitute agreed to
- **2025-01-31** Delegate Willett Amendment agreed to `amendment-passage`
- **2025-01-31** Engrossed by House - committee substitute as amended `substitution`
- **2025-01-31** Printed as engrossed 25105564D-EH1
- **2025-01-31** Fiscal Impact Statement from Department of Planning and Budget (HB1904)
- **2025-02-03** Read third time and passed House (98-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`
- **2025-02-11** Assigned Education sub: Health `referral-committee`
- **2025-02-13** Reported from Education and Health (15-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 (HB1904ER) `passage`
- **2025-03-07** Fiscal Impact Statement from Department of Planning and Budget (HB1904)
- **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`
- **2025-03-24** Approved by Governor-Chapter 488 (Effective 07/01/25) `executive-signature`
- **2025-03-24** Acts of Assembly Chapter text (CHAP0488)
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cd4bee21-d1f3-43e4-a7b4-988eed96e232`. Confidence: reported (aggregated from official Virginia legislature records).